International Journal of Gastrointestinal Intervention : eISSN 2636-0004 / pISSN 2636-0012

Download original image
Fig. 4. A 64-year-old male patient with traumatic hemoperitoneum. The patient was referred for post-pyloric feeding tube placement after failed bedside attempt. (A) Initial fluoroscopy image shows a blindly placed Levine tube (arrow) in the gastric lumen. (B) After removing the original Levine tube, a hydrophilic guide wire (arrow) coupled with a curved angiographic catheter was navigated through pylorus into the duodenum. (C) The Levine tube which was modified to have a distal hole as well as a side hole at 50 cm proximal to the tube tip was advanced over the pre-positioned guide wire until the tube tip (arrow) reached the fourth portion of the duodenum.
Gastrointestinal Intervention 2017;6:135~139
© Int J Gastrointest Interv