©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
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, 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.
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
Processing time: 248 Days and 15.9 Hours
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
Processing time: 248 Days and 15.9 Hours
Core Tip
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.