CT-guided gastrostomy tube placement—a single center case series

PURPOSEThe role of computed tomography (CT)-guided gastrostomy tube placement is still evolving. It is a valuable alternative to guide gastrostomy tube placement in a few selected patients, who are not candidates for the established endoscopy- or fluoroscopy-guided gastrostomy tube placement. Our ob...

Full description

Bibliographic Details
Main Authors: Junaid T. Yasin, Philip A. Schuchardt, Naomi Atkins, Dave Koch, Ryan M. Davis, Sachin S. Saboo, Ambarish P. Bhat
Format: Article
Language:English
Published: Galenos Publishing House 2020-09-01
Series:Diagnostic and Interventional Radiology
Online Access: http://www.dirjournal.org/archives/archive-detail/article-preview/ct-guided-gastrostomy-tube-placementa-single-cente/54701
_version_ 1797691262119182336
author Junaid T. Yasin
Philip A. Schuchardt
Naomi Atkins
Dave Koch
Ryan M. Davis
Sachin S. Saboo
Ambarish P. Bhat
author_facet Junaid T. Yasin
Philip A. Schuchardt
Naomi Atkins
Dave Koch
Ryan M. Davis
Sachin S. Saboo
Ambarish P. Bhat
author_sort Junaid T. Yasin
collection DOAJ
description PURPOSEThe role of computed tomography (CT)-guided gastrostomy tube placement is still evolving. It is a valuable alternative to guide gastrostomy tube placement in a few selected patients, who are not candidates for the established endoscopy- or fluoroscopy-guided gastrostomy tube placement. Our objective was to describe our institutional experience placing gastrostomy tubes using CT guidance and to conduct a review of literature for similar studies to provide the best current evidence on success rates and complications.METHODSWe identified gastrostomy tubes placed under CT guidance at our institution using a comprehensive case log. We also identified studies in the literature, through a systematic search of PubMed. In both the local and literature analyses, we recorded success and complication rates.RESULTSA total of 31 patients underwent 33 attempted CT-guided gastrostomy tube placements at our institution, with 32 successful procedures yielding a success rate of 97%. The overall rate of successful gastrostomy tube placement using CT-guidance was 94.9% (634/668), as reported in the existing literature.CONCLUSIONCT-guidance is an effective method for gastrostomy tube placement and may play an important role in patients for whom endoscopic or fluoroscopic gastrostomy tube placement is not feasible.
first_indexed 2024-03-12T02:11:54Z
format Article
id doaj.art-1cfb249d7d4041aaadb6b02009422b16
institution Directory Open Access Journal
issn 1305-3825
1305-3612
language English
last_indexed 2024-03-12T02:11:54Z
publishDate 2020-09-01
publisher Galenos Publishing House
record_format Article
series Diagnostic and Interventional Radiology
spelling doaj.art-1cfb249d7d4041aaadb6b02009422b162023-09-06T13:00:25ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122020-09-0126546446910.5152/dir.2020.1947113049054CT-guided gastrostomy tube placement—a single center case seriesJunaid T. Yasin0Philip A. Schuchardt1Naomi Atkins2Dave Koch3Ryan M. Davis4Sachin S. Saboo5Ambarish P. Bhat6 Department of Radiology, University of Missouri Columbia School of Medicine, Columbia, Missouri, USA Department of Radiology, University of Missouri Columbia School of Medicine, Columbia, Missouri, USA Department of Radiology, Division of Interventional Radiology, University of Missouri- Columbia School of Medicine, Columbia, Missouri, USA Department of Radiology, Division of Interventional Radiology, University of Missouri- Columbia School of Medicine, Columbia, Missouri, USA Department of Radiology, Division of Interventional Radiology, University of Missouri- Columbia School of Medicine, Columbia, Missouri, USA Department of Radiology, University of Texas Health Science Center, San Antonio, Texas , USA Department of Radiology, Division of Interventional Radiology, University of Missouri- Columbia School of Medicine, Columbia, Missouri, USA PURPOSEThe role of computed tomography (CT)-guided gastrostomy tube placement is still evolving. It is a valuable alternative to guide gastrostomy tube placement in a few selected patients, who are not candidates for the established endoscopy- or fluoroscopy-guided gastrostomy tube placement. Our objective was to describe our institutional experience placing gastrostomy tubes using CT guidance and to conduct a review of literature for similar studies to provide the best current evidence on success rates and complications.METHODSWe identified gastrostomy tubes placed under CT guidance at our institution using a comprehensive case log. We also identified studies in the literature, through a systematic search of PubMed. In both the local and literature analyses, we recorded success and complication rates.RESULTSA total of 31 patients underwent 33 attempted CT-guided gastrostomy tube placements at our institution, with 32 successful procedures yielding a success rate of 97%. The overall rate of successful gastrostomy tube placement using CT-guidance was 94.9% (634/668), as reported in the existing literature.CONCLUSIONCT-guidance is an effective method for gastrostomy tube placement and may play an important role in patients for whom endoscopic or fluoroscopic gastrostomy tube placement is not feasible. http://www.dirjournal.org/archives/archive-detail/article-preview/ct-guided-gastrostomy-tube-placementa-single-cente/54701
spellingShingle Junaid T. Yasin
Philip A. Schuchardt
Naomi Atkins
Dave Koch
Ryan M. Davis
Sachin S. Saboo
Ambarish P. Bhat
CT-guided gastrostomy tube placement—a single center case series
Diagnostic and Interventional Radiology
title CT-guided gastrostomy tube placement—a single center case series
title_full CT-guided gastrostomy tube placement—a single center case series
title_fullStr CT-guided gastrostomy tube placement—a single center case series
title_full_unstemmed CT-guided gastrostomy tube placement—a single center case series
title_short CT-guided gastrostomy tube placement—a single center case series
title_sort ct guided gastrostomy tube placement a single center case series
url http://www.dirjournal.org/archives/archive-detail/article-preview/ct-guided-gastrostomy-tube-placementa-single-cente/54701
work_keys_str_mv AT junaidtyasin ctguidedgastrostomytubeplacementasinglecentercaseseries
AT philipaschuchardt ctguidedgastrostomytubeplacementasinglecentercaseseries
AT naomiatkins ctguidedgastrostomytubeplacementasinglecentercaseseries
AT davekoch ctguidedgastrostomytubeplacementasinglecentercaseseries
AT ryanmdavis ctguidedgastrostomytubeplacementasinglecentercaseseries
AT sachinssaboo ctguidedgastrostomytubeplacementasinglecentercaseseries
AT ambarishpbhat ctguidedgastrostomytubeplacementasinglecentercaseseries