8.
Pull forceps sharply to rip the film and
create a hole.
9.
Repeat steps 6, 7, and 8 until you are
confident that several holes have been
made in the balloon.
10. Remove the forceps from the working channel.
11. Suction any liquid remaining in the stomach
and/or Balloon and withdraw endoscope.
12. Instruct patient to monitor stool for the
torn Balloon.
6.3 If the Balloon needs to be removed through the
mouth, it can be endoscopically removed after
executing the steps in 6.1 or 6.2 above.
To perform endoscopic removal, the suggested tool
is a rat tooth forceps with alligator jaw (e.g. US
Endoscopy Raptor
1.
Perform endotracheal intubation on patient.
2.
Prepare patient for endoscopy per standard
hospital procedure.
3.
Insert endoscope into patient's stomach.
4.
Obtain a clear view of the empty Balloon.
5.
Administer anti-spasm medication to relax
esophageal muscles.
6.
Grasp a large portion of the Balloon with
a rat tooth forceps with alligator jaw (e.g.
US Endoscopy Raptor
7.
Pull close to scope tip and gently empty
balloon at the gastroesophageal junction
by applying very gradual traction to allow
any excess fluid to drain.
8.
Slowly withdraw the Balloon through the
esophagus. Remove the Balloon from
the mouth.
The tools and techniques described above are suggestions,
but there may be other tools or techniques, including those
used for endoscopically removed intragastric balloons,
that may be acceptable for Balloon removal. Retrieval
procedures in general should be conducted after proper
training and per the tool manufacturer's instructions for
retrieving foreign objects.
Warning: Use of endoscopic tools or techniques
outside of the tool manufacturer's specifications
may cause patient injury.
Grasping Device).
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