Published online Jan 28, 2020. doi: 10.3748/wjg.v26.i4.383
Peer-review started: November 14, 2019
First decision: December 12, 2019
Revised: January 7, 2020
Accepted: January 11, 2020
Article in press: January 11, 2020
Published online: January 28, 2020
Processing time: 65 Days and 3.5 Hours
Gastrostomy tube is an effective and safe long-term feeding access that is well-tolerated by patients. The typical placement routes include surgical, endoscopic and interventional radiologic placement. In particular, percutaneous interventional radiologic gastrostomy (PIRG) has increasingly become the preferred method of choice in many practices. Although many PIRG techniques have been developed since the 1980s, there is still a paucity of evidence supporting the choice of a most-optimal PIRG technique. Hence, there is a large variation in institutional approach to PIRG. We are a large, quaternary academic institution with an extensive experience in PIRG. Therefore, we aim to present the “push” PIRG technique utilized in our institution, to review the current literature, to discuss the optimal choice of PIRG technique and to generate further interests in comparison studies.
Core tip: Percutaneous interventional radiologic gastrostomy has become a popular choice for gastrostomy placement. However, there hasn't been an established most-optimal percutaneous interventional radiologic gastrostomy method. Therefore, we would like to present what we believe is the best approach and hope to spark readers' interests in pursuing further direct comparison studies.