scholarly journals Malpositioned Right Ureteral Stent into the Duodenum: A Rare Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 56-59
Author(s):  
Mohsin Quadri ◽  
◽  
Nitesh Jain ◽  
Venkat Subramaniam ◽  
◽  
...  
Keyword(s):  
Rare Case ◽  
Gastrointestinal Endoscopy ◽  
Stent Insertion ◽  
Upper Gastrointestinal Endoscopy ◽  
Routine Procedure ◽  
Inflammatory Conditions ◽  
Rare Case Report ◽  
Retrograde Pyelogram ◽  
Dj Stent ◽  
Upper Gastrointestinal

Double J (DJ) stenting is a routine procedure in our urological practice to treat ureteral obstruction. We report a rare case where the proximal coil of a DJ stent was found in the second part of duodenum diagnosed on imaging and confirmed by upper gastrointestinal endoscopy, in a patient with chronic right flank pain who underwent emergency right DJ stenting elsewhere. He presented to our institution 3-months later for further management. It is important to be aware of all possible complications before placing DJ stents and be aware that if any such complication arise, they need to be dealt with early. It is important to avoid blind DJ stent insertion especially in acute or inflammatory conditions. One can avoid such situations by stenting under image guidance and preferably with a retrograde pyelogram (RGP) or by deploying a guidewire under direct vision using a ureteroscope. If stent malposition is suspected then early detection and replacement of the malpositioned DJ stent under fluoroscopic guidance is an essential step in management.

scholarly journals The impact of gastroesophageal reflux in the ENT pathology

2016 ◽  
Vol 6 (23) ◽  
pp. 141-148
Author(s):  
Violeta Melinte ◽  
Codrut Sarafoleanu
Keyword(s):  
Gastroesophageal Reflux ◽  
Chronic Condition ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Medical Risk ◽  
Inflammatory Conditions ◽  
Medical Risk Factors ◽  
Gastric Contents ◽  
The Impact ◽  
Upper Gastrointestinal

Abstract Frequently encountered in medical practice, the gastroesophageal reflux (GER) is a chronic condition characterized by the passage of gastric acid or gastric contents into the esophagus. In otorhinolaryngology, the diagnosis of pharyngo-laryngeal or rhinosinusal inflammatory conditions secondary to GER is one of exclusion and it is based on a detailed anamnesis in which we are interested in symptoms, behavioural and medical risk factors, on the ENT clinical examination, the laryngo-fibroscopical assessment, the phoniatric examination, the barite pharyngo-esogastric exam, the upper gastrointestinal endoscopy and the esophageal manometry. The authors are making a systematization of the contribution of the gastroesophageal reflux has in the ENT pathology, emphasising the sympytoms and the most frequent associated pathological entities.

scholarly journals Rare presentation of TB oesophagus: a case report

2018 ◽  
Vol 5 (9) ◽  
pp. 3180 ◽  
Author(s):  
Nagella Pradeep Kumar Reddy ◽  
S. Sabu Jeyasekharan ◽  
Nithila C. ◽  
A. Sai Kishore
Keyword(s):  
Case Report ◽  
Gastrointestinal Endoscopy ◽  
Tuberculosis Patient ◽  
Oesophageal Perforation ◽  
Upper Gastrointestinal Endoscopy ◽  
Rare Presentation ◽  
Upper Gi ◽  
Rare Case Report ◽  
Upper Gastrointestinal

This is a rare case report of Tb oesophagus presenting as upper GI bleeding. Patient was subjected to upper gastrointestinal endoscopy, which revealed an ulcerative growth in the mid oesophagus. Biopsy revealed oesophageal tuberculosis. Patient was managed conservatively with Anti-Tuberculosis Treatment (ATT). Follow up endoscopy after six months revealed resolution of the ulcer and patient was symptomatically better. In spite of the rare nature of the disease, it can be managed effectively with ATT to avoid complications (fistula, stricture, and oesophageal perforation), which might warrant surgery.

A Rare Case of Gastric Ascariasis Lumbricoides Diagnosed During Upper Gastrointestinal Endoscopy

Endoscopy ◽  
1998 ◽  
Vol 30 (04) ◽  
pp. S 51-S 52
Author(s):  
S. Everett ◽  
A. Vezakis ◽  
R. Jackson ◽  
D. Chalmers
Keyword(s):  
Rare Case ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal

scholarly journals Endoscopic Insufflation–Induced Gastric Barotrauma during Percutaneous Endoscopic Gastrostomy: A Report of Three Patients and Review of Literature

2021 ◽  
Vol 12 (02) ◽  
pp. 103-106
Author(s):  
Avnish Kumar Seth ◽  
Rinkesh Kumar Bansal
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Gastrointestinal Endoscopy ◽  
Gastroesophageal Junction ◽  
Upper Gastrointestinal Endoscopy ◽  
Proximal Stomach ◽  
Endoscopic Gastrostomy ◽  
Lesser Curvature ◽  
Upper Gastrointestinal ◽  
New Onset

Abstract Background We report three patients with endoscopic insufflation–induced gastric barotrauma (EIGB) during upper gastrointestinal endoscopy (UGIE) for percutaneous endoscopic gastrostomy (PEG). A definition and classification of EIGB is proposed. Materials and Methods Records of patients undergoing UGIE over 7 years (April 2013–March 2020) were reviewed. Patients who developed new onset of bleeding or petechial spots in proximal stomach, in an area previously documented to be normal during the same endoscopic procedure, were studied. Results New onset of bleeding or petechial spots in proximal stomach occurred in 3/286 (0.1%) patients undergoing PEG and in none of the 19,323 other UGIE procedures during the study period. All patients were men with median age 76 years (range 68–80 years), with no coagulopathy. Aspirin and apixaban were discontinued 1 week and 3 days prior to the procedure. Fresh blood was noted in the stomach at a median of 275 seconds (range 130–340) seconds after commencement of endoscopy. At retroflexion, multiple linear mucosal breaks of up to 3 cm, with oozing of blood, were noted in the proximal stomach along the lesser curvature, close to the gastroesophageal junction in two patients. In the third patient, multiple petechial spots were noticed in the fundus. The plan for PEG was abandoned and the stomach deflated by endoscopic suction. There was no subsequent hematemesis, melena, or drop in hemoglobin. One week later, repeat UGIE in the first two patients revealed multiple healing linear ulcers of 1 to 3 cm in the lesser curvature and PEG was performed. Conclusion Overinsufflation over a short duration during UGIE may lead to EIGB. Early detection is key and in the absence gastric perforation, patients can be managed conservatively.

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