Premium
Percutaneous Alternatives in Nutritional Support: A Radiologic Perspective
Author(s) -
Lambiase Robert E.,
Dorfman Gary S.,
Cronan John J.,
Paolella Landy P.,
Caldwell Michael E.
Publication year - 1988
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607188012005513
Subject(s) - jejunostomy , medicine , parenteral nutrition , percutaneous , interventional radiology , gastrostomy , enteral administration , percutaneous endoscopic gastrostomy , general surgery , catheter , surgery , feeding tube , radiology , intensive care medicine , finance , peg ratio , economics
As alternatives to per os feeding and nutritional support increase in number and complexity, the interventional radiologist has come to play a more significant role in the creation and maintenance of nutritional access. In very difficult access cases, the concerted effort of the nutritional surgeon and the radiologist is often required. We describe several such situations which have been successfully managed at our institution. The indications for and techniques of percutaneous reestablishment of surgically placed jejunostomy tubes, the percutaneous conversion of gastrostomy to jejunostomy tubes with retention of the gastrostomy tube, and percutaneous placement of an inferior vena caval Hickman catheter are all described in detail. ( Journal of Parenteral and Enteral Nutrition 12: 513–520, 1988)