Reply to Hu

Abstract

I appreciate the comments raised by Dr Hu regarding the method I described for transferring a nasobiliary tube from the mouth to the nose, and especially the concerns raised about nasal trauma and endoscope damage. Our patient was actually edentulous, though a bite block was in place nonetheless. The self-limited nasal bleeding our patient experienced may also have been due to the prior unsuccessful attempt at passage of the transfer tube. Using the technique I described the assistant at the head of the bed needs to ensure that the bite block is not expelled if moderate sedation or monitored anesthesia care is administered.