McLoughlin R F, So B, Gray R R
Department of Diagnostic Imaging, Foothills Hospital, Calgary, Alta.
Can Assoc Radiol J. 1996 Feb;47(1):10-5.
The authors review the current status of fluoroscopically guided percutaneous gastrostomy (FGPG). The indications for this procedure have been expanded since the technique was first described over a decade ago. Ther are few contraindications to FGPG, although modifications are required in some situations. The procedure involves placing a feeding tube into the stomach by a modified Seldinger technique. According to the literature, most interventionalists do not routinely employ gastropexy. The insertion of gastrojejunostomy feeding tubes rather than gastrostomy feeding tubes to reduce gastroesophageal reflux remains controversial. Complications after FGPG are rare. Feeding tubes inserted in this manner allow satisfactory establishment and maintenance of enteral feeding. The technique compares favourably with other methods of inserting gastrostomy tubes.
作者回顾了透视引导下经皮胃造口术（FGPG）的现状。自十多年前首次描述该技术以来，此手术的适应证已有所扩展。FGPG几乎没有禁忌证，不过在某些情况下需要进行调整。该手术通过改良的塞丁格技术将饲管置入胃内。根据文献，大多数介入医生并不常规进行胃固定术。插入空肠造口饲管而非胃造口饲管以减少胃食管反流仍存在争议。FGPG术后并发症罕见。以这种方式插入的饲管能令人满意地建立和维持肠内营养。该技术与其他插入胃造口管的方法相比具有优势。
