Wiki Dilation g tube tract

Callieb

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Our surgeon assisted a gastro dr. Incision along the skin adjacent to the G tube tract was made. Using cervical dilators, the tract was dilated to approx. 30 French. Following this, utilized a chest tube proximal end to dilate it further up to approx 36 - 38 French size. At this point we were able to negotiate the ERCP scope through the tract and into the stomach under direct supervision. At this point the gastro dr took over the ERCP. At end of the case we placed 32 French g-tube in tract and secured it.

I am at a loss on this one. Tried doing this early am or late in the day but my brain is just not comprehending. Please help.:confused:
 
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