Stuck scope: Tackling the adherent scope situation after hemostatic powder application: A case report and review of literature

Figure 1  Computed tomography of the abdomen and pelvis showing a large intra-abdominal mass involving the lumen of the duodenojejunal junction.

Figure 2  White-light view of the large cratered gastric ulcer with stigmata of recent bleeding in the gastric body at the junction of the greater curvature and posterior wall.

Figure 3  Narrow-band imaging view of the cratered gastric ulcer.

Figure 4  Obstructing mass with overlying mucus in the proximal jejunum.

Figure 5  Application of TC-325 to the cratered gastric ulcer with the endoscope in partial retroflexion.

Figure 6 Retroflexed view showing the insertion tube coated with hydrated TC-325 and bonded to the mucosa at the cardia/gastroesophageal junction. Arrow indicates the adhesion site.

Figure 7  Attempt to remove adherent TC-325 from the insertion tube with biopsy forceps passed through the entrapped endoscope in the retroflexed view.

Figure 8  Ultrathin (XP) gastroscope advanced alongside the entrapped pediatric colonoscope; biopsy forceps passed through the ultrathin scope are used to clear the adherent TC-325 from the insertion tube under direct vision.