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Percutaneous Radiologic Gastrostomy Using Push-Type Gastrostomy Tubes with CT and Fluoroscopic Guidance

Toshinobu Tsukuda1, Takeshi Fujita1, Katsuyoshi Ito1, Tomio Yamashita2 and Naofumi Matsunaga1

1 Department of Radiology, Yamaguchi University School of Medicine, 1-1-1 Minami Kogushi, Ube, Yamaguchi, Japan 755-8505.
2 Department of Radiology, UBE Industries Central Hospital, Yamaguchi, Japan 755-0151.


Figure 1
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  		Fig. 1A —73-year-old-woman with cerebral infarction. Inflation of stomach was confirmed by computed scanogram. Then, puncture route was determined under CT guidance. Sheathed needle was inserted into stomach.

 

Figure 2
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  		Fig. 1B —73-year-old-woman with cerebral infarction. CT image depicts guidewire inserted into stomach through needle.

 

Figure 3
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  		Fig. 1C —73-year-old-woman with cerebral infarction. Guidewire was captured with snare wire within stomach on fluoroscopic image (C) and corresponding diagram (D) and pulled through mouth. Push-type gastrostomy tube was pushed over guidewire into stomach from oral side and out puncture site.

 

Figure 4
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  		Fig. 1D —73-year-old-woman with cerebral infarction. Guidewire was captured with snare wire within stomach on fluoroscopic image (C) and corresponding diagram (D) and pulled through mouth. Push-type gastrostomy tube was pushed over guidewire into stomach from oral side and out puncture site.

 

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