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The Rigid Tube as an Alternative in Controlling the Problematic Airway
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Rigid inflatable gastrostomy tube malposition.

Timothy E Murray1, Michael J Lee1,2

  • 1Department of Radiology, Beaumont Hospital, P.O. Box 1297, Beaumont Road, Dublin 9, Ireland.

Radiology Case Reports
|February 28, 2018
PubMed
Summary
This summary is machine-generated.

Rigid inflatable gastrostomy (RIG) tubes are common, but malposition can occur. Radiography effectively detects early RIG tube malposition, ensuring patient safety.

Keywords:
GastrostomyInterventional RadiologyMalposition

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Area of Science:

  • Radiology
  • Gastroenterology
  • Medical Devices

Background:

  • Rigid inflatable gastrostomy (RIG) tubes are frequently utilized for various clinical indications.
  • RIG tube insertion boasts high technical success rates and low mortality.
  • Procedural complications, though rare, necessitate vigilant monitoring.

Observation:

  • This case report details a specific procedural pitfall: intraperitoneal-extragastric malposition of a RIG tube.
  • Early detection of malposition is crucial for patient outcomes.
  • Radiographic assessment is key to identifying misplaced hardware.

Findings:

  • Abdominal radiography is a reliable method for assessing RIG tube placement.
  • Familiarity with the radiographic appearance of RIG tubes and gastropexy T-fasteners aids radiologists.
  • Early postprocedural radiography can identify malposition before clinical sequelae develop.

Implications:

  • Radiologists play a vital role in confirming correct RIG tube placement.
  • Abdominal radiography is an accessible, cost-effective imaging modality for hardware verification.
  • Timely detection of malposition via radiography can prevent serious complications and guide timely intervention.