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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.