Gastroenterology & Endoscopy

Mastering Foreign Body Extraction in GI Endoscopy: Tools, Techniques, and Tips for Success


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- Importance of having a range of endoscopic tools
  - Different types of tools (snares, basket nets, caps, over tubes, etc.)
  - Choosing the right tool
  - Teeth for firm grip on foreign bodies

- Dealing with capsule endoscopes in the GI tract
  - 1% getting stuck in the small bowel
  - Double balloon enteroscopy for removal
  - Visualizing strictures and ulcers via fluoroscopy
  - Preferred retrieval method: Rothnet or plain snares

- Extraction of gastric bands that migrate into the stomach
  - Discomfort caused by migrated bands
  - Use of gastric band cutters or biliary wire and lethal triptor device
  - Requires patience and persistence

- Challenges of migrated stents in the esophagus
  - Dilation of strictures can help
  - Pushing the stent into the stomach with an overt tube and cap
  - Grabbing the stent by its string and being gentle to avoid damage

- Increase in tight strictures in the esophagus possibly caused by ingestion of pills
  - Standard practice to inject contrast after dilation for safety
  - Reducing risks of perforation or damage

- Mastering foreign body extraction in GI endoscopy
  - Importance of equipping oneself with a diver

https://www.gastroendopod.com

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