While percutaneous gastrostomy has become a routine procedure in most
radiological practices, there has always been a concern about performa
nce of th is procedure in the postoperative stomach. This particular a
rticle outlines in detail the selection of patients, the appropriate t
echnique, and the use of gastropexy devices that can be used in this t
ype of patient. The specific anatomy that needs to be understood and t
he approach to different anatomical variations of the stomach are desc
ribed.