Equipment:

• Serial Dilator with Peel-Away Sheath ( )
• Saf-T-Pexy* T-fasteners ( Pre-loaded T-fasteners introducers )
• Hemostat ( )
• Safety Scalpel ( )
• Safety Introducer Needle ( )
• J- Guidewire ( )

Drugs:

• Glucagon 1mg ( Smooth-muscle relaxant )
• 1% lidocaine ( )
• Ropivacaine ( )

Percutaneous gastrostomy with T-fastener gastropexy: results of 316 consecutive procedures.

Ryan JM, Hahn PF, Boland GW, McDowell RK, Saini S, Mueller PR.

Radiology. 1997 May;203(2):496-500.

Percutaneous gastrostomy with fluoroscopic guidance: single-center experience in 500 consecutive cancer patients.

de Baere T, Chapot R, Kuoch V, Chevallier P, Delille JP, Domenge C, Schwaab G, Roche A.

Radiology. 1999 Mar;210(3):651-4.

Percutaneous gastrostomy and gastrojejunostomy: additional experience in 519 procedures.

Bell SD, Carmody EA, Yeung EY, Thurston WA, Simons ME, Ho CS.

Radiology. 1995 Mar;194(3):817-20.

Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions.

Malloy PC, Grassi CJ, Kundu S, Gervais DA, Miller DL, Osnis RB, Postoak DW, Rajan DK, Sacks D, Schwartzberg MS, Zuckerman DA, Cardella JF; Standards of Practice Committee with Cardiovascular and Interventional Radiological Society of Europe (CIRSE) Endorsement.

J Vasc Interv Radiol. 2009 Jul;20(7 Suppl):S240-9. doi: 10.1016/j.jvir.2008.11.027.

Radiologic, endoscopic, and surgical gastrostomy: an institutional evaluation and meta-analysis of the literature.

Wollman B, D'Agostino HB, Walus-Wigle JR, Easter DW, Beale A.

Radiology. 1995 Dec;197(3):699-704.

Updates on percutaneous radiologic gastrostomy/gastrojejunostomy and jejunostomy.

Shin JH, Park AW.

Gut Liver. 2010 Sep;4 Suppl 1:S25-31. doi: 10.5009/gnl.2010.4.S1.S25.

Feasibility and safety of infracolic fluoroscopically guided percutaneous radiologic gastrostomy.

Cantwell CP, Gervais DA, Hahn PF, Mueller PR.

J Vasc Interv Radiol. 2008 Jan;19(1):129-32. doi: 10.1016/j.jvir.2007.08.021.

Evaluation of gastropexy and stoma tract maturation using a novel introducer kit for percutaneous gastrostomy in a porcine model.

Maxwell CI, Hilden K, Glasgow RE, Ollerenshaw J, Carlisle JG, Fang JC.

PEN J Parenter Enteral Nutr. 2011 Sep;35(5):630-5. doi: 10.1177/0148607111413596.

The one-anchor technique of gastropexy for percutaneous radiologic gastrostomy: results of 248 consecutive procedures.

Kim JW, Song HY, Kim KR, Shin JH, Choi EK.

J Vasc Interv Radiol. 2008 Jul;19(7):1048-53. doi: 10.1016/j.jvir.2008.03.021.

Percutaneous gastrostomy: US guidance for gastric puncture.

Brady AP.

Radiology. 2000 Jan;214(1):303-4.

Modified radiology-guided percutaneous gastrostomy (MRPG) for patients with complete obstruction of the upper digestive tract and who are without endoscopic or nasogastric access.

Chan SC, Chu WC, Liu KW, Liao CT, Lee TS, Ng SH.

Korean J Radiol. 2011 Mar-Apr;12(2):216-9. doi: 10.3348/kjr.2011.12.2.216.

Incidence and management of bleeding complications following percutaneous radiologic gastrostomy.

Seo N, Shin JH, Ko GY, Yoon HK, Gwon DI, Kim JH, Sung KB.

Korean J Radiol. 2012 Mar-Apr;13(2):174-81. doi: 10.3348/kjr.2012.13.2.174.

Cone-beam computed tomography-guided percutaneous radiologic gastrostomy.

Möhlenbruch M, Nelles M, Thomas D, Willinek W, Gerstner A, Schild HH, Wilhelm K.

Cardiovasc Intervent Radiol. 2010 Apr;33(2):315-20. doi: 10.1007/s00270-009-9641