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World J Gastrointest Endosc. Apr 16, 2011; 3(4): 78-80
Published online Apr 16, 2011. doi: 10.4253/wjge.v3.i4.78
Published online Apr 16, 2011. doi: 10.4253/wjge.v3.i4.78
Double balloon enteroscopy to retrieve an accidentally swallowed dental reamer deep in the jejunum
Shingo Kato, Kazuhito Kani, Hidehiko Takabayashi, Ryuichi Yamamoto, Koji Yakabi, Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Kawagoe City, Saitama 350-8550, Japan
Author contributions: All authors have equally contributed to this paper.
Correspondence to: Shingo Kato, MD, PhD, Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe City, Saitama 350-8550, Japan. skato@saitama-med.ac.jp
Telephone: +81-49-2283564 Fax: +81-49-2256649
Received: October 15, 2010
Revised: December 19, 2010
Accepted: December 26, 2010
Published online: April 16, 2011
Revised: December 19, 2010
Accepted: December 26, 2010
Published online: April 16, 2011
Abstract
Accidentally swallowed foreign objects are not uncommon but difficult to manage without complications. We describe the case of a 68 year old man who accidentally a swallowed sharp-pointed dental reamer that had reached deep in his jejunum. Double balloon enteroscopic retrieval was performed with polypectomy snare but the reamer was entangled in the wire loop of the snare and penetrated the jejunal wall. After releasing the reamer by pushing and pulling the snare for approximately 30 min, the reamer was retrieved with biopsy forceps. This is the first report of double balloon enteroscopic removal of a dental reamer. Furthermore, this is a novel case with regard to decision making in situations when sharp objects are swallowed.