Hybrid Endoscopic/Fluoroscopic Gastrostomy Tube Placement: Case Report of a Novel Technique.

ABSTRACT:

Introduction

We report the case of a 60-year-old female with a history of perforated gastric ulcer, abdominal abscesses, enterocutaneous fistula, and small bowel obstruction requiring durable gastric decompression prior to delayed fistula takedown. The patient had contraindications to or failed attempts at traditional gastrostomy approaches (surgical, endoscopic, interventional radiology).

Case report

Gastrostomy was successfully performed via a novel technique combining interventional radiology and endoscopic placement.

Discussion

In certain patients with complex presentations, a hybrid approach to gastrostomy tube placement using fluoroscopy and endoscopy may prove a viable alternative when traditional methods are contraindicated or unsuccessful.

SUBMITTER: Girardi N 

PROVIDER: S-EPMC11835415 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature