A novel approach to ring-type foreign body removal : the "U-wire"
Identifieur interne : 002321 ( Main/Merge ); précédent : 002320; suivant : 002322A novel approach to ring-type foreign body removal : the "U-wire"
Auteurs : M. A. Mirhej [États-Unis] ; J. Koch ; J. StansellSource :
- Gastrointestinal endoscopy [ 0016-5107 ] ; 1999.
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- Pascal (Inist)
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- topic : Homme.
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Abstract
Background: Foreign body ingestions are common, especially in pediatric, edentulous, psychiatric, and incarcerated populations. For the 20% of foreign bodies that do not pass spontaneously through the gastrointestinal tract, removal using modern, flexible endoscopes has become routine. Methods: We describe the successful endoscopic removal of a ring-type or "closed loop" foreign body by means of a novel technique. Utilizing a nasogastric tube inserted alongside the endoscope, a guidewire inserted through the tube is directed through the ring with a "rat-tooth" grasping forceps passed through the accessory channel of the endoscope.The wire is snared and pulled up through the endoscope creating a "U," with both ends of the wire outside of the patient. The nasogastric tube, endoscope, and foreign body may then be removed safely. Results: The technique was easy to perform and the foreign body was removed without complication. Conclusions: Using the U-wire technique, ring-type foreign bodies may be readily and safely removed.
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">A novel approach to ring-type foreign body removal : the "U-wire"</title><author><name sortKey="Mirhej, M A" sort="Mirhej, M A" uniqKey="Mirhej M" first="M. A." last="Mirhej">M. A. Mirhej</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Division of Gastroenterology, Hepatology, and Clinical Nutrition, and the AIDS Program, San Francisco General Hospital, Department of Medicine, University of California</s1><s2>San Francisco, California</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Koch, J" sort="Koch, J" uniqKey="Koch J" first="J." last="Koch">J. Koch</name></author><author><name sortKey="Stansell, J" sort="Stansell, J" uniqKey="Stansell J" first="J." last="Stansell">J. Stansell</name></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">99-0153420</idno><date when="1999">1999</date><idno type="stanalyst">PASCAL 99-0153420 INIST</idno><idno type="RBID">Pascal:99-0153420</idno><idno type="wicri:Area/PascalFrancis/Corpus">000732</idno><idno type="wicri:Area/PascalFrancis/Curation">000B39</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000721</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000721</idno><idno type="wicri:doubleKey">0016-5107:1999:Mirhej M:a:novel:approach</idno><idno type="wicri:Area/Main/Merge">002321</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">A novel approach to ring-type foreign body removal : the "U-wire"</title><author><name sortKey="Mirhej, M A" sort="Mirhej, M A" uniqKey="Mirhej M" first="M. A." last="Mirhej">M. A. Mirhej</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Division of Gastroenterology, Hepatology, and Clinical Nutrition, and the AIDS Program, San Francisco General Hospital, Department of Medicine, University of California</s1><s2>San Francisco, California</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Koch, J" sort="Koch, J" uniqKey="Koch J" first="J." last="Koch">J. Koch</name></author><author><name sortKey="Stansell, J" sort="Stansell, J" uniqKey="Stansell J" first="J." last="Stansell">J. Stansell</name></author></analytic><series><title level="j" type="main">Gastrointestinal endoscopy</title><title level="j" type="abbreviated">Gastrointest. endosc.</title><idno type="ISSN">0016-5107</idno><imprint><date when="1999">1999</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Gastrointestinal endoscopy</title><title level="j" type="abbreviated">Gastrointest. endosc.</title><idno type="ISSN">0016-5107</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Case study</term><term>Exeresis</term><term>Foreign body</term><term>Gastroscopy</term><term>Human</term><term>Removal</term><term>Ring</term><term>Stomach</term><term>Technique</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Corps étranger</term><term>Estomac</term><term>Anneau</term><term>Enlèvement</term><term>Exérèse</term><term>Gastroscopie</term><term>Technique</term><term>Etude cas</term><term>Homme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Foreign body ingestions are common, especially in pediatric, edentulous, psychiatric, and incarcerated populations. For the 20% of foreign bodies that do not pass spontaneously through the gastrointestinal tract, removal using modern, flexible endoscopes has become routine. Methods: We describe the successful endoscopic removal of a ring-type or "closed loop" foreign body by means of a novel technique. Utilizing a nasogastric tube inserted alongside the endoscope, a guidewire inserted through the tube is directed through the ring with a "rat-tooth" grasping forceps passed through the accessory channel of the endoscope.The wire is snared and pulled up through the endoscope creating a "U," with both ends of the wire outside of the patient. The nasogastric tube, endoscope, and foreign body may then be removed safely. Results: The technique was easy to perform and the foreign body was removed without complication. Conclusions: Using the U-wire technique, ring-type foreign bodies may be readily and safely removed.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><noCountry><name sortKey="Koch, J" sort="Koch, J" uniqKey="Koch J" first="J." last="Koch">J. Koch</name><name sortKey="Stansell, J" sort="Stansell, J" uniqKey="Stansell J" first="J." last="Stansell">J. Stansell</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Mirhej, M A" sort="Mirhej, M A" uniqKey="Mirhej M" first="M. A." last="Mirhej">M. A. Mirhej</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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