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Balloon-Assisted, Fluoroscopically Guided Percutaneous Gastrostomy Tube Placement 

Balloon-Assisted, Fluoroscopically Guided Percutaneous Gastrostomy Tube Placement
Chapter:
Balloon-Assisted, Fluoroscopically Guided Percutaneous Gastrostomy Tube Placement
Author(s):

Joseph Farnam

, Jason Iannuccilli

, and Gregory Soares

DOI:
10.1093/med/9780199986071.003.0093
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date: 10 December 2019

Fluoroscopic placement of gastrostomy tubes requires creation and dilation of a percutaneous tract through which the tube is placed. Given the relatively large caliber of these tubes, aggressive dilation of the percutaneous tract is necessary prior to their insertion. Tract dilation is most commonly performed via the use of several sequential dilators or a single telescoping serial dilator. These methods are cumbersome and relatively time-consuming, and as a result this portion of the procedure can result in considerable patient discomfort as well as technical complications. This chapter describes the use of a balloon catheter for gastrostomy creation. It describes clinical scenarios that would benefit from gastrostomy tube placement. The procedure is described in a step-by-step manner with a focus on gastrostomy tract dilatation.

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