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Case Reports
. 2016 Jul 10;8(13):472-6.
doi: 10.4253/wjge.v8.i13.472.

Cut endotracheal tube for endoscopic removal of an ingested push-through pack

Yuki Tateno  1 , Ryoji Suzuki  1
Affiliations
Case Reports

Cut endotracheal tube for endoscopic removal of an ingested push-through pack

Yuki Tateno et al. World J Gastrointest Endosc. .

Abstract

A 52-year-old female presented to our clinic after accidentally ingesting a push-through pack (PTP). After determining that the PTP was present in the stomach, we successfully and safely removed it endoscopically by using a handmade endoscopic hood fashioned from a cut endotracheal tube. Foreign body ingestion is a common clinical problem, and most ingested foreign bodies pass spontaneously. However, the ingestion of sharp objects, such as PTPs, increases the risk of complications, and urgent endoscopy is recommended to remove such objects. Previous studies have reported the use of other devices, both commercial and handmade, for the safe endoscopic removal of foreign bodies. The novel design of our handmade hood for the removal of the PTP, which was fashioned from a cut endotracheal tube, was beneficial in terms of maintaining a wide visual field, patient safety and tolerance, and easy preparation compared to previously reported commercial and handmade devices. It may be a viable and safe device for the retrieval of PTPs and other sharp foreign bodies.

Keywords: Endoscopic removal; Foreign body ingestion; Handmade; Push-through pack; Sharp object.

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Figures

Figure 1
Figure 1
Endoscopic image of the push-through pack in the stomach.
Figure 2
Figure 2
An endotracheal tube was cut into three sections, and the middle section (white arrow) was used as an endoscopic hood. The red lines show the locations of the cuts made in the tube.
Figure 3
Figure 3
An endoscopic hood made from the cut endotracheal tube hood. The middle section of the cut endotracheal tube is shown in Figure 1.
Figure 4
Figure 4
The cut cuff used to cloak the push-through pack was approximately 30 mm in diameter.
Figure 5
Figure 5
An endoscopic image. The push-through pack in the stomach was grasped with biopsy forceps and pulled into the cut cuff, not inside the tube.
Figure 6
Figure 6
All four edges of the push-through pack were drawn into the cut cuff.
Figure 7
Figure 7
The size of the impacted push-through pack was 19 mm × 16 mm.
See this image and copyright information in PMC

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