CT guidance for percutaneous gastrostomy and gastroenterostomy.

Abstract:

:The authors describe the value of computed tomographic (CT) guidance for percutaneous gastrostomy (PG) or gastroenterostomy (PGE) in 22 patients with anatomic or pathologic difficulties precluding fluoroscopic guidance. Indications for PG or PGE were decompression for gastrointestinal obstruction (n = 15) or for feeding (n = 7). Thirteen patients previously underwent an unsuccessful attempt at or had been rejected as unsuitable for percutaneous endoscopic gastrostomy. CT guidance was selected because of inability to pass a nasogastric tube due to esophageal obstruction (n = 4), inability to tolerate gastric distention (n = 1), abnormal morphology in or around the stomach (n = 16), or simultaneous performance of a PG in one patient who was undergoing emergency CT-guided abscess drainage. Catheters were placed successfully in all 22 patients. No major complications occurred. CT is valuable for PG or PGE when anatomic or pathologic problems make fluoroscopic or endoscopic puncture unsafe or impossible.

journal_name

Radiology

journal_title

Radiology

authors

Sanchez RB,vanSonnenberg E,D'Agostino HB,Goodacre BW,Moyers P,Casola G

doi

10.1148/radiology.184.1.1609080

subject

Has Abstract

pub_date

1992-07-01 00:00:00

pages

201-5

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

184

pub_type

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