Published online Apr 28, 2015. doi: 10.3748/wjg.v21.i16.5096
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
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.