Gastrostomy tube placement without nasogastric tube: a retrospective evaluation in 85 patients.

Purpose: Our study evaluated techniques for percutaneous gastrostomy (G)-tube placement without the use of a nasogastric (NG) tube. Instead, direct puncture of a physiologic air bubble or effervescent-enhanced gastric bubble distention was performed in patients with upper digestive tract obstruction (UDTO) or psychological objections to NG tubes.

Materials And Methods: A total of 886 patients underwent G-tube placement in our department during a period of 7 years.

Endovascular management of symptomatic vertebral artery origin stenosis in the presence of an acute thrombus.

A woman in her early 60s with hypertension and hyperlipidemia was undergoing investigations for anemia of unknown etiology. She developed a sudden reduction in visual acuity and bilateral visual field impairment. MRI and angiography revealed acute infarcts in the posterior circulation and severe narrowing of the left vertebral artery origin.