Hybrid Endoscopic/Fluoroscopic Gastrostomy Tube Placement: Case Report of a Novel Technique

Nicholas Girardi; Benjamin Wharton; Kenneth Cicuto; Alysia Wiley; Lacey LaGrone

doi:10.1159/000542809

Hybrid Endoscopic/Fluoroscopic Gastrostomy Tube Placement: Case Report of a Novel Technique

Case Rep Gastroenterol. 2025 Feb 18;19(1):72-78. doi: 10.1159/000542809. eCollection 2025 Jan-Dec.

Authors

Nicholas Girardi¹, Benjamin Wharton¹, Kenneth Cicuto², Alysia Wiley³, Lacey LaGrone³

Affiliations

¹ University of Colorado School of Medicine, Aurora, CO, USA.
² Advanced Medical Imaging, Fort Collins, CO, USA.
³ UCHealth, Medical Center of the Rockies, Loveland, CO, USA.

Abstract

Introduction: We report the case of a 60-year-old female with a history of perforated gastric ulcer, abdominal abscesses, enterocutaneous fistula, and small bowel obstruction requiring durable gastric decompression prior to delayed fistula takedown. The patient had contraindications to or failed attempts at traditional gastrostomy approaches (surgical, endoscopic, interventional radiology).

Case report: Gastrostomy was successfully performed via a novel technique combining interventional radiology and endoscopic placement.

Discussion: In certain patients with complex presentations, a hybrid approach to gastrostomy tube placement using fluoroscopy and endoscopy may prove a viable alternative when traditional methods are contraindicated or unsuccessful.

Keywords: Bowel obstruction; Endoscopy; Fistula; Gastrostomy.