Placement of a duodenal feeding tube via gastrostoma with fiberoptic bronchoscope.
We report a case of esophageal disruption that required a duodenal feeding tube. Because of collapse of the gastric outlet secondary to severe emaciation, several attempts to place a tube into the duodenum via gastrostoma had ended in failure. We finally were able to accomplish it with the aid of a fiberoptic bronchoscope and a Swan-Ganz catheter. The procedure is described and discussed.
Lee
T S
TS
Department of Anesthesiology, Harbor-UCLA Medical Center, Torrance 90509.
Wu
Y
Y
D000328:Adult; D020680:Bronchoscopes; D002407:Catheterization, Swan-Ganz; D004386:Duodenum; D004750:Enteral Nutrition / Q000295:instrumentation*; D004947:Esophagus / Q000293:injuries; D005336:Fiber Optic Technology / Q000295:instrumentation; D005774:Gastrostomy; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000295:instrumentation / Q000379:methods*; D008297:Male; D012421:Rupture