Percutaneous Gastrostomy of the Excluded Gastric Segment after Roux-en-Y Gastric Bypass Surgery

Evan G. Stein, Jacob Cynamon, Marc Joshua Katzman, Elliott Goodman, Alla Rozenblit, Ellen L. Wolf, Marcy B. Jagust

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

A new technique for percutaneous gastrostomy of a decompressed excluded gastric segment after Roux-en-Y gastric bypass (RYGBP) surgery is described and the results in a single institution are reviewed. Computed tomography guidance was used to place a 21- or 22-gauge needle into the lumen of the stomach and distend it to allow placement of a feeding catheter. Ten women underwent the procedure, and despite only three patients having clear access windows, gastrostomy placement was ultimately successful in all 10 patients. Percutaneous gastrostomy of the decompressed excluded gastric segment after RYGBP surgery can be challenging, but a high rate of success can be achieved.

Original languageEnglish (US)
Pages (from-to)914-919
Number of pages6
JournalJournal of Vascular and Interventional Radiology
Volume18
Issue number7
DOIs
StatePublished - Jul 2007

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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