Ultrasound guided gastrostomy - 21 June 2012

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This technique is very useful in patients in whom NG access to inflate the stomach is not possible. An ultrasound puncture is made using a Skater set or other micropuncture set. Contrast is trickled in as the needle is withdrawn until it is seen to flow freely into the stomach. The Skater set can then be advanced over a guidewire into the stomach and used for air insuflation followed by standard gastrostomy insertion.

(The background noise is due to the suction machine for the patients productice tracheostomy)

Pubmed references can be found here

Dr Phil Haslam, Consultant Interventional Radiologist, Freeman hospital, Newcastle upon Tyne, UK

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