When should a gastrostomy be considered, and what technique and follow-up should be proposed ?
(2026) Louvain médical — Vol. 149, n° 1, p. 3-9 (2026)
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- Abstract
- Gastrostomy is an essential technique for ensuring enteral nutrition in patients who are unable to eat sufficiently for more than 6 weeks, particularly in cases of malnutrition, cancer, neurodegenerative diseases, or trauma, provided the patient’s presumed life expectancy exceeds 1 month. It is preferred over parenteral nutrition, particularly because it is more physiological. Endoscopic placement is the method of choice, with two main techniques: the ‘pull’ method, which is contraindicated in cases of ENT or esophageal tumors, and the ‘push’ method, which does not pose a risk of tumor dissemination. Balloon tubes make replacement easier. Regular monitoring by the patient is important to avoid complications, such as infections, obstructions, granulation tissue, leaks, and incarceration. The patient must be trained in daily care, including cleaning, rinsing, and checking the balloon. If the tube falls out, it must be replaced quickly. A multidisciplinary approach (physician, dietician, nurse) optimizes care, ensuring the patient’s safety and comfort.
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Lanthier, N., Forton, P., & Bernere, S. (2026). When should a gastrostomy be considered, and what technique and follow-up should be proposed ? Louvain médical, 149(1), 3-9. https://hdl.handle.net/2078.5/273608 (Original work published 2026)