Skip to main content
Log in

Endoscopic Needle Knife Sphincterotome—an Alternative for Retrieval of an Entrapped Nasogastric Tube

  • Surgical Techniques and Innovations
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Makama JG (2010) Uses and hazards of nasogastric tube in gastrointestinal diseases: an update for clinicians. Ann Niger Med 4:37–44

    Article  Google Scholar 

  2. Shaaban H, Armstrong C (2009) Nasogastric tube accidentally stitched to the stomach during laparoscopic antireflux surgery. Endoscopy 41(Suppl 2):E61

    Article  PubMed  Google Scholar 

  3. Bharadwaj G, Attri PC, Verma P, Rai R, Jain V, Jain A (2013) Iatrogenic complications of NG tube—accidental fixation to the pylorus of stomach—a case study and review of literature. WebmedCentral General Surg 4(6):WMC004098

    Google Scholar 

  4. Sucandy I, Antanavicius G (2011) A novel use of endoscopic cutter: endoscopic retrieval of a retained nasogastric tube following a robotically assisted laparoscopic biliopancreatic diversion with duodenal switch. North Am J Med Sci 3:486–488

    Article  Google Scholar 

  5. Reissman P, Udassin R, Goldin E, Durst AL (1994) Management of an inadvertently sutured nasogastric tube after Nissen fundoplication. Gastrointest Endosc 40(2):260–261

    Article  CAS  PubMed  Google Scholar 

Download references

Conflict of Interest

Corresponding author: I, Dr Hanish Kataria, declare that I have no conflict of interest. Other authors, Dr Rajeev Sharma, Dr Rajesh Bansiwal, Dr Anurag Jindal and Dr AK Attri, declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hanish Kataria.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kataria, H., Sharma, R., Bansiwal, R. et al. Endoscopic Needle Knife Sphincterotome—an Alternative for Retrieval of an Entrapped Nasogastric Tube. Indian J Surg 77 (Suppl 3), 1473–1475 (2015). https://doi.org/10.1007/s12262-015-1253-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-015-1253-4

Keywords

Navigation