Schlottmann, Klaus and Gelbmann, C. and Schoelmerich, Juergen and Lock, G. (2001) Ultrasound guided percutaneous transcostal decompression gastrostomy (PUG) - A case report. ULTRASCHALL IN DER MEDIZIN, 22 (3). pp. 153-155. ISSN 0172-4614
Full text not available from this repository. (Request a copy)Abstract
Percutaneous gastrostomies (PG) are nowadays usually placed endoscopically (PEG). Due to stenoses in the pharynx or the esophagus or in case of a lack of diaphany, other methods for the placement of PG such as computed tomography (CT-)guided or ultrasound-guided PG (PUG) are performed. We present a case of a 63-year old male patient with a retroperitoneal liposarcoma and multivisceral resection who presented with the symptoms and signs of an ileus due to metastatic occlusion of the small bowel. The placement of a decompression-PEG was impossible due to interposition of colon between the stomach and the abdominal wall. After filling the stomach with water via a naso-gastral decompression tube, the stomach could be visualized at the left thoracic wall, since the spleen and the left kidney had been removed at prior surgery. A transcostal decompression-PUG was inserted. The intervention described is the first published ultrasound guided transcostal decompression gastrostomy and is an example for the growing significance of interventional ultrasound.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ENDOSCOPIC GASTROSTOMY; GASTROENTEROSTOMY; sonography; ultrasound; gastrostomy |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 25 Jan 2022 15:31 |
| Last Modified: | 25 Jan 2022 15:31 |
| URI: | https://pred.uni-regensburg.de/id/eprint/41420 |
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