Radiologically inserted gastrostomy (RIG): A comparison of the pull versus the push techniques

Thong Le, Silverton Buraundi , Dinesh Ranatunga , Andrew Owen

Research output: Contribution to conferenceAbstractpeer-review


Purpose: To establish if there is a difference in either the technical success or the rate or severity of complications between the ‘pull’ and ‘push’ techniques of radiologically-inserted gastrostomy (RIG). Material and Methods: A retrospective review of RIGs was performed over the preceding 4-year period using the electronic patient record. Technical suc cess was recorded and complications were categorised as either major or minor using the Clavien Dindo classification of surgical complications. Results: 123 RIGs were reviewed. 77/80 (96.2%) of the push and 42/43 (97.7%) of the pull RIGs were technically successful. >75% of RIGs were in serted for patients with either oropharyngeal carcinoma (OPC) or motor neuron disease (MND). 76% of the pull procedures were performed in patients with MND. 75% of the push procedures were nearly equally divided between pa tients with OPC or MND. Complications occurred in 16 (20.8%) patients using the push technique (13% minor, 7.8% major) and in 7 (16.7%) patients using the pull technique (14.3% minor, 2.4% major). There was no clear relationship between the clinical indication and the rate or severity of complications. Hos pital re-presentations within 30 days occurred in 4 (5.2%) versus 0 patients using the push versus the pull technique. Conclusion: RIG has a high technical success. The pull RIG is associated with a lower complication rate (a difference that is largely explained by fewer major complications) and should be the preferred technique
Original languageEnglish
Publication statusPublished - Jun 2015
Externally publishedYes
EventEuropean Society of Gastrointestinal and Abdominal Radiology : ESGAR 2015 - 26th Annual Meeting - Paris, France
Duration: 9 Jun 201512 Jun 2015


ConferenceEuropean Society of Gastrointestinal and Abdominal Radiology

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