This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
So,Dr Kleinman and I disagree. And again, I have the distinct feeling that many of today's gastrointestinal endoscopists (upper and lower) keep trying to make a single instrument do for every endoscopic job, whether or not it be the instrument best designed to do the job.
Dr Kleinman's technique is too dangerous. First, it "often takes three to six passages" of the endoscope, thereby making the threat of endoscopic perforation three to six times greater than it need be. Second, it requires blind passage of the snare around and beyond the obturating mass, into areas whose condition is almost always unknown to the endoscopist. (I believe a few experiences with unsuspected varices might dampen anyone's enthusiasm.)
Palmer ED. Management of Foreign Bodies in the Esophagus-Reply. JAMA. 1976;236(18):2054. doi:10.1001/jama.1976.03270190016017
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: