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Direct Percutaneous Transperitoneal Duodenostomy

An Alternative Form of Enteral Feeding

James H. Turner1,2 and Gerhard R. Wittich1

1 Department of Radiology, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555.
2 Present address: Department of Radiology, Denver Health Medical Center, 777 Bannock St., Denver, CO 80204.



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  		Fig. 1A. —43-year-old man who underwent esophagectomy and gastric pull-up. CT scan obtained at level of second portion of duodenum shows needle tip in open retrieval basket (arrow).

 


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  		Fig. 1B. —43-year-old man who underwent esophagectomy and gastric pull-up. Fluoroscopic image of basket in second portion of duodenum shows 18-gauge Pencil Point needle (Cook, Bloomington, IN) used to make percutaneous puncture.

 


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  		Fig. 1C. —43-year-old man who underwent esophagectomy and gastric pull-up. CT scan shows entry site of feeding tube into duodenum obtained during transperitoneal duodenostomy.

 

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