Evidence map›Paper›PMID 42381646›Full record

ArticleCase reports in gastrointestinal medicine2026

Migration of a Nasopharyngeal Airway Into the Gastrointestinal Tract During Endoscopic Retrograde Cholangiopancreatography: A Rare Complication in Obstructive Jaundice Management.

Xu Yan, Zhiqiang Zhou, Ailin Luo, Xue Zhang, Yilin Zhao

Abstract read
In one paragraph

Article in Case reports in gastrointestinal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Xu YanDepartment of Anesthesiology, Key Laboratory of Geriatric Anesthesia and Perioperative Brain Health, and Wuhan Clinical Research Center for Geriatric Anesthesia, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, hust.edu.cn.
Zhiqiang ZhouDepartment of Anesthesiology, Key Laboratory of Geriatric Anesthesia and Perioperative Brain Health, and Wuhan Clinical Research Center for Geriatric Anesthesia, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, hust.edu.cn.
Ailin LuoDepartment of Anesthesiology, Key Laboratory of Geriatric Anesthesia and Perioperative Brain Health, and Wuhan Clinical Research Center for Geriatric Anesthesia, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, hust.edu.cn.
Xue ZhangDepartment of Anesthesiology, Key Laboratory of Geriatric Anesthesia and Perioperative Brain Health, and Wuhan Clinical Research Center for Geriatric Anesthesia, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, hust.edu.cn.ORCID https://orcid.org/0009-0004-9048-9061
Yilin ZhaoDepartment of Anesthesiology, Key Laboratory of Geriatric Anesthesia and Perioperative Brain Health, and Wuhan Clinical Research Center for Geriatric Anesthesia, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, hust.edu.cn.ORCID https://orcid.org/0000-0003-2587-0400

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Identifiers

PMID42381646
PMCPMC13316947

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.