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Postpyloric Balloon Occlusion to Increase Technical Success during Pediatric Percutaneous Gastrostomy/Gastrojejunostomy Tube Placement |
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| Institution: | 1. Department of Radiology, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York, New York;2. Charlotte Radiology, Charlotte, North Carolina;1. Department of Interventional Radiology, Royal Victoria Hospital, Barrie, Ontario, Canada;2. Department of Biology, Mount Allison University, Sackville, New Brunswick, Canada |
| Abstract: | Gastric distension through insufflation is a key step in creating a safe percutaneous window during gastrostomy/gastrojejunostomy (G/GJ) placement; however, poor or incomplete gastric distention can occur, despite the use of glucagon, and lead to rapid egress of air from the stomach into the duodenum. This report describes the adjunctive technique using postpyloric balloon occlusion in 29 patients to maximize gastric insufflation during G/GJ tube placement after failure of conventional methods. Balloon occlusion was successful in salvaging 23 of 29 (79.3%) of G/GJ tube placements without any complications. |
| Keywords: | G"} {"#name":"keyword" "$":{"id":"kwrd0015"} "$$":[{"#name":"text" "_":"gastrostomy GJ"} {"#name":"keyword" "$":{"id":"kwrd0025"} "$$":[{"#name":"text" "_":"gastrojejunostomy IQR"} {"#name":"keyword" "$":{"id":"kwrd0035"} "$$":[{"#name":"text" "_":"interquartile range |
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