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Mastering Foreign Body Extraction in GI Endoscopy: Tools, Techniques, and Tips for Success
Manage episode 433015469 series 3591778
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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
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