Technique for Percutaneous Fluoroscopically Guided G-Tube Placement in a High-BMI Patient

Enteral feeding is still the preferred method of nutritional support even in patients with excessive body mass index. Often, this mass poses a hindrance in performing routine procedures. We present a case describing the technique used to safely place a fluoroscopically guided G-tube in a patient wit...

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Bibliographic Details
Main Author: Irwin M. Best
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2012/807161
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Summary:Enteral feeding is still the preferred method of nutritional support even in patients with excessive body mass index. Often, this mass poses a hindrance in performing routine procedures. We present a case describing the technique used to safely place a fluoroscopically guided G-tube in a patient with a significant nutritional deficit after repair of a ruptured thoracic aneurysm. Her admission weight was in excess of 180 Kg. However, protracted respiratory insufficiency and mechanical ventilation prolonged her hospital course. The G-tube was successfully placed using a fluoroscopically guided technique. The advantages of such an approach are discussed.
ISSN:2090-6420
2090-6439