AJR 2005; 184:227-229
© American Roentgen Ray Society
Percutaneous Decompression of the Bowel with a Small-Caliber Needle: A Method to Facilitate Percutaneous Abdominal Access
Sheldon Wiebe1,
Justine Cohen1,
Bairbre Connolly1 and
Peter Chait1
1 All authors: Department of Diagnostic Imaging, The Hospital for Sick Children
and University of Toronto, 555 University Ave., Toronto, ON M5G 1X8,
Canada.
OBJECTIVE. In our pediatric interventional practice, we have found
that occasionally a loop of bowel is interposed between the stomach and the
anterior wall of the abdomen, preventing safe needle access for procedures
such as placement of a gastrostomy tube. The use of a small-caliber needle to
aspirate air from the colon or small bowel, for bowel decompression, may be a
safe way to aid in establishing a safe access route for the subsequent
percutaneous introduction of larger needles or tubes.
CONCLUSION. Our retrospective review of patients who have undergone
bowel-gas aspiration during an interventional procedure shows that the
aspiration of air from the colon with a small-caliber needle is technically
easy and may permit completion of an abdominal procedure.

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Copyright © 2005 by the American Roentgen Ray Society.