GASTROINTESTINAL, HEPATOBILIARY AND PANCREATIC DEVICES: What the radiologist needs to know

Congress:

ECR 2019

Poster Number:

C-2213

Type:

Educational Exhibit

Keywords:

Education and training, Diagnostic procedure, CT, Conventional radiography, Gastrointestinal tract, Biliary Tract / Gallbladder, Abdomen

Authors:

M. Del Palacio Salgado¹, F. Cabrera Canal², B. Díaz Barroso³, M. Camargo Montanari³, M. Hernández García², M. Rascón Risco², M. A. Cruz Díaz⁴; ¹Alcalá de Henares, Madrid/ES, ²Alcalá de Henares/ES, ³Madrid/ES, ⁴Alcalá de Henares. Madrid/ES

DOI:

10.26044/ecr2019/C-2213

DOI-Link:

https://dx.doi.org/10.26044/ecr2019/C-2213

Fig. 1: Chest x-ray. Nasogastric tube correctly placed with the distal end in the...

Fig. 2: Nasojejunal tube and cholecystectomy staples.

Fig. 3: Abdominal radiograph shows a gastric balloon in place.

Fig. 4: Abdominal radiograph (a) and axial (b) and sagittal (c) reconstruction of an...

Learning objectives

To review and illustrate the different gastrointestinal, hepatobiliary and pancreatic devices (GHBPD) that we can find in radiographic studies of abdomen and pelvis and know its indications, correct position and possible complications.

Background

There are numerous GHBPD. The increasing number of image techniques on the everyday practice makes it frequent to find different devices in radiographs, ultrasounds, CT, MR and interventional studies. Some of them are quite frequent and have a typical radiological appearance, but others are less frequent and in so, more difficult to recognize. New GHBPD are being developed every year and their appearance may be unknown to the radiologist, who needs to know them, recognize them and use a systematic reading to look for the...

Findings and procedure details

Nasogastric tubes, ostomies, biliary drainage catheters and stents are the most frequent devices that we all should be acquainted with. Other devices, such as transjugular intrahepatic portosystemic shunt (TIPS), metallic coils and embolization material are less usual to come across. NASOGASTRIC, NASODUODENAL AND NASOJEJUNAL TUBES (Fig1, Fig2) They are the most common devices found in radiographs, with the distal end of the tube located in the stomach, duodenum or proximal jejunum. Uses: - Patient nutrition - Temporal decompression of stomach and small intestine. - Obtaining...

Conclusion

The presence of GHBPD is very common and the radiologist must recognize them, understand its purpose and know its correct placement and its possible complications.

Personal information

References

- Tim B. Hunter, Mihra Taljanovic. Medical devices of abdomen and pelvis. Radiographics 2005;25-50. - Simin Bahrami, Daniel ChowandBarbara Kadell. Thoracic and Abdominal Devices Radiologist Should Recognize: Pictorial Review. American Journal of Roentgenology. 2009;193: S106-S118. - Gabriela Gayer. Foreign objects encountered in the abdominal cavity at CT. RadioGraphics 2011; 31:409–428. - Taljanovic MS, Hunter TB, O'Brien MJ, Schwartz SA. Gallery of medical devices 2. Devices of the head, neck, spine, chest, and abdomen. Radiographics 2005;25:1119-1132. - Taljanovic MS, Hunter TB, Freundlich IM, Mar WA, Smyth...