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

Research output: Contribution to journalArticle

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

Fingerprint

Gastrostomy
Spiral Computed Tomography
Tomography
Transverse Colon
Abdominal Wall
Fistula
Stomach
Infection

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 journalArticle

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, vol. 210, no. 2, pp. 374-381. https://doi.org/10.1016/j.amjsurg.2014.10.029
Kato, Kazuya ; Taniguchi, Masahiko ; Iwasaki, Yoshiaki ; Sasahara, Keita ; Nagase, Atsushi ; Onodera, Kazuhiko ; Matsuda, Minoru ; Inaba, Yuhei ; Kawakami, Takako ; Higuchi, Mineko ; Kobashi, Yuko ; Furukawa, Hiroyuki. / Computed tomography-gastro-colonography for percutaneous endoscopic gastrostomy using a helical computed tomography. In: American Journal of Surgery. 2015 ; Vol. 210, No. 2. pp. 374-381.
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