Computed Tomography Just after Endoscopy as the Preoperative Examination for Safe Percutaneous Endoscopic Gastrostomy

Adachi, Yasushi; Akino, Kimishige; Mitsuya, Hiroaki; Kikuchi, Takefumi; Endo, Takao

doi:10.1159/000353449

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…Beyond virtual vascular reconstructions, the review identified several (18%, n = 10) innovative case reports and basic research using 3D reconstruction techniques to model atypical or challenging anatomy for pre-operative planning [53][54][55][56][57][58][59][60][61][62]. For example, Takanami et al [58] and Kato et al [59] describe methods to virtually visualise the thoracic duct prior to oesophagectomy.…”

Section: Pre-operative Guidancementioning

confidence: 99%

The current and possible future role of 3D modelling within oesophagogastric surgery: a scoping review

et al. 2022

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Background 3D reconstruction technology could revolutionise medicine. Within surgery, 3D reconstruction has a growing role in operative planning and procedures, surgical education and training as well as patient engagement. Whilst virtual and 3D printed models are already used in many surgical specialities, oesophagogastric surgery has been slow in their adoption. Therefore, the authors undertook a scoping review to clarify the current and future roles of 3D modelling in oesophagogastric surgery, highlighting gaps in the literature and implications for future research. Methods A scoping review protocol was developed using a comprehensive search strategy based on internationally accepted guidelines and tailored for key databases (MEDLINE, Embase, Elsevier Scopus and ISI Web of Science). This is available through the Open Science Framework (osf.io/ta789) and was published in a peer-reviewed journal. Included studies underwent screening and full text review before inclusion. A thematic analysis was performed using pre-determined overarching themes: (i) surgical training and education, (ii) patient education and engagement, and (iii) operative planning and surgical practice. Where applicable, subthemes were generated. Results A total of 56 papers were included. Most research was low-grade with 88% (n = 49) of publications at or below level III evidence. No randomised control trials or systematic reviews were found. Most literature (86%, n = 48) explored 3D reconstruction within operative planning. These were divided into subthemes of pre-operative (77%, n = 43) and intra-operative guidance (9%, n = 5). Few papers reported on surgical training and education (14%, n = 8), and were evenly subcategorised into virtual reality simulation (7%, n = 4) and anatomical teaching (7%, n = 4). No studies utilising 3D modelling for patient engagement and education were found. Conclusion The use of 3D reconstruction is in its infancy in oesophagogastric surgery. The quality of evidence is low and key themes, such as patient engagement and education, remain unexplored. Without high quality research evaluating the application and benefits of 3D modelling, oesophagogastric surgery may be left behind.

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Section: Pre-operative Guidancementioning

confidence: 99%

The current and possible future role of 3D modelling within oesophagogastric surgery: a scoping review

et al. 2022

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“…However, there are few reports of the effectiveness of CT with an air-expanded stomach prior to PEG and there is no report of that compared to conventional CT without such air expansion. ( 14 , 15 ) Moreover, the usefulness of CT with gastric expansion has not been examined in regard to assistance with a successful PEG procedure in comparison to CT without air insufflation. Therefore, we conducted this large-scale retrospective study to clarify the effectiveness of CT with air insufflation performed prior to a PEG procedure in comparison to conventional CT without air insufflation.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of computed tomography with air insufflation of the stomach prior to percutaneous endoscopic gastrostomy procedure

Kawashima

Adachi

Onishi³

et al. 2016

J. Clin. Biochem. Nutr.

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We examined the results of computed tomography (CT) with and without air insufflation of the stomach prior to performing percutaneous endoscopic gastrostomy (PEG). We retrospectively analyzed 366 patients who underwent PEG. CT images obtained with and without air insufflation were examined for the presence or absence of contact between the gastric anterior wall and abdominal wall. PEG outcome based on CT findings was also examined. CT with and without air insufflation was performed in 272 and 94 patients, respectively. Contact between the gastric anterior wall and abdominal wall was shown in 254 (93.4%) with and 45 (47.9%) without air insufflation, all of whom underwent a successful PEG procedure. In patients without contact between the gastric anterior wall and abdominal wall, PEG was not successful in 3 of 49 (6.1%) examined by CT without and 6 of 18 (33.3%) examined with air insufflation (p = 0.004). Values for diagnostic accuracy for contact between the gastric anterior wall and abdominal wall shown by CT with and without air insufflation in successful PEG cases were 0.96 and 0.51, respectively. In conclusion, CT with air insufflation more often revealed contact between the gastric anterior wall and abdominal wall as compared to CT without air insufflation, which may help to predict PEG procedure success.

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Prognostic nutritional index and early mortality with percutaneous endoscopic gastrostomy

Adachi

Akino²,

Nojima

et al. 2018

QJM: An International Journal of Medicine

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Computed Tomography Just after Endoscopy as the Preoperative Examination for Safe Percutaneous Endoscopic Gastrostomy

Cited by 4 publications

References 6 publications

The current and possible future role of 3D modelling within oesophagogastric surgery: a scoping review

The current and possible future role of 3D modelling within oesophagogastric surgery: a scoping review

Usefulness of computed tomography with air insufflation of the stomach prior to percutaneous endoscopic gastrostomy procedure

Prognostic nutritional index and early mortality with percutaneous endoscopic gastrostomy

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