C-0626 - Percutaneous gastrostomy: what findings can be seen on computed tomography (CT)? Are they normal findings or are they findings that make us suspect complications ?
C-0626 - Percutaneous gastrostomy: what findings can be seen on computed tomography (CT)? Are they normal findings or are they findings that make us suspect complications ?S. L. Barrero Varon, a. p. a. pastor, C. Nieto Garcia, M. Rodríguez Eiriz, M. Pons Perelló, R. Grau Sola; Palma. Mallorca. Illes Balears/ES Type: Educational Exhibit
Area of Interests: Stomach (incl. Esophagus), Interventional non-vascular
Imaging Techniques: CT, Fluoroscopy
Procedures: Complications, Drainage
Special Focuses: Embolism / Thrombosis, Image verification
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Learning objectives: Describe how a fluoroscopic percutaneous gastrostomy (PG) is performed in order to understand both the normal and the pathological findings that we can see on a computed tomography (CT) after its placement.
Background: A PG consists in inserting a catheter in the gastric chamber through the abdominal wall. Patients who need a gastrostomy are patients with either esophageal or neurological disorders that prevent proper oral nutrition, and are not candidates for long-term NGT.
Findings and procedure details: BEFORE THE PROCEDURE: 1.- Informed consent should be signed by the patient at least a day before the intervention. In our institution the procedure is generally performed under conscious sedation and often on an outpatient basis. 2. - Review the labs and correct as necessary any coagul[...]
Conclusion: Computed tomography (CT) is the diagnostic method of choice for assessing patients with abdominal symptoms after a gastrostomy placement. It is important to know the normal and the pathological findings after gastrostomy placement. Familiarity with the potential complications, techniques fo[...]
References: 1. HO S. G. F, Radiological Percutaneous Gastrostomy. Clinical Radiology 2001 vol 56, 902-910 2. Ozmen Mustafa N, Percutaneous radiologic gastrostomy. Review. European Journal of Radiology 43 (2002) 186–195 3. Sherwin P. Schrag, Complications Related to Percutaneous Endoscopic Gastrostomy ([...]