Pediatric cecostomy tube check

  • Patient preparation: none
  • Contrast used: high osmolar water soluble
  • Technique: access tube, inject 10 – 25 cc of contrast
  • Images to obtain: scout AXR, AP image of cecum and ascending colon
  • Looking for: is contrast and thus cecostomy tube tip in cecum or is contrast extravasated outside of colon and thus cecostomy tube tip is outside of colon
  • Post procedure tasks: flush tube