Percutaneous feeding gastrostomy in patients with a partial gastrectomy: transhepatic approach with CT guidance

Susumu Kanazawa, Y. Naomoto, Y. Hiraki, K. Yasui, T. Matsuno

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background: Percutaneous gastrostomy in patients with a partial gastrectomy is rarely performed because the gastric remnants are generally small, positioned high subcostally, and overlaid by the transverse colon and the left lobe of the liver. Methods: We performed percutaneous transhepatic feeding gastrostomy in four patients with a partial gastrectomy whose conditions precluded oral feeding. The gastric remnant was punctured with a 22-gauge percutaneous transhepatic cholangiography needle through the left lobe of the liver with computed tomography guidance and following tract dilation over the guidewire 8 or 9F. Cope loop catheters were fluoroscopically placed. Results: No obvious complications were encountered during the procedures. The catheter feedings were continued for 2 to 7 months without any serious problems. Conclusions: We conclude this technique can be performed easily and may be safe because of the presence of the adhesion between the remnant and the liver, which prevents a massive hemorrhage or the displacement of the catheters.

Original languageEnglish
Pages (from-to)302-306
Number of pages5
JournalAbdominal Imaging
Volume20
Issue number4
DOIs
Publication statusPublished - Jul 1995

Fingerprint

Gastrostomy
Gastrectomy
Gastric Stump
Catheters
Liver
Transverse Colon
Cholangiography
Needles
Dilatation
Tomography
Hemorrhage

Keywords

  • Gastrostomy, CT-guided technique
  • Post-surgical stomach, transhepatic catheterization

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Urology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Percutaneous feeding gastrostomy in patients with a partial gastrectomy : transhepatic approach with CT guidance. / Kanazawa, Susumu; Naomoto, Y.; Hiraki, Y.; Yasui, K.; Matsuno, T.

In: Abdominal Imaging, Vol. 20, No. 4, 07.1995, p. 302-306.

Research output: Contribution to journalArticle

Kanazawa, Susumu ; Naomoto, Y. ; Hiraki, Y. ; Yasui, K. ; Matsuno, T. / Percutaneous feeding gastrostomy in patients with a partial gastrectomy : transhepatic approach with CT guidance. In: Abdominal Imaging. 1995 ; Vol. 20, No. 4. pp. 302-306.
@article{3ecb7789babb4fa1ac795617d5c29f11,
title = "Percutaneous feeding gastrostomy in patients with a partial gastrectomy: transhepatic approach with CT guidance",
abstract = "Background: Percutaneous gastrostomy in patients with a partial gastrectomy is rarely performed because the gastric remnants are generally small, positioned high subcostally, and overlaid by the transverse colon and the left lobe of the liver. Methods: We performed percutaneous transhepatic feeding gastrostomy in four patients with a partial gastrectomy whose conditions precluded oral feeding. The gastric remnant was punctured with a 22-gauge percutaneous transhepatic cholangiography needle through the left lobe of the liver with computed tomography guidance and following tract dilation over the guidewire 8 or 9F. Cope loop catheters were fluoroscopically placed. Results: No obvious complications were encountered during the procedures. The catheter feedings were continued for 2 to 7 months without any serious problems. Conclusions: We conclude this technique can be performed easily and may be safe because of the presence of the adhesion between the remnant and the liver, which prevents a massive hemorrhage or the displacement of the catheters.",
keywords = "Gastrostomy, CT-guided technique, Post-surgical stomach, transhepatic catheterization",
author = "Susumu Kanazawa and Y. Naomoto and Y. Hiraki and K. Yasui and T. Matsuno",
year = "1995",
month = "7",
doi = "10.1007/BF00203358",
language = "English",
volume = "20",
pages = "302--306",
journal = "Abdominal Imaging",
issn = "0942-8925",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Percutaneous feeding gastrostomy in patients with a partial gastrectomy

T2 - transhepatic approach with CT guidance

AU - Kanazawa, Susumu

AU - Naomoto, Y.

AU - Hiraki, Y.

AU - Yasui, K.

AU - Matsuno, T.

PY - 1995/7

Y1 - 1995/7

N2 - Background: Percutaneous gastrostomy in patients with a partial gastrectomy is rarely performed because the gastric remnants are generally small, positioned high subcostally, and overlaid by the transverse colon and the left lobe of the liver. Methods: We performed percutaneous transhepatic feeding gastrostomy in four patients with a partial gastrectomy whose conditions precluded oral feeding. The gastric remnant was punctured with a 22-gauge percutaneous transhepatic cholangiography needle through the left lobe of the liver with computed tomography guidance and following tract dilation over the guidewire 8 or 9F. Cope loop catheters were fluoroscopically placed. Results: No obvious complications were encountered during the procedures. The catheter feedings were continued for 2 to 7 months without any serious problems. Conclusions: We conclude this technique can be performed easily and may be safe because of the presence of the adhesion between the remnant and the liver, which prevents a massive hemorrhage or the displacement of the catheters.

AB - Background: Percutaneous gastrostomy in patients with a partial gastrectomy is rarely performed because the gastric remnants are generally small, positioned high subcostally, and overlaid by the transverse colon and the left lobe of the liver. Methods: We performed percutaneous transhepatic feeding gastrostomy in four patients with a partial gastrectomy whose conditions precluded oral feeding. The gastric remnant was punctured with a 22-gauge percutaneous transhepatic cholangiography needle through the left lobe of the liver with computed tomography guidance and following tract dilation over the guidewire 8 or 9F. Cope loop catheters were fluoroscopically placed. Results: No obvious complications were encountered during the procedures. The catheter feedings were continued for 2 to 7 months without any serious problems. Conclusions: We conclude this technique can be performed easily and may be safe because of the presence of the adhesion between the remnant and the liver, which prevents a massive hemorrhage or the displacement of the catheters.

KW - Gastrostomy, CT-guided technique

KW - Post-surgical stomach, transhepatic catheterization

UR - http://www.scopus.com/inward/record.url?scp=0029044223&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029044223&partnerID=8YFLogxK

U2 - 10.1007/BF00203358

DO - 10.1007/BF00203358

M3 - Article

C2 - 7549730

AN - SCOPUS:0029044223

VL - 20

SP - 302

EP - 306

JO - Abdominal Imaging

JF - Abdominal Imaging

SN - 0942-8925

IS - 4

ER -