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. 2011 Oct;3(10):486-8.
doi: 10.4297/najms.2011.3486.

A novel use of endoscopic cutter: Endoscopic retrieval of a retained nasogastric tube following a robotically assisted laparoscopic biliopancreatic diversion with duodenal switch

Iswanto Sucandy  1 , Gintaras Antanavicius
Affiliations

A novel use of endoscopic cutter: Endoscopic retrieval of a retained nasogastric tube following a robotically assisted laparoscopic biliopancreatic diversion with duodenal switch

Iswanto Sucandy et al. N Am J Med Sci. 2011 Oct.

Abstract

Context: A nasogastric tube is utilized routinely by many bariatric surgeons to assist creation of gastrojejunal anastomosis during roux-en-y gastric bypass or duodenojejunal anastomosis during biliopancreatic diversion. However, inadvertent stapling or suturing of the nasogastric tube has been known as a potential complication of this technique.

Case report: We describe a successful endoscopic removal of an inadvertently sutured nasogastric tube at the level of the duodenojejunal anastomosis in a 30-year-old woman undergoing a robotically assisted laparoscopic biliopancreatic diversion with duodenal switch for super morbid obesity.

Conclusions: Endoscopic technique is a feasible and safe minimally invasive technique to release a retained nasogastric tube with preservation of the newly created anastomosis. This option gives major advantages of avoiding a re-operation, as well as the potential general anesthetic complications.

Keywords: Endoscopic cutter; Endoscopic retrieveal; Retained nasogastric tube.

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Figures

Fig. 1
Fig. 1
Endoscopic view of an inadvertently sutured nasogastric tube at the level of duodenojejunal anastomosis using a regular front-view gastroscope.
Fig. 2
Fig. 2
Progressive effort to cut and release the retained nasogastric tube using an endoscopic cutter guided by a side-view ERCP scope.
Fig. 3
Fig. 3
Endoscopic view of the intact duodenojejunal anastomosis after removal of the retained nasogastric tube.
See this image and copyright information in PMC

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