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Title: Radiologic Percutaneous Gastrostomy in Nondistended Stomach: A Modified Approach

Abstract

IntroductionGastrostomy tube placement for patients requiring long-term nutritional support may be performed using different techniques including endoscopic, surgical, and percutaneous radiologically guided methods. Radiologically inserted gastrostomy (RIG), typically performed when percutaneous endoscopic gastrostomy is not possible, requires proper gastric distension that is achieved by insufflating air through a nasogastric tube. We describe a simple technique to prevent air escape from the stomach during gastrostomy tube placement. To the best of our knowledge, this technique has not yet been described in the literature.Materials and MethodsFour patients with unsuccessful percutaneous endoscopic gastrostomy were referred for fluoroscopic-guided gastrostomy. One patient had a pyriform sinus tumor and three had an ischemic stroke causing dysphagia. Gastric distention was not achieved in the patients due to air escaping into the bowel during the standard RIG procedure. A modified approach using a balloon catheter inflated in the pylorus to avoid air passing into the duodenum permitted successful RIG.ResultsThe modified RIG procedure was successfully carried out in all cases without complications.DiscussionInadequate air distension of the stomach is an unusual event that causes a failure of gastrostomy tube placement and an increased risk of both major and minor complications. The use of a balloon catheter inflated in the firstmore » part of the duodenum prevents the air passage into the bowel allowing the correct positioning of the gastrostomy.« less

Authors:
; ; ; ; ;  [1]
  1. IRCCS San Martino University Hospital, Department of Radiology and Interventional Radiology (Italy)
Publication Date:
OSTI Identifier:
22642489
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 39; Journal Issue: 7; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BALLOONS; FAILURES; HAZARDS; ISCHEMIA; NEOPLASMS; PATIENTS; SINUSES; SMALL INTESTINE; STOMACH; SURGERY; THERAPY

Citation Formats

Petrocelli, Francesco, E-mail: francesco.petrocelli@hsanmartino.it, Salsano, Giancarlo, E-mail: giancarlo.salsano@yahoo.it, Bovio, Giulio, E-mail: giulio.bovio@hsanmartino.it, Camerano, Francesco, E-mail: francesco.camerano@gmail.com, Utili, Alice, E-mail: aliceutili@gmail.com, and Ferro, Carlo, E-mail: carlo.ferro@hsanmartino.it. Radiologic Percutaneous Gastrostomy in Nondistended Stomach: A Modified Approach. United States: N. p., 2016. Web. doi:10.1007/S00270-016-1304-7.
Petrocelli, Francesco, E-mail: francesco.petrocelli@hsanmartino.it, Salsano, Giancarlo, E-mail: giancarlo.salsano@yahoo.it, Bovio, Giulio, E-mail: giulio.bovio@hsanmartino.it, Camerano, Francesco, E-mail: francesco.camerano@gmail.com, Utili, Alice, E-mail: aliceutili@gmail.com, & Ferro, Carlo, E-mail: carlo.ferro@hsanmartino.it. Radiologic Percutaneous Gastrostomy in Nondistended Stomach: A Modified Approach. United States. doi:10.1007/S00270-016-1304-7.
Petrocelli, Francesco, E-mail: francesco.petrocelli@hsanmartino.it, Salsano, Giancarlo, E-mail: giancarlo.salsano@yahoo.it, Bovio, Giulio, E-mail: giulio.bovio@hsanmartino.it, Camerano, Francesco, E-mail: francesco.camerano@gmail.com, Utili, Alice, E-mail: aliceutili@gmail.com, and Ferro, Carlo, E-mail: carlo.ferro@hsanmartino.it. Fri . "Radiologic Percutaneous Gastrostomy in Nondistended Stomach: A Modified Approach". United States. doi:10.1007/S00270-016-1304-7.
@article{osti_22642489,
title = {Radiologic Percutaneous Gastrostomy in Nondistended Stomach: A Modified Approach},
author = {Petrocelli, Francesco, E-mail: francesco.petrocelli@hsanmartino.it and Salsano, Giancarlo, E-mail: giancarlo.salsano@yahoo.it and Bovio, Giulio, E-mail: giulio.bovio@hsanmartino.it and Camerano, Francesco, E-mail: francesco.camerano@gmail.com and Utili, Alice, E-mail: aliceutili@gmail.com and Ferro, Carlo, E-mail: carlo.ferro@hsanmartino.it},
abstractNote = {IntroductionGastrostomy tube placement for patients requiring long-term nutritional support may be performed using different techniques including endoscopic, surgical, and percutaneous radiologically guided methods. Radiologically inserted gastrostomy (RIG), typically performed when percutaneous endoscopic gastrostomy is not possible, requires proper gastric distension that is achieved by insufflating air through a nasogastric tube. We describe a simple technique to prevent air escape from the stomach during gastrostomy tube placement. To the best of our knowledge, this technique has not yet been described in the literature.Materials and MethodsFour patients with unsuccessful percutaneous endoscopic gastrostomy were referred for fluoroscopic-guided gastrostomy. One patient had a pyriform sinus tumor and three had an ischemic stroke causing dysphagia. Gastric distention was not achieved in the patients due to air escaping into the bowel during the standard RIG procedure. A modified approach using a balloon catheter inflated in the pylorus to avoid air passing into the duodenum permitted successful RIG.ResultsThe modified RIG procedure was successfully carried out in all cases without complications.DiscussionInadequate air distension of the stomach is an unusual event that causes a failure of gastrostomy tube placement and an increased risk of both major and minor complications. The use of a balloon catheter inflated in the first part of the duodenum prevents the air passage into the bowel allowing the correct positioning of the gastrostomy.},
doi = {10.1007/S00270-016-1304-7},
journal = {Cardiovascular and Interventional Radiology},
number = 7,
volume = 39,
place = {United States},
year = {Fri Jul 15 00:00:00 EDT 2016},
month = {Fri Jul 15 00:00:00 EDT 2016}
}