Computed tomography-gastro-colonography for percutaneous endoscopic gastrostomy using a helical computed tomography - 18/06/15
, Masahiko Taniguchi, M.D., Ph.D. b, Yoshiaki Iwasaki, M.D., Ph.D. c, Keita Sasahara, R.T. a, Atsushi Nagase, M.D. d, Kazuhiko Onodera, M.D., Ph.D. e, Minoru Matsuda, M.D., Ph.D. f, Yuhei Inaba, M.D., Ph.D. g, Takako Kawakami, M.D. a, Mineko Higuchi, R.N. a, Yuko Kobashi, M.D., Ph.D. h, Hiroyuki Furukawa, M.D., Ph.D. bAbstract |
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.
Le texte complet de cet article est disponible en PDF.Keywords : Percutaneous endoscopic gastrostomy, Iatrogenic colic perforation, Gastrocolic fistula, CT-gastrography, CT-colonography
Plan
| There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs. |
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| The authors declare no conflicts of interest. |
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| Written informed consent was obtained from the patients' relatives for the publication of this report and any accompanying images. Copies of the written consent are available for review by the Editor-in-Chief of this journal. |
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| Dr Kato is accepting full responsibility for the conduct of the study. |
Vol 210 - N° 2
P. 374-381 - août 2015 Retour au numéro
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