title: Percutaneous gastrostomy of the excluded gastric segment after Roux-en-Y gastric bypass surgery.
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.
authors.affiliation: Department of Radiology, Division of Vascular Radiology, Montefiore Medical Center, University Hospital for the Albert Einstein College of Medicine, Bronx, NY 10467-2490, USA.
authors.forename: Evan G
authors.initials: EG
authors.lastname: Stein
authors.forename: Jacob
authors.initials: J
authors.lastname: Cynamon
authors.forename: Marc Joshua
authors.initials: MJ
authors.lastname: Katzman
authors.forename: Elliott
authors.initials: E
authors.lastname: Goodman
authors.forename: Alla
authors.initials: A
authors.lastname: Rozenblit
authors.forename: Ellen L
authors.initials: EL
authors.lastname: Wolf
authors.forename: Marcy B
authors.initials: MB
authors.lastname: Jagust
mesh_terms: D000328:Adult; D000713:Anastomosis, Roux-en-Y; D005260:Female; D015390:Gastric Bypass; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome