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The Role of CT-guided Percutaneous Gastrostomy in Patients With Clinically Severe Obesity Presenting With Complications After Bariatric Surgery

Petsas, Theodore MD, PhD*; Kraniotis, Pantelis MD*; Spyropoulos, Charalambos MD; Katsanos, Konstantinos MD*; Karatzas, Andreas MD*; Kalfarentzos, Fotis MD, FACS

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: October 2010 - Volume 20 - Issue 5 - p 299–305
doi: 10.1097/SLE.0b013e3181f333f8
Original Articles

Purpose: To retrospectively evaluate the efficacy and safety of computed tomography (CT)-guided percutaneous gastrostomy in patients presenting with complications after bariatric surgery.

Materials and Methods: From January 2003 up to today, 25 patients (20 women), formerly operated for severe obesity, were referred for gastrostomy, after presenting with a complication. The mean age and body mass index were 38±9.3 years and 46±7.1 kg/m2, respectively. A gastrostomy tube was placed under CT in all patients.

Results: The procedure's technical success rate was 96%, with mean interventional time of 80±42 minutes. In 14 of 25 (56%) cases submucosal spread of air was noticed during air insufflation into the stomach. No major complications were recorded. There was a statistically significant improvement of both albumin and prealbumin values compared with the initial ones (P<0.005).

Conclusions: CT-guided gastrostomy in patients with complications after bariatric surgery, provides a reliable alternative for nutritional support. It restores the normal absorption route, reversing metabolic deficiencies.

Departments of *Radiology

Surgery, Nutrition Support and Morbid Obesity Unit, University Hospital of Patras, Rion, Greece

Reprints: Theodore Petsas, MD, PhD, Department of Radiology, University Hospital of Patras, Rion, Greece (e-mail: petsas@med.upatras.gr; e-mail: pkran@hotmail.com).

Received October 13, 2009

Accepted April 19, 2010

© 2010 Lippincott Williams & Wilkins, Inc.