Makindo Medical Notes

Radiologically Inserted Gastrostomy (RIG) Procedure

A Radiologically Inserted Gastrostomy (RIG), also known as a Percutaneous Radiologic Gastrostomy (PRG), is a medical procedure used to insert a feeding tube directly into the stomach through the abdominal wall. This is typically performed when a patient is unable to take in sufficient nutrition orally due to conditions such as neurological disorders, cancers, or swallowing difficulties.

Procedure Overview:

1. Preparation:
   • The patient is typically sedated or under local anesthesia to minimize discomfort.
   • A radiologist uses imaging techniques like X-rays or ultrasound to visualize the stomach and surrounding structures.
2. Insertion of the Tube:
   • A small incision is made in the abdominal wall.
   • A needle is inserted into the stomach under radiological guidance, and a wire is passed through the needle.
   • The gastrostomy tube is threaded over the wire and positioned in the stomach.
   • The tube is then secured to the skin with a device to prevent dislodgement.
3. Post-Procedure Care:
   • The site is monitored for any signs of infection or complications.
   • Instructions are provided on how to care for the tube and the insertion site.
   • Feeding via the tube typically starts after the site has healed.

Benefits of RIG:

• Minimally invasive procedure.
• Direct visualization with imaging for accuracy and safety.
• Allows for long-term nutritional support.

Risks and Complications:

• Infection at the insertion site.
• Bleeding or injury to surrounding organs.
• Tube dislodgement or blockage.