By Poliektov, N., Johnson, T.Abstract
Gastrostomies are routinely placed by gastroenterologists and interventional radiologists using percutaneous techniques.
Prior thought: keep patients nothing by mouth (NPO) for 24 hours to allow the Gl system to return to normal function and better seal the enteral opening, thus reducing the chance of gastric leakage and peritonitis1*4, and allow for resolution of procedure-induced gastric ileus before feeding, thus reducing gastric residuals and the associated risk of aspiration5.
Gastroenterologists now feed safely after percutaneous endoscopic gastrostomies at 4 hours with improved patient care.
Current placement involves routine ultrasound to identify liver margin and place gastropexy sutures to prevent peritoneal migration of gastrostomy tube.
Going 24 hours with nutrition is difficult for the patients, who are often malnourished, and mandates admission for outpatient gastrostomy tube placements.
The aim of this study is to be the first to prospectively demonstrate safety of early feeding of patients following percutaneous radiographically-placed gastrostomies.