{"id":284,"date":"2011-06-13T16:47:52","date_gmt":"2011-06-13T20:47:52","guid":{"rendered":"http:\/\/blogstemp3.wpengine.com\/?p=284"},"modified":"2011-06-13T16:47:52","modified_gmt":"2011-06-13T20:47:52","slug":"foreign-body-retrieval-from-the-stomach-how-do-you-do-it","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/foreign-body-retrieval-from-the-stomach-how-do-you-do-it\/2011\/06\/13\/","title":{"rendered":"Foreign-body retrieval from the stomach: how do you do it?"},"content":{"rendered":"<p>I have observed extreme variation in how my colleagues manage GI foreign-body retrieval from the stomach. Some always use general anesthesia and endotracheal intubation; others (myself included) use conscious sedation. Some use an overtube to withdraw the object into if possible; others simply pull it up to the endoscope and use the endoscope to guide it through the esophagogastric junction and upper esophageal sphincter. The reasons for this variation are clearly related to the\u00a0perceived risk of airway compromise or gastrointestinal wall injury during withdrawal of the object from the stomach.<\/p>\n<p>So my questions to you are:<\/p>\n<p>1)\u00a0\u00a0\u00a0\u00a0\u00a0 When do you ask for endotracheal intubation during foreign-body retrieval?<\/p>\n<p>2)\u00a0\u00a0\u00a0\u00a0\u00a0 Do you use an overtube when removing foreign bodies from the stomach, and, if so, always or in what situations?<\/p>\n<p>3)\u00a0\u00a0\u00a0\u00a0\u00a0 If you don\u2019t use an overtube, what technique do you use during withdrawal of the object?<\/p>\n<p>4)\u00a0\u00a0\u00a0\u00a0\u00a0 What is your favorite \u201ctool\u201d or endoscopic accessory to grab objects from the stomach?<\/p>\n<p>I look forward to hearing your thoughts on this issue.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I have observed extreme variation in how my colleagues manage GI foreign-body retrieval from the stomach. Some always use general anesthesia and endotracheal intubation; others (myself included) use conscious sedation. Some use an overtube to withdraw the object into if possible; others simply pull it up to the endoscope and use the endoscope to guide [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[34,35,36,53],"class_list":["post-284","post","type-post","status-publish","format-standard","hentry","category-endoscopy","tag-endoscopist","tag-endoscopy","tag-gastroenterology","tag-sedation"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/posts\/284","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/comments?post=284"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/posts\/284\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/media?parent=284"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/categories?post=284"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/tags?post=284"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}