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Adjunctive techniques for percutaneous enteral access in children: a pictorial review.
Gaballah, Marian; Acord, Michael R; Escobar, Fernando A; Krishnamurthy, Ganesh; Vatsky, Seth; Srinivasan, Abhay; Cahill, Anne Marie.
Afiliación
  • Gaballah M; Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA. gaballahm@chop.edu.
  • Acord MR; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. gaballahm@chop.edu.
  • Escobar FA; Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA.
  • Krishnamurthy G; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
  • Vatsky S; Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA.
  • Srinivasan A; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
  • Cahill AM; Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA.
Pediatr Radiol ; 53(2): 324-331, 2023 02.
Article en En | MEDLINE | ID: mdl-36104540
Primary percutaneous gastrostomy and gastrojejunostomy tube placements are fundamental procedures performed in pediatric interventional radiology, with both antegrade and retrograde techniques described. In pediatric patients, however, challenges may arise due to smaller patient size and anatomical variations. Several adjunctive techniques may facilitate safe percutaneous access in the setting of a limited percutaneous gastric access window. These include the intra-procedural use of cone beam computed tomography (CT), percutaneous needle decompression in the setting of distended air-filled bowel interposed between the stomach and abdominal wall, post-pyloric balloon occlusion to facilitate gastric distension, ultrasound-guided gastric puncture, and intra-gastric contrast-enhanced ultrasound (ceUS) to define the relationship of the gastric wall and the anterior abdominal wall. Adjunctive techniques may increase successful primary percutaneous gastroenteric tube placement and may improve operator confidence in safe placement.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Gastrostomía / Derivación Gástrica Límite: Child / Humans Idioma: En Revista: Pediatr Radiol Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Gastrostomía / Derivación Gástrica Límite: Child / Humans Idioma: En Revista: Pediatr Radiol Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania