Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Percutaneous Gastrostomy Tube Reinsertion after Accidental Dislodgement Using Modified Seldinger's Technique

이탈된 위루관에 대한 투시경하 변형 Seldinger씨 방법을 이용한 경피적 위루관 재삽입술

  • Kim, Joo-Hee (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Kim, Seong-Min (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Oh, Jung-Tak (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Choi, Seung-Hoon (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Hwang, Eu-Ho (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine) ;
  • Han, Seok-Joo (Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine)
  • 김주희 (연세대학교 의과대학 소아외과) ;
  • 김성민 (연세대학교 의과대학 소아외과) ;
  • 오정탁 (연세대학교 의과대학 소아외과) ;
  • 최승훈 (연세대학교 의과대학 소아외과) ;
  • 황의호 (연세대학교 의과대학 소아외과) ;
  • 한석주 (연세대학교 의과대학 소아외과)
  • Received : 2006.10.17
  • Accepted : 2006.12.19
  • Published : 2006.12.31
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Abstract

This case report describes a baby who received a laparoscopic gastrostomy tube insertion, which was dislodged accidentally at $16^{th}$ postoperative day. After the dislodgement, cutaneous tract rapidly closed, and reinsertion seemed to be impossible. However, gastrostomy tube was reinserted safely with fluoroscopy-guided Seldinger's technique under local anesthesia with sedation. This is the unique method of modified Seldinger's technique for reinsertion of gastrostomy tube under local anesthesia and sedation for accidentally dislodged gastrostomy tube. This method was thought to be safe, easy and useful technique for gastrostomy reinsertion after dislodgement of gastrostomy tube.

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