Transnasal Endoscope Locked in a Bent Position Causing Difficult Withdrawal

Area of Science:

• Gastroenterology
• Endoscopic Procedures
• Medical Device Complications

Background:

• Transnasal esophagogastroduodenoscopy (EGD) is a routine diagnostic procedure.
• Potential complications, though rare, require careful management.
• Ensuring patient safety during endoscopic interventions is paramount.

Observation:

• A case of a transnasal endoscope tip becoming locked in a bent position during a routine procedure.
• The bent tip could not be manually straightened for safe withdrawal.
• This posed a significant risk of injury to the gastrointestinal tract.

Findings:

• A novel management strategy was employed using a snare passed through a second, transoral endoscope.
• This technique successfully straightened the locked endoscope tip.
• The transnasal endoscope was withdrawn with only minor injury to the gastric mucosa.

Implications:

• Highlights a rare but severe complication associated with transnasal EGD.
• Demonstrates an effective endoscopic management technique for a locked endoscope.
• Emphasizes the need for endoscopist awareness and preparedness for managing such rare events.