Enteric Access: IR Perspective

Marc Michael Del Rosario Lim
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Abstract

Abstract Gastrostomy tube placement may be needed for nutritional support, as in the setting of neurogenic dysphagia or head and neck malignancy, or for gastric decompression, as in the setting of malignant small bowel obstruction. Additionally, gastrojejunostomy or direct jejunostomy tubes may be needed in the setting of gastric outlet obstruction among other indications. Surgical, endoscopic, and percutaneous approaches are all well-described with generally similar outcomes. In this article, the standard radiologic percutaneous gastrostomy technique is reviewed including both the “push” and “pull” methods. Then, the special indications and techniques of advanced percutaneous enteral access such as percutaneous transesophageal gastrostomy and direct jejunostomy are discussed with examples shown.
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肠内通路:红外透视
胃造瘘管放置可能需要营养支持,如在神经性吞咽困难或头颈部恶性肿瘤的情况下,或胃减压,如在恶性小肠梗阻的情况下。此外,除其他适应症外,胃出口梗阻可能需要胃空肠造口术或直接空肠造口管。手术、内窥镜和经皮入路都有很好的描述,结果大致相似。本文综述了标准的经皮胃造口技术,包括“推”和“拉”两种方法。然后,对经皮经食管胃造口术和直接空肠造口术等先进经皮肠内通路的特殊适应证和技术进行了讨论,并举例说明。
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