Percutaneous decompression of the bowel with a small-caliber needle: a method to facilitate percutaneous abdominal access |
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Authors: | Wiebe Sheldon Cohen Justine Connolly Bairbre Chait Peter |
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Affiliation: | Department of Diagnostic Imaging, The Hospital for Sick Children and University of Toronto, 555 University Ave., Toronto, ON M5G 1X8, Canada. |
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Abstract: | 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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