Fig. 3. A 58-year-old female patient with history of roux-en-Y gastric bypass referred for gastric tube placement in the gastric remnant. (A) Recent computed tomography (CT) angiogram showed superficial excluded stomach with a small arterial branch (white arrow) looping superficial to the gastric remnant. (B) Ultrasound guidance was used to place a 21-gauge Chiba needle while avoiding the arterial branch. (C) The position of the needle was confirmed by CT. (D) A 15 French gastrostomy tube was placed successfully.
© Int J Gastrointest Interv
pISSN 2636-0004
