Korean J Radiol.  2011 Oct;12(5):648-650. 10.3348/kjr.2011.12.5.648.

RE: Tips and Tricks of Percutaneous Gastrostomy Under Image Guidance in Patients with Limited Access

Affiliations
  • 1Interventional Radiology Department, Antoine Lacassagne Cancer Research Institute, Sophia Antipolis University, 06189 Nice cedex 1, France. marcy.pierreyves@gmail.com
  • 2Radiodiagnostic Department, Centre Medico-Chirurgical, 15000-Aurillac, France.
  • 3Oncology Surgeon, Oncology Surgery Department, Antoine Lacassagne Cancer Research Institute, Sophia Antipolis University, 06189 Nice cedex 1, France.
  • 4Radiotherapy Department, Antoine Lacassagne Cancer Research Institute, Sophia Antipolis University, 06189 Nice cedex 1, France.

Abstract

No abstract available.

Keyword

Gastrointestinal tract; Interventional procedure; Gastrostomy; Stomach; Colon

MeSH Terms

Esophageal Neoplasms/*surgery
Female
Gastrostomy/*methods
Humans
Intestinal Obstruction/*surgery
Laryngeal Neoplasms/*surgery
Male
Upper Gastrointestinal Tract/*surgery

Figure

  • Fig. 1 Chilaiditi's gastropexy on sagittal CT - reformation (A) and anatomy (B). A. Multidetector CT volume rendering sagittal reformation showing 17-Fr percutaneous mushroom gastrostomy button (arrow), below left liver. Note high location of transverse colon (*) without any sign of omental infarction. B. Chilaiditi's sign anatomy in grey color is compared to usual anatomy encountered at standard percutaneous gastrostomy (black color). Abdominal wall (arrow) and greater peritoneal sac lie anterior to stomach. During Chilaiditi's gastropexy, needle (N) traverses GO, TM, GCL, and lesser sac (between TM and GCL). C = transverse colon, GCL = gastrocolic ligament, GO = greater omentum, P = pancreas, S = stomach, TM = transverse mesocolon


Reference

1. Chan SC, Chu WC, Liu KW, Liao CT, Lee TS, Ng SH. Modified radiology-guided percutaneous gastrostomy (MRPG) for patients with complete obstruction of the upper digestive tract and who are without endoscopic or nasogastric access. Korean J Radiol. 2011. 12:216–219.
2. Marcy PY, Magné N, Bensadoun RJ, Bleuse A, Falewee MN, Viot M, et al. Systematic percutaneous fluoroscopic gastrostomy for concomitant radiochemotherapy of advanced head and neck cancer: optimization of therapy. Support Care Cancer. 2000. 8:410–413.
3. Pugash RA, Brady AP, Isaacson S. Ultrasound guidance in percutaneous gastrostomy and gastrojejunostomy. Can Assoc Radiol J. 1995. 46:196–198.
4. Cantwell CP, Gervais DA, Hahn PF, Mueller PR. Feasibility and safety of infracolic fluoroscopically guided percutaneous radiologic gastrostomy. J Vasc Interv Radiol. 2008. 19:129–132.
Full Text Links
  • KJR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr