Imaging of pediatric gastrostomy tube malposition: Pearls and pitfalls

doi:10.4329/wjr.v17.i6.107522

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Jun 28, 2025 (publication date) through Jun 26, 2025

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World Journal of Radiology

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1949-8470

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Radiol. Jun 28, 2025; 17(6): 107522
Published online Jun 28, 2025. doi: 10.4329/wjr.v17.i6.107522

Imaging of pediatric gastrostomy tube malposition: Pearls and pitfalls

Dhrumil Deveshkumar Patel, Kathleen E Schenker, Lauren W Averill, Lauren A May

Dhrumil Deveshkumar Patel, Kathleen E Schenker, Lauren W Averill, Lauren A May, Department of Radiology, Nemours Children's Health, Wilmington, DE 19803, United States

Author contributions: Patel DD, Schenker KE, and Averill LW were responsible for literature search and acquisition, critical revision and editing, creation of figures and tables; Patel DD and Averill LW were responsible for drafting the manuscript; Schenker KE, Averill LW, and May LA were responsible for conceptualization, administrative and logistical support; all of the authors read and approved the final version of the manuscript to be published.

Conflict-of-interest statement: The authors have no conflicting interest which are related to this article to declare.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Dhrumil Deveshkumar Patel, MD, Department of Radiology, Nemours Children's Health, 1600 Rockland Road, Wilmington, DE 19803, United States. dhrumilrad@gmail.com

Received: April 1, 2025
Revised: April 23, 2025
Accepted: May 29, 2025
Published online: June 28, 2025
Processing time: 86 Days and 10.8 Hours

Core Tip

Core Tip: Gastrostomy tube (G-tube) complications can be evaluated using fluoroscopy or 2-view contrast radiography with positive contrast injection. Presence of intraluminal contrast with gastric contour and rugae, normal emptying into the duodenum and confirmation of balloon positioning are key indicators of appropriate positioning. Awareness of critical complications associated with G-tube helps in early recognition and better patient management. These conditions include intraperitoneal placement, bowel perforation, colonic or esophageal placement, buried bumper syndrome and local abscess.