Journal of the Formosan Medical Association
Volume 105, Issue 2 , Pages 168-171, 2006

T-Fastener Gastropexy and Percutaneous Gastrostomy Under CT-Fluoroscopic Guidance in a Patient with Partial Gastrectomy

  • Sheung-Fat Ko

      Affiliations

    • Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Tao Yuan, Taiwan, R.O.C.
    • ,
  • Joseph Tung-Chieh Chang

      Affiliations

    • Department of Radiotherapy, Chang Gung Memorial Hospital, Linkou Medical Center, Tao Yuan, Taiwan, R.O.C.
    • ,
  • Chun-la Liao

      Affiliations

    • Department of Oto-Rhino-Laryngology, Chang Gung Memorial Hospital, Linkou Medical Center, Tao Yuan, Taiwan, R.O.C.
    • ,
  • Hung-Ming Wong

      Affiliations

    • Department of Oncology, Chang Gung Memorial Hospital, Linkou Medical Center, Tao Yuan, Taiwan, R.O.C.

Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Linkou Medical Center and Keelung Hospital, Taiwan, R.O.C.

Received 17 January 2005; received in revised form 24 March 2005; accepted 12 April 2005.

Article Outline

The real-time images of computed tomography (CT)-fluoroscopy provide an excellent means of guidance for percutaneous interventions. We describe the performance of T-fastener gastropexy and percutaneous gastrostomy under CT-fluoroscopic guidance in a 59-year-old woman who had received total pharyngolaryngectomy for hypopharyngeal cancer and partial gastrectomy with Billroth II anastomosis for bleeding gastric ulcer 10 years before this operation. The previous gastric operation altered the gastrointestinal anatomy and made conventional fluoroscopic-guided percutaneous gastrostomy extremely difficult and risky. The T-fastener gastropexy and percutaneous gastrostomy were accomplished smoothly in a single session using CT-fluoroscopic guidance. This modified method of percutaneous gastrostomy may be useful in patients with anatomic distortion due to previous gastric surgery.

Key Words:  anatomic distortion , computed tomography , fluoroscopy , percutaneous gastrostomy

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PII: S0929-6646(09)60340-5

doi:10.1016/S0929-6646(09)60340-5

Journal of the Formosan Medical Association
Volume 105, Issue 2 , Pages 168-171, 2006

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