Case reports in gastrointestinal medicine · 2026
Migration of a Nasopharyngeal Airway Into the Gastrointestinal Tract During Endoscopic Retrograde Cholangiopancreatography: A Rare Complication in Obstructive Jaundice Management.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Yan Xu, Zhou Zhiqiang, Luo Ailin, Zhang Xue, Zhao Yilin
Аннотация
BACKGROUND: Obstructive jaundice often requires endoscopic retrograde cholangiopancreatography (ERCP) for diagnosis and management. Airway management during sedation in ERCP poses unique challenges, though device-related complications are rarely reported.
CASE PRESENTATION: A 35-year-old male with obstructive jaundice due to distal common bile duct stenosis underwent ERCP under sedation with propofol and oxycodone. A 16Fr silicone nasopharyngeal airway (NPA) was inserted due to mild upper airway obstruction. During the prolonged procedure (185 min), the NPA migrated unnoticed into the stomach, where it was discovered upon endoscope withdrawal and successfully retrieved using rat-tooth forceps.
INTERVENTION: The NPA was removed without mucosal injury, and a biliary metal stent was deployed uneventfully.
OUTCOME: The patient recovered without gastrointestinal or pulmonary complications, with normalized bilirubin levels at 1-month follow-up.
CONCLUSION: This first reported case of NPA migration into the gastrointestinal tract during ERCP highlights the need for improved fixation, monitoring, and awareness of airway devices during prolonged endoscopic procedures.
CASE PRESENTATION: A 35-year-old male with obstructive jaundice due to distal common bile duct stenosis underwent ERCP under sedation with propofol and oxycodone. A 16Fr silicone nasopharyngeal airway (NPA) was inserted due to mild upper airway obstruction. During the prolonged procedure (185 min), the NPA migrated unnoticed into the stomach, where it was discovered upon endoscope withdrawal and successfully retrieved using rat-tooth forceps.
INTERVENTION: The NPA was removed without mucosal injury, and a biliary metal stent was deployed uneventfully.
OUTCOME: The patient recovered without gastrointestinal or pulmonary complications, with normalized bilirubin levels at 1-month follow-up.
CONCLUSION: This first reported case of NPA migration into the gastrointestinal tract during ERCP highlights the need for improved fixation, monitoring, and awareness of airway devices during prolonged endoscopic procedures.