Gastrostomy Placement & Replacement
Gastrostomy tube (G-tube) placement (placing a tube into the stomach) to provide nutrition and medication for patients unable to feed themselves. G-tube placement routinely occurs with few complications when placed percutaneously using interventional radiology techniques.
Gastrostomy Tube Removal
Often, the gastrostomy tube (G-tube) is only partially dislodged when the patient arrives in the emergency department (ED). In such cases, the tube must be removed prior to replacement. Not all G-tubes can be removed safely in the ED. Standard de Pezzer and mushroom catheters modified with rings or bolsters upon insertion may require endoscopy for removal. However, most G-tubes can be taken out with simple traction. When in doubt, contact the provider who inserted the tube to determine if removal can be completed safely in the ED. Of note, the visible portion of the G-tube outside the skin may or may not indicate what type of internal stabilization exists. G-tube removal begins with deflating the balloon, if one exists. Then, while providing traction on the tube, press a flat, gloved hand against the abdominal wall for countertraction. The tube should slide out with minimal resistance. If significant resistant is felt, the procedure should be aborted, as an internal ring or bolster that requires endoscopic removal may exist.
Image-guided percutaneous drainage and aspiration procedures provide therapeutic treatment for many types of fluid collections, including abscess, hematoma, bulla, seroma, and cysts. Drainage treatment is defined as the placement of a catheter to provide complete or continuous drainage of the fluid collection. Aspiration treatment is defined as evacuation of a fluid collection or cyst, using either a needle or catheter, with immediate removal of the catheter or needle after the treatment.
Will It Hurt?
There may be some discomfort associated with this procedure. Many cases can be performed with a local anesthesia (similar to Novacaine used by dentists). More involved cases generally will require the administration of painkillers and/or anti-anxiety medications. The most involved procedures generally will involve insertion of a small intravenous line and monitoring by our Radiology nursing staff in order to administer medications intravenously. Every effort is made to minimize any discomfort during the procedure.
Thoracentesis & Paracentesis
Paracentesis refers to a procedure to remove excess fluid via a needle syringe from a body cavity, most often the abdomen. Removal of fluid from the chest cavity is called thoracentesis. The causes of fluid buildup in the body are many, including liver disease, congestive heart failure, pneumonia, infections, and certain cancers. Draining the fluid relieves pressure on the patient’s internal organs which may cause more serious complications and provides a sample for diagnostic tests.
Request an Appointment
For gastrostomy tube placement or replacement, make an appointment with our specialists for an evaluation. The experienced physicians at Precision Vascular and Interventional Radiology will create an individualized plan to help you get the best results.