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Radiologic Gastrostomy Placement

Pigtail- Versus Mushroom-Retained Catheters

Brian Funaki1, George X. Zaleski2, Jonathan Lorenz1, Paul B. Menocci1, Alexandra N. Funaki1, Jordan D. Rosenblum1, Christopher Straus1 and Jeffrey A. Leef1

1 Department of Radiology, The University of Chicago Hospitals, MC 2026, 5841 S. Maryland Ave., Chicago, IL 60637.
2 Racine Radiologist Group, 3803 Spring St., Rm. 208, Racine, WI 53405.



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Fig. 1. —Photograph of gastrostomy catheters used in current study. The 12-French Wills-Oglesby gastrostomy catheter (Cook, Bloomington, IN) (top) and 14-French Mallinckrodt gastrostomy catheter (Cook) (middle) are retained by locking pigtails. The 20-French removable mushroom-retained catheter (removable pull-PEG; Medical Innovations, Draper, UT) (bottom) is pulled with a snare from mouth into stomach. A plastic dilator is then cut off and a feeding adapter and skin bolster are attached.

 

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