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DOI: 10.1055/a-2598-4735
Inhalation of a gastric polyp upon removal
A 48-year-old man was admitted to our hospital for gastric polyp removal. His history and physical examination were unremarkable, and coagulation was normal.
After the patient had been anesthetized with propofol, esophagogastroduodenoscopy was performed and revealed a 2-cm type Isp polyp in the lesser curvature of the gastric fundus ([Fig. 1] a, b). The polyp was removed by endoscopic mucosal resection. Thereafter, a snare was used to extract the sample. When passing through the esophageal entrance, the removed gastric polyp accidentally fell off the snare. When the gastroscope returned, the sample was inhaled into the trachea ([Fig. 1] c, [Video 1]). The patient was immediately placed in a semiprone position. Then, transnasal gastroscopy was performed with the intention of entering the trachea. Fortunately, before entering the trachea, the patient coughed out the specimen, which was eventually removed successfully ([Fig. 1] d).
The patient experienced no discomfort postoperatively. Postoperative computed tomography of the lungs was normal. The histopathology of the specimen was gastric villous adenoma.
Common complications of gastric polyp resection include throat pain, abdominal distention, bleeding, and perforation [1] [2]. Specimen aspiration has not been reported previously. It was inferred that the main cause of the aspiration was that the snare was pulled too loose. Our case shows that more attention should be given when the specimen passes through the entrance of the esophagus.
Endoscopy_UCTN_Code_CPL_1AH_2AZ
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Conflict of Interest
The authors declare that they have no conflict of interest.
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References
- 1 Perisetti A, Goyal H, Tharian B. et al. Endoscopic resection of multiple large gastric polyps. Endoscopy 2021; 53: 659-660
- 2 Landin MD, Guerrón AD. Endoscopic mucosal resection and endoscopic submucosal dissection. Surg Clin North Am 2020; 100: 1069-1078
Correspondence
Publication History
Article published online:
26 May 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).
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References
- 1 Perisetti A, Goyal H, Tharian B. et al. Endoscopic resection of multiple large gastric polyps. Endoscopy 2021; 53: 659-660
- 2 Landin MD, Guerrón AD. Endoscopic mucosal resection and endoscopic submucosal dissection. Surg Clin North Am 2020; 100: 1069-1078