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 language | English |
|---|---|
| Pages (from-to) | 374-381 |
| Number of pages | 8 |
| Journal | American Journal of Surgery |
| Volume | 210 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Aug 1 2015 |
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Keywords
- CT-colonography
- CT-gastrography
- Gastrocolic fistula
- Iatrogenic colic perforation
- Percutaneous endoscopic gastrostomy
ASJC Scopus subject areas
- Surgery
- Medicine(all)
Cite this
Computed tomography-gastro-colonography for percutaneous endoscopic gastrostomy using a helical computed tomography. / Kato, Kazuya; Taniguchi, Masahiko; Iwasaki, Yoshiaki; Sasahara, Keita; Nagase, Atsushi; Onodera, Kazuhiko; Matsuda, Minoru; Inaba, Yuhei; Kawakami, Takako; Higuchi, Mineko; Kobashi, Yuko; Furukawa, Hiroyuki.
In: American Journal of Surgery, Vol. 210, No. 2, 01.08.2015, p. 374-381.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Computed tomography-gastro-colonography for percutaneous endoscopic gastrostomy using a helical computed tomography
AU - Kato, Kazuya
AU - Taniguchi, Masahiko
AU - Iwasaki, Yoshiaki
AU - Sasahara, Keita
AU - Nagase, Atsushi
AU - Onodera, Kazuhiko
AU - Matsuda, Minoru
AU - Inaba, Yuhei
AU - Kawakami, Takako
AU - Higuchi, Mineko
AU - Kobashi, Yuko
AU - Furukawa, Hiroyuki
PY - 2015/8/1
Y1 - 2015/8/1
N2 - 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.
AB - 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.
KW - CT-colonography
KW - CT-gastrography
KW - Gastrocolic fistula
KW - Iatrogenic colic perforation
KW - Percutaneous endoscopic gastrostomy
UR - http://www.scopus.com/inward/record.url?scp=84931575840&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84931575840&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2014.10.029
DO - 10.1016/j.amjsurg.2014.10.029
M3 - Article
C2 - 25912624
AN - SCOPUS:84931575840
VL - 210
SP - 374
EP - 381
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 2
ER -