Emergency Radiology

, Volume 26, Issue 6, pp 663–674 | Cite as

MDCT evaluation of complications of percutaneous gastrostomy tube placement

  • Rakhee S. GawandeEmail author
  • Christopher R. Bailey
  • Christopher Jones
  • Elliot K. Fishman
Review Article


Percutaneous gastrostomy tube placement is a commonly performed procedure to provide enteral alimentation to patients unable to tolerate oral feeds. Percutaneous gastrostomy is a relatively safe procedure, and serious complications like gastrointestinal bleeding, perforated viscus, and adjacent organ injury are rare. The most common complications after gastrostomy tube placement occur early and are usually minor. The purpose of this review article is to describe the techniques of percutaneous gastrostomy tube insertion and imaging protocol for gastrostomy tube evaluation, and describe the early, late, and anytime complications. The article will also illustrate very rare late complications of gastrostomy tube placement like gastro-hepatic fistula, gastro-colic fistula, buried bumper syndrome, and gastrostomy site hernia.


Percutaneous gastrostomy Gastrostomy malposition Gastrostomy tube complications MDCT 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© American Society of Emergency Radiology 2019

Authors and Affiliations

  1. 1.Russell H. Morgan Department of Radiology and Radiological ScienceJohns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Department of Radiology, Medical Center NorthVanderbilt University Medical CentreNashvilleUSA

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