title: Endoscopic Needle Knife Sphincterotome-an Alternative for Retrieval of an Entrapped Nasogastric Tube.
abstract: Knowledge of the use of a nasogastric tube (NG) is integral in medical practice as a whole and more so in gastrointestinal diseases because of its wide range of uses. Accidental fixation of the nasogastric tube during surgery is a rare complication. Various methods have been described for retrieval of an entrapped, retained or stapled nasogastric tube. We describe here a novel technique in which an endoscopic needle knife sphincterotome using a side-view endoscope was used successfully to cut the knots and release the entrapped NG tube. Although stress should always be laid on prevention, the flexible endoscopic approach is a small-duration procedure, a minimally invasive, cost-effective technique for the removal of a nasogastric tube that avoids the need of redo surgery and unnecessary exposure to anaesthesia.
authors.affiliation: Department of General Surgery, Government Medical College & Hospital, Sector 32, Chandigarh, India.
authors.forename: Hanish
authors.initials: H
authors.lastname: Kataria
authors.affiliation: Department of General Surgery, Government Medical College & Hospital, Sector 32, Chandigarh, India.
authors.forename: Rajeev
authors.initials: R
authors.lastname: Sharma
authors.affiliation: Department of General Surgery, Government Medical College & Hospital, Sector 32, Chandigarh, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Bansiwal
authors.affiliation: Department of Medicine, Government Medical College & Hospital, Sector 32, Chandigarh, India.
authors.forename: Anurag
authors.initials: A
authors.lastname: Jindal
authors.affiliation: Department of General Surgery, Government Medical College & Hospital, Sector 32, Chandigarh, India.
authors.forename: A K
authors.initials: AK
authors.lastname: Attri
keywords: Endoscopic; Entrapped; Nasogastric tube; Needle knife; Sphincterotome