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Utilization of Endoscopy Scissors for Retrieval of Esophageal Embedded Foreign Body

Su, Xing1; He, Qin1; Zhu, Yuxia1; Zou, Peng1; Li, Mingke1; Zou, Ruizheng1

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The American Journal of Gastroenterology: October 2021 - Volume 116 - Issue 10 - p 1976
doi: 10.14309/ajg.0000000000001211
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A 35-year-old woman referred to our outpatient department presented with mild chest pain after swallowing a fish bone for 6 hours. Because of fear of respiratory depression, the patient refused painless endoscopy, so upper gastrointestinal endoscopy under a conscious state was performed. Endoscopy revealed a fish bone in the middle esophagus with 2 ends embedding into the esophageal wall (a). Many attempts for foreign-body (FB) retrieval using the foreign-body forceps were ineffective because of the strong resistance. On the other hand, the FB was lodged in the esophageal so deeply that it may have damaged large blood vessels. Then, the endoscopy scissor(JHY-FG-23-280-A6; JIUHONG; Changzhou; China) for cutting the nasobiliary duct in vivo which can change external drainage into internal drainage was adopted to cut the FB into 2 fragments (b). In the following attempt, each fragment was safely removed with foreign-body forceps. The whole procedure only lasted 10 min and the fish bone was 3.5 cm long (c). No adverse events were observed, and the patient was discharged a few hours later. For this case, it was difficult to remove the FB by common methods, and even could have damaged the blood vessels. This case highlights the role of endoscopic scissors in the treatment of FBs embedded in the esophageal wall (Informed consent was obtained from the patient to publish these images).

© 2021 by The American College of Gastroenterology