It is called "The Pina Procedure", named after the creator, Dr. Burt D. Pina, a senior staff radiologist at the Massachusetts General Hospital, an instructor in radiology for Harvard Medical School, and the Chief of Radiology at Spaulding Rehabilitation Hospital in Boston.
The procedure is typically used on a patient with swallowing difficulties that require percutaneous gastrostomy (insertion of a tube into the stomach through the overlying skin and abdominal wall in order to deliver nutrients and medication). When these tubes are dislodged, they have to be replaced immediately in order to maintain access to the stomach.The position of the new tube has to be confirmed before it can be used.This was traditionally accomplished by injecting a potentially hazardous material into the tube so that it can be seen on x- ray.Dr. Pina
says that the old procedure is associated with a number of problems.The material which is injected can cause serious complications.The procedure requires the use of fluoroscopy which increases the radiation exposure to the patient.And it may require the hospital to transfer the patient to an acute care facility if a radiologist is not available.Dr. Pina
has a found a simpler, safer, and less expensive solution. By injecting air into the tube, and using conventional x- rays of the abdomen, Dr. Pina
was able to locate the tubes accurately without using the more hazardous material or the higher radiation exposure associated with the old procedure.And since a radiologist doesn't have to oversee "The Pina Procedure", patients do not have to be transferred, thus reducing the cost to the hospital.Dr. Pina
procedure has been shown to be safe and accurate after years of use at his
...Dr. Burt PinaDr. Burt Pina
developes new X- ray procedure known as the "Pina Procedure"