摘出に工夫を要した胃内異物の1例

概要

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A 20-year-old female patient with mental disease intentionally swallowed a pair of nail clippers and was treated at our hospital. Abdominal X-ray showed the clippers in stomach and endoscopy was performed. The clippers were located in the body of the stomach. A gastric mucosal lesion with mild redness and hemorrhaging was observed. We were unable to grasp the nail clippers using grasping forceps, snare forceps or basket forceps. We therefore switched to a 2-channel endoscope. First, we inserted a guide wire through the hole in the handle of the clippers with a cannula used in ERCP. We then grasped the guide wire using the biopsy forceps, which were extended from the channel for forceps, and pulled the guide wire towards the channel for forceps. With the clippers suspended from the guide wire we removed the fiberoptic scope. Because an overtube was used, we were able to retrieve the nail clippers without damaging the esophagus or oral cavity. We have occasionally encountered cases of esophageal and gastric foreign bodies. It is important to utilize safe procedures for foreignbody removal in order to minimize damage to the intestinal mucosa.
Japan Gastroenterological Endoscopy Society Kanto Chapterの論文