Fig. 1. Percutaneous radiologic gastrostomy in patient with esophageal stricture. (A, B) Stomach is insufflated by air via 5 Fr Kumpe catheter (arrowheads; Cook, USA). A 21 G Chiba needle (arrows; Cook) is used to puncture under fluoroscopic guidance. Small amount of contrasts are injected to verify the position of needle. (C, D) A Neff catheter (arrowheads; Cook) is advanced over the micro-guide wire (arrows). (E) The anchor (arrowheads) is deployed by the guide wire (arrows) and by traction of the anchor, the anterior stomach wall is opposed to abdominal wall. (F) The tract site is serially dilated and a 14 Fr gastrostomy tube is placed. Small amount of contrast is injected through the gastrostomy tube (arrows) to verify final intra-gastric position of the tube.
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