{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:54:41Z","timestamp":1753890881763,"version":"3.41.2"},"reference-count":7,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T00:00:00Z","timestamp":1685923200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Gastroenterol."],"abstract":"<jats:p>We present the case of a 60-year-old patient with advanced chronic obstructive pulmonary disease (COPD), who presented for planned endoscopic removal of her gastrostomy feeding tube, which was inserted for nutritional status optimization prior to lung transplantation. The procedure was complicated by accidental blockage of the device at the pharyngeal level, causing a transmural laceration. Rapid respiratory distress developed with subcutaneous emphysema that led to the intubation of the patient. A new endoscopic retrieval was attempted but failed, and the patient was sent to the operating room after a cervical and thoracic CT scan that showed the blocked piece in the cervical wall, in addition to diffuse subcutaneous emphysema, a large pneumomediastinum, and a left pneumothorax. The surgery consisted of a left cervicotomy, a pharyngeal incision, and retrieval of the trapped parts. The patient was sent to the intensive care unit (ICU) where she could be weaned and extubated 1\u00a0week later.<\/jats:p>","DOI":"10.3389\/fgstr.2023.1191199","type":"journal-article","created":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T05:19:23Z","timestamp":1685942363000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Severe respiratory distress secondary to pharyngeal perforation during endoscopic gastrostomy tube removal: a clinical case report"],"prefix":"10.3389","volume":"2","author":[{"given":"Dima","family":"Siblani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laure","family":"Stiel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phanie","family":"Husson-Wetzel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Barsotti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,6,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200903-0425OC","article-title":"Obesity and underweight are associated with an increased risk of death after lung transplantation","volume":"180","author":"Lederer","year":"2009","journal-title":"Am J Respir Crit Care Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.yclnex.2019.06.002","article-title":"Optimization of nutritional management of patients awaiting lung transplant at the Strasbourg university hospitals","volume":"27","author":"Boura","year":"2019","journal-title":"Clin Nutr Exp"},{"key":"B3","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.gie.2014.02.011","article-title":"Endoscopic approaches to enteral feeding and nutrition core curriculum","volume":"80","author":"Enestvedt","year":"2014","journal-title":"Gastrointest Endosc."},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2005.06.013","article-title":"ESPEN guidelines on artificial enteral nutrition\u2013percutaneous endoscopic gastrostomy (PEG)","volume":"24","author":"L\u00f6ser","year":"2005","journal-title":"Clin Nutr"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12234","article-title":"Unusual cause of an esophageal perforation in a nonagenarian","volume":"61","author":"Sainathan","year":"2013","journal-title":"J Am Geriatr Soc"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/S0399-8320(04)94803-1","article-title":"D\u00e9tresse respiratoire etpneumom\u00e9diastin secondaires au changement endoscopique de sonde de gastrostomie","volume":"28","author":"Howaizi","year":"2004","journal-title":"Gastroent\u00e9rologie Clinique Biologique"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1055\/a-0896-2430","article-title":"Esophageal laceration after percutaneous endoscopic gastrostomy tube removal attempt: alternative route of extraction","volume":"51","author":"Fernandes","year":"2019","journal-title":"Endoscopy"}],"container-title":["Frontiers in Gastroenterology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fgstr.2023.1191199\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T05:19:25Z","timestamp":1685942365000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fgstr.2023.1191199\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,5]]},"references-count":7,"alternative-id":["10.3389\/fgstr.2023.1191199"],"URL":"https:\/\/doi.org\/10.3389\/fgstr.2023.1191199","relation":{},"ISSN":["2813-1169"],"issn-type":[{"type":"electronic","value":"2813-1169"}],"subject":[],"published":{"date-parts":[[2023,6,5]]},"article-number":"1191199"}}