Endoscopic removal of an impacted root canal needle in the jejunum using double-balloon enteroscopy

Mönkemüller, Klaus; Zabielski, Marzena; Poppen, Dennis; Fry, Lucía C.

doi:10.1016/j.gie.2010.08.047

Cited by 9 publications

(3 citation statements)

References 5 publications

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“…The ensnared FB is unlikely to be withdrawn into the semi-rigid overtube and pass the esophageal introitus and pharynx. In the English medical literature, there are several cases of endoscopic removal of the ingested needles [7][8][9][10]. In one report, the endoscopists grasped and withdrew the needle inside a plastic sheath through the endoscopic channel before withdrawing the endoscope [8].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Removal of an Impacted Needle with Syringe from the Esophagus

Tang

Srinivasan

Williams

et al. 2014

Video Journal and Encyclopedia of GI Endoscopy

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Background: In adults, non-food foreign body ingestions occur more in denture users, incarcerated individuals, and in patients with psychiatric disorders or alcohol intoxication. The majority of the ingested foreign body will pass spontaneously. Sharp or pointed foreign body, animal or fish bones, and magnets increase the risk of perforation.Patient: An incarcerated patient with bipolar disorder swallowed a 14 cm in length needle attached with a syringe three months prior to presentation. The needle penetrated the distal esophagus leading to mediastinitis.Methods: In this video manuscript, we demonstrated endoscopic techniques on how to remove this 14 cm long sharp object.Results: The foreign body was removed uneventfully and mediastinitis resolved with antibiotic treatment.Conclusions: Emergent endoscopy is indicated in (1) esophageal obstruction and the patient are unable to swallow secretions and (2) disk batteries and sharp-pointed foreign body in the esophagus.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Removal of an Impacted Needle with Syringe from the Esophagus

Tang

Srinivasan

Williams

et al. 2014

Video Journal and Encyclopedia of GI Endoscopy

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“…Endoscopic enteroclysis can be useful in selected cases such as stenosis. DAE has also been used for therapy: retrieval of potentially harmful foreign bodies, especially retained CE [125], but also bezoars [126], needles [127], coins [128], gastric bands [129], dentures [130] and migrated stents [131]. Many SB strictures secondaries to NSAIDs, radiation, surgical anastomosis, or malignancy have been treated with balloon dilation [76,132,133] or stenting, using both over-the-wire or through-the-scope techniques [134][135][136].…”

Section: Miscelaneousmentioning

confidence: 99%

Small Bowel Enteroscopy – A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups

Pérez-Cuadrado-Robles

Pinho

González

et al. 2020

GE Port J Gastroenterol

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The present evidence-based guidelines are focused on the use of device-assisted enteroscopy in the management of small-bowel diseases. A panel of experts selected by the Spanish and Portuguese small bowel study groups reviewed the available evidence focusing on the main indications of this technique, its role in the management algorithm of each indication and on its diagnostic and therapeutic yields. A set of recommendations were issued accordingly.

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“…Mit Einführung der Doppelballonenteroskopie (DBE) in die gastrointestinale Endoskopie ist es möglich geworden, Fremdkörper auch aus dem tiefen Dünndarm zu extrahieren, und so den betroffenen Patienten ein operatives Vorgehen zu ersparen. Von der Entfernung eines spitzen Gegenstands aus dem Dünndarm mittels DBE wurde bereits berichtet [23]; Mönkemüller und Kollegen konnten eine Nadel etwa 40 cm postpylorisch mittels Dormia-Körbchen fixieren und unter direkter endoskopischer Visualisierung aus dem Dünndarm bergen. Eine Insertion der Nadel in den Übertubus des DBE gelang jedoch im Gegensatz zu unserem Fall nicht.…”

Section: Abstract !unclassified