[Computer tomography-guided gastrostomy, jejunostomy and gastrojejunostomy. A reliable non-surgical method also for contraindications and failure of percutaneous endoscopic gastrostomy].
OBJECTIVE
To analyse retrospectively the results of CT (computed tomography)-guided gastrostomy or gastroenterostomy where an endoscopic procedure was not possible or had failed.


METHODS
Between August 1993 and March 1997, CT-guided gastrostomy (n = 50) or gastroenterostomy (n = 8) was performed in 58 patients (mean age 56 +/- 6 years; 51 males, 7 females). An endoscopic or fluoroscopic method had been contraindicated in 52 and had failed in 6 patients.


RESULTS
Technical success was achieved in all patients. Three patients needed intravenous sedation. There were no procedure related complications requiring treatment. Three patients had a mild infection at the site of the skin puncture.


CONCLUSIONS
CT-guided gastrostomy or gastroenterostomy is a safe and simple procedure which provides a minimally invasive alternative also in patients with contraindications to the established percutaneous method.
Seitz
J
J
Institut für Röntgendiagnostik, Klinik und Poliklinik für Innere Medizin I, Universität Regensburg.
Gmeinwieser
J
J
Strotzer
M
M
Dorenbeck
U
U
Paetzel
C
C
Lock
G
G
Manke
C
C
Feuerbach
S
S
Schölmerich
J
J
D000328:Adult; D000368:Aged; D000075202:Contraindications; D005260:Female; D005471:Fluoroscopy; D005773:Gastroscopy; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed