Gastropexy using the Carter-Thomason device in lieu of T-fasteners in a critically ill, severely obese patient: an innovative technique.

Journal Article (Journal Article)

A gastropexy with T-fasteners can maintain gastric apposition to the abdominal wall before a mature gastrocutaneous fistula. In patients at high risk for inadvertently removing their percutaneous endoscopic gastrostomy tube, or those in whom early, unintentional removal and subsequent laparotomy would be catastrophic, the T-fasteners can act as a safety mechanism. We present a case of an obese patient, for whom a surgical gastrostomy was not practical, and the T-fastener system had inadequate length to traverse the abdominal wall. Innovatively a fascial closure device was used in a similar fashion to create an equivalent gastropexy. Obesity frequently complicates surgical and critical care, providing additional technical challenges. We must continue to be creative and innovatively utilize current equipment to deliver more effective and safer care for this unique patient population.

Full Text

Duke Authors

Cited Authors

  • Rosenberger, LH; Hu, Y; Yang, Z; Sawyer, RG

Published Date

  • October 2012

Published In

Volume / Issue

  • 22 / 5

Start / End Page

  • e316 - e318

PubMed ID

  • 23047417

Pubmed Central ID

  • PMC3816147

Electronic International Standard Serial Number (EISSN)

  • 1534-4908

Digital Object Identifier (DOI)

  • 10.1097/SLE.0b013e318264cf88


  • eng

Conference Location

  • United States