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
N1 - Publisher Copyright:
© 2015 Elsevier Inc. All rights reserved.
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
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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 -