Endoscopic removal of a tablespoon lodged within the duodenum  

作　　者：Takashi Watanabe Kunihiko Aoyagi Yoshitaka Tomioka Hideki Ishibashi Shotaro Sakisaka 

机构地区：[1]Department of Gastroenterology and Medicine,Fukuoka University School of Medicine

出　　处：《World Journal of Gastroenterology》2015年第16期5096-5098,共3页世界胃肠病学杂志（英文版）

基　　金：Supported by Department of Gastroenterology and Medicine,Fukuoka University School of Medicine,Fukuoka,Japan

摘　　要：Here we report the case of a 34-year-old man who underwent endoscopic removal of a tablespoon from the stomach that was lodged within the duodenum.Removal required the use of a two-channel upper endoscope and polypectomy snares.Using the doublesnare technique, the spoon was grasped at the proximal and distal parts of the handle.The doublesnare was first pulled unsuccessfully and then pulled with simultaneous manual abdominal compression of the bulbus from the body surface.Compression was gently applied towards the stomach.As a result, the head of the spoon prolapsed from the bulbus, and was easily retracted from the stomach without any complications.In cases of foreign body lodging within the duodenum, the manual abdominal compression technique may help clinicians pull out the object and avoid surgery.The usefulness of manual compression is dependent on the foreign body's sharpness and the location.Here we report the case of a 34-year-old man who underwent endoscopic removal of a tablespoon from the stomach that was lodged within the duodenum.Removal required the use of a two-channel upper endoscope and polypectomy snares.Using the doublesnare technique, the spoon was grasped at the proximal and distal parts of the handle.The doublesnare was first pulled unsuccessfully and then pulled with simultaneous manual abdominal compression of the bulbus from the body surface.Compression was gently applied towards the stomach.As a result, the head of the spoon prolapsed from the bulbus, and was easily retracted from the stomach without any complications.In cases of foreign body lodging within the duodenum, the manual abdominal compression technique may help clinicians pull out the object and avoid surgery.The usefulness of manual compression is dependent on the foreign body's sharpness and the location.

关 键 词：ENDOSCOPIC REMOVAL Tablespoon DUODENUM Lodged 

分 类 号：R656.6[医药卫生—外科学]