Semin intervent Radiol 2017; 34(04): 349-360
DOI: 10.1055/s-0037-1608706
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Bowel Obstruction: Decompressive Gastrostomies and Cecostomies

Zoe A. Miller
Department of Interventional Radiology, University of Miami-Miller School of Medicine, Miami, Florida
,
Prasoon Mohan
Department of Interventional Radiology, University of Miami-Miller School of Medicine, Miami, Florida
,
Robert Tartaglione
Department of Interventional Radiology, University of Miami-Miller School of Medicine, Miami, Florida
,
Govindarajan Narayanan
Department of Interventional Radiology, University of Miami-Miller School of Medicine, Miami, Florida
› Author Affiliations
Further Information

Publication History

Publication Date:
14 December 2017 (online)

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Abstract

Over the past 30 years, image-guided placement of gastrostomies and cecostomies for gastrointestinal decompression has developed into a safe and effective treatment for symptomatic bowel obstruction. Gastrostomies and cecostomies relieve patient symptoms, can prevent serious complications such as colonic perforation, and may bridge patients to more definitive treatment for the underlying cause of obstruction. This article will review the history of decompressive gastrostomies and cecostomies as well as the indications, contraindications, technique, complications, and outcomes of these procedures.

Keywords

palliative care - gastrostomy - cecostomy - bowel obstruction - interventional radiology