Percutaneous transgastrostomic interventional radiology-operated endoscopy facilitates foreign body removal using rigid endobronchial forceps

Retained foreign bodies within the stomach and proximal small bowel may be problematic in patients with prior cerebrovascular injury or head, neck and esophageal malignancy, given the increased vulnerability of this patient population to complications from aspiration and increased difficulty of esop...

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Bibliographic Details
Published in:Diagnostic and interventional radiology (Ankara, Turkey) Turkey), 2018-01, Vol.24 (1), p.42-45
Main Authors: Khayat, Mamdouh, Hussain, Jawad S, Chick, Jeffrey Forris Beecham, Hage, Anthony N, Srinivasa, Ravi N
Format: Article
Language:English
Subjects:
Adult
Aged
Endoscopy
Endoscopy, Digestive System - methods
Equipment Design
Esophageal cancer
Female
Fluoroscopy
Foreign bodies
Foreign bodies (Medical care)
Foreign Bodies - diagnostic imaging
Gastric Bypass - instrumentation
Gastrostomy
Gastrostomy - instrumentation
Health aspects
Humans
Interventional Radiology
Male
Medical instruments
Middle Aged
Ostomy
Radiation dosage
Radiology
Radiology, Interventional - methods
Radiology, Medical
Retrieval
Stomach
Surgical Instruments
Young Adult
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Summary:Retained foreign bodies within the stomach and proximal small bowel may be problematic in patients with prior cerebrovascular injury or head, neck and esophageal malignancy, given the increased vulnerability of this patient population to complications from aspiration and increased difficulty of esophagogastroduodenoscopy in cases of tumoral obstruction. This article presents an alternative method for foreign body retrieval through an existing gastrostomy tract, which offers the benefits of fast procedure times, reduction in radiation dose and fluoroscopy time, and allows for safer retrieval of foreign bodies by using direct visualization. This technique may be performed entirely by interventional radiologists.
ISSN:1305-3825
1305-3612
DOI:10.5152/dir.2017.17431