EUS-assisted, fluoroscopically guided gastrostomy tube placement in patients with Roux-en-Y gastric bypass: a novel technique for access to the gastric remnant

• Published in: Gastrointestinal endoscopy Vol. 74; no. 3; pp. 677 - 682
• Main Authors: Attam, Rajeev, MD, Leslie, Daniel, MD, Freeman, Martin, MD, Ikramuddin, Sayeed, MD, Andrade, Rafael, MD
• Format: Journal Article
• Language: English
• Published: Maryland heights, MO Mosby, Inc 01.09.2011; Elsevier
• Subjects: Adult; Aged; Anastomosis, Roux-en-Y; Biological and medical sciences; Digestive system. Abdomen; Endoscopy; Endoscopy, Digestive System; Endosonography; Enteral Nutrition; Fluoroscopy; Gastric Bypass; Gastric Stump - diagnostic imaging; Gastric Stump - surgery; Gastroenterology and Hepatology; Gastroenterology. Liver. Pancreas. Abdomen; Gastrostomy - methods; Humans; Insufflation; Investigative techniques, diagnostic techniques (general aspects); Medical sciences; Middle Aged; Retrospective Studies; Young Adult; G-tube; Roux-en-Y gastric bypass; gastrostomy tube; RYGB; Sonography; Gastrostomy; Human; Stomach; Treatment; Endoscopic route; Surgery; Endoscopic ultrasonography; Echography; Roux en Y loop; Technique

Background Access to the excluded gastric remnant in patients after Roux-en-Y gastric bypass for gastrostomy tube placement or therapeutic endoscopy is a technical challenge. Available techniques include interventional radiology–placed gastrostomy, deep enteroscopy, and surgical gastrostomy; however...