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

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

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    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 1 1995

    Keywords

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

    ASJC Scopus subject areas

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

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