Computed tomography-gastro-colonography for percutaneous endoscopic gastrostomy using a helical computed tomography

Kazuya Kato, Masahiko Taniguchi, Yoshiaki Iwasaki, Keita Sasahara, Atsushi Nagase, Kazuhiko Onodera, Minoru Matsuda, Yuhei Inaba, Takako Kawakami, Mineko Higuchi, Yuko Kobashi, Hiroyuki Furukawa

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2 Citations (Scopus)

Abstract

Background Despite the widespread use of percutaneous endoscopic gastrostomy (PEG) tubes, their placement may be associated with a variety of complications, including gastrocolic fistula. Methods In total, 48 individuals underwent computed tomography-gastro-colonography (CT-GC)-guided PEG placement. Study end points included success of CT-GC, inability to thread the PEG tube, the eventual tube location, tube adjustments needed, adverse events, operating time, and PEG tube-related infection. Results A successful CT-GC was achieved in all 48 patients (100%), and we successfully used a standard PEG technique to place the gastrostomy tube in 44 patients (92%). In 4 patients (8%), the laparoscopic-assisted PEG technique was used because the transverse colon became interposed between the abdominal wall and the anterior wall of the stomach. The overall procedure-related minor complication rate was 8%. Conclusion CT-GC is an optional method for the estimation of intra-abdominal, anatomical orientations that may minimize the risk of complications before PEG placement.

Original languageEnglish
Pages (from-to)374-381
Number of pages8
JournalAmerican Journal of Surgery
Volume210
Issue number2
DOIs
Publication statusPublished - Aug 1 2015

Keywords

  • CT-colonography
  • CT-gastrography
  • Gastrocolic fistula
  • Iatrogenic colic perforation
  • Percutaneous endoscopic gastrostomy

ASJC Scopus subject areas

  • Surgery

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  • Cite this

    Kato, K., Taniguchi, M., Iwasaki, Y., Sasahara, K., Nagase, A., Onodera, K., Matsuda, M., Inaba, Y., Kawakami, T., Higuchi, M., Kobashi, Y., & Furukawa, H. (2015). Computed tomography-gastro-colonography for percutaneous endoscopic gastrostomy using a helical computed tomography. American Journal of Surgery, 210(2), 374-381. https://doi.org/10.1016/j.amjsurg.2014.10.029