Published online before print February 11, 2003, 10.1148/radiol.2271020574
Percutaneous Cecostomy: Updates in Technique and Patient Care1
Peter G. Chait, MB,
Eran Shlomovitz,
Bairbre L. Connolly, MB,
Michael J. Temple, MD,
Ricardo Restrepo, MD,
Joao G. Amaral, MD,
Sergio Muraca, MSc,
Helen F. Richards, RN and
Sigmund H. Ein, MD
1 From the Department of Diagnostic Imaging, Centre for Image Guided Therapy (P.G.C., E.S., B.L.C., M.J.T., R.R., J.G.A., S.M., H.F.R.), and Department of General Surgery (S.H.E.), Hospital for Sick Children, 555 University Ave, Toronto, Ontario, Canada M5G 1X8. From the 2001 RSNA scientific assembly. Received May 16, 2002; revision requested July 15; revision received August 26; accepted October 4. Address correspondence to P.G.C. (e-mail: peter.chait@sickkids.ca).

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Figure 1. An 18-gauge single-wall puncture needle (black arrow) with two pediatric retention sutures (arrowheads) deployed by a 0.035-inch Amplatz wire (white arrow).
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Figure 2. Abdominal frontal radiograph shows two pediatric retention sutures (arrowheads) deployed by a 0.035-inch Amplatz wire (white arrow) into the cecum. A ventriculoperitoneal shunt (black arrow) is also visible.
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Figure 3. A, Cope-loop catheter with a latex cuff (arrow). B, Dawson Mueller Mac-Loc 8.5-F latex-free catheter (15 cm).
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Figure 4. Exchange of a Chait Trapdoor catheter. A, The catheter is fixed with forceps and cut just below the opening. B, A 0.035-inch wire is introduced into the old catheter. C, The new catheter, loaded on a stiffener, is introduced over the wire and pushes the old catheter into the cecum. D, Short and long versions of the catheter.
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Copyright © 2003 by the Radiological Society of North America.