A method for percutaneous radiologic gastrostomy tube placement without sedation as a bridge to lung transplantation
Gastrostomy tube placement is an appropriate option for long-term nutritional support for patients who cannot tolerate oral intake. Common indications for a gastrostomy tube include head and neck tumors and neurological disorders. Several methods for gastrostomy tube insertion exist (eg, surgical, e...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-06-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043321001916 |
| _version_ | 1818386272672022528 |
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| author | Christian Nguyen, BS Reza A Imani, MD, MS |
| author_facet | Christian Nguyen, BS Reza A Imani, MD, MS |
| author_sort | Christian Nguyen, BS |
| collection | DOAJ |
| description | Gastrostomy tube placement is an appropriate option for long-term nutritional support for patients who cannot tolerate oral intake. Common indications for a gastrostomy tube include head and neck tumors and neurological disorders. Several methods for gastrostomy tube insertion exist (eg, surgical, endoscopic, and radiologic) that require sedation or general anesthesia, which can pose risks of cardiopulmonary compromise and postsurgical pulmonary complications. Unlike other methods, our practice uses a percutaneous balloon-assisted gastrostomy tube insertion method for which we can perform without sedation. We report a case of a percutaneous radiologic gastrostomy procedure for a patient with end stage lung disease as a bridge to lung transplantation, who is not a candidate for sedation and is high-risk for general anesthesia. Through enteral feeds administered through the successfully placed gastrostomy tube, the patient showed steady improvement in weight gain over the course of several months before approval for listing by the lung transplant selection committee. Our case highlights how gastrostomy tube placement can be safely performed in patients who are not sedation candidates using the minimally invasive balloon-assisted gastrostomy tube insertion method and local anesthetic. |
| first_indexed | 2024-12-14T03:51:25Z |
| format | Article |
| id | doaj.art-beb6cc3fc2b84a62b98d7678f8f3f8dd |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-14T03:51:25Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-beb6cc3fc2b84a62b98d7678f8f3f8dd2022-12-21T23:18:13ZengElsevierRadiology Case Reports1930-04332021-06-0116615861590A method for percutaneous radiologic gastrostomy tube placement without sedation as a bridge to lung transplantationChristian Nguyen, BS0Reza A Imani, MD, MS1Corresponding author.; Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville, TN 37232, USAVanderbilt University Medical Center, 1211 Medical Center Dr, Nashville, TN 37232, USAGastrostomy tube placement is an appropriate option for long-term nutritional support for patients who cannot tolerate oral intake. Common indications for a gastrostomy tube include head and neck tumors and neurological disorders. Several methods for gastrostomy tube insertion exist (eg, surgical, endoscopic, and radiologic) that require sedation or general anesthesia, which can pose risks of cardiopulmonary compromise and postsurgical pulmonary complications. Unlike other methods, our practice uses a percutaneous balloon-assisted gastrostomy tube insertion method for which we can perform without sedation. We report a case of a percutaneous radiologic gastrostomy procedure for a patient with end stage lung disease as a bridge to lung transplantation, who is not a candidate for sedation and is high-risk for general anesthesia. Through enteral feeds administered through the successfully placed gastrostomy tube, the patient showed steady improvement in weight gain over the course of several months before approval for listing by the lung transplant selection committee. Our case highlights how gastrostomy tube placement can be safely performed in patients who are not sedation candidates using the minimally invasive balloon-assisted gastrostomy tube insertion method and local anesthetic.http://www.sciencedirect.com/science/article/pii/S1930043321001916Percutaneous radiologic gastrostomyLung transplantationPulmonary cachexia |
| spellingShingle | Christian Nguyen, BS Reza A Imani, MD, MS A method for percutaneous radiologic gastrostomy tube placement without sedation as a bridge to lung transplantation Radiology Case Reports Percutaneous radiologic gastrostomy Lung transplantation Pulmonary cachexia |
| title | A method for percutaneous radiologic gastrostomy tube placement without sedation as a bridge to lung transplantation |
| title_full | A method for percutaneous radiologic gastrostomy tube placement without sedation as a bridge to lung transplantation |
| title_fullStr | A method for percutaneous radiologic gastrostomy tube placement without sedation as a bridge to lung transplantation |
| title_full_unstemmed | A method for percutaneous radiologic gastrostomy tube placement without sedation as a bridge to lung transplantation |
| title_short | A method for percutaneous radiologic gastrostomy tube placement without sedation as a bridge to lung transplantation |
| title_sort | method for percutaneous radiologic gastrostomy tube placement without sedation as a bridge to lung transplantation |
| topic | Percutaneous radiologic gastrostomy Lung transplantation Pulmonary cachexia |
| url | http://www.sciencedirect.com/science/article/pii/S1930043321001916 |
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