Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 28, 2015; 21(16): 5096-5098
Published online Apr 28, 2015. doi: 10.3748/wjg.v21.i16.5096
Endoscopic removal of a tablespoon lodged within the duodenum
Takashi Watanabe, Kunihiko Aoyagi, Yoshitaka Tomioka, Hideki Ishibashi, Shotaro Sakisaka
Takashi Watanabe, Kunihiko Aoyagi, Yoshitaka Tomioka, Hideki Ishibashi, Shotaro Sakisaka, Department of Gastroenterology and Medicine, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan
Author contributions: Watanabe T and Aoyagi K designed the report; Watanabe T, Tomioka Y and Ishibashi H collected the patient’s clinical data; Watanabe T, Aoyagi K and Sakisaka S wrote the paper.
Supported by Department of Gastroenterology and Medicine, Fukuoka University School of Medicine, Fukuoka, Japan.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Takashi Watanabe, MD, Department of Gastroenterology and Medicine, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan. takashii@minf.med.fukuoka-u.ac.jp
Telephone: +81-92-8011011-3355 Fax: +81-92-8742663
Received: August 22, 2014
Peer-review started: August 23, 2014
First decision: September 15, 2014
Revised: September 30, 2014
Accepted: December 14, 2014
Article in press: December 16, 2014
Published online: April 28, 2015
Abstract

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 double-snare technique, the spoon was grasped at the proximal and distal parts of the handle. The double-snare 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.

Keywords: Endoscopic removal, Tablespoon, Duodenum, Lodged

Core tip: Here we report the case of endoscopic removal of a tablespoon from the stomach that was lodged within the duodenum. Only the double-snare technique was first performed unsuccessfully and then pulled with simultaneous manual abdominal compression of the bulbus from the body surface. Compression was gently applied toward the stomach. As a result, the head of the spoon prolapsed from the bulbus and was easily retracted from the stomach without any complications. The usefulness of manual compression is dependent on the foreign body’s sharpness and location.