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Dislocated Atkinson tubes: removal and repositioning with a balloon catheter
H Jantsch1, G Lechner, G R Wittich
1Department of Radiology, University of Vienna, Austria.
Radiology
|March 1, 1989
Summary
A new endoscopic technique using a balloon catheter effectively repositions dislodged Atkinson tubes in esophageal cancer patients. This method offers a solution for managing tube displacement, improving palliation outcomes.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
Background:
- Atkinson tubes are used endoscopically for palliation in esophageal carcinoma.
- Tube dislocation is a complication that can hinder treatment efficacy.
Purpose of the Study:
- To describe a novel endoscopic technique for repositioning or removing dislocated Atkinson tubes.
- To evaluate the efficacy and safety of this technique.
Main Methods:
- A dilation balloon catheter was employed to manipulate dislodged Atkinson tubes.
- The technique was applied to patients with partially or completely dislocated tubes.
Main Results:
- The technique successfully treated three partially dislocated tubes.
- One of two completely dislocated tubes (dislodged into the stomach) was successfully managed.
- Minor complications included self-limiting hematemesis in two patients.
Conclusions:
- Endoscopic repositioning or removal of dislocated Atkinson tubes using a balloon catheter is a feasible technique.
- This method shows promise for managing Atkinson tube displacement during esophageal cancer palliation.