A simple latex protector hood for safe endoscopic removal of sharp-pointed gastroesophageal foreign bodies

Bertoni, G.; Sassatelli, Romano; Conigliaro, Rita; Bedogni, G.

doi:10.1016/s0016-5107(96)70099-8

Cited by 55 publications

(26 citation statements)

References 17 publications

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“…However, the overtube method failed to remove the two press-through packs in the present report because of the large size of the packs. A commercial protector hood and modified protector hood composed of a surgical latex glove were safe for removing razor blades and pointed, sharp metallic fragments [6,8]. In the present cases of press-through-package impaction, I preferred to use a condom as a protector hood because of its comparable size to the package and because of its formed rubber opening ring, resisting hood collapse.…”

Section: Discussionmentioning

confidence: 95%

Condoms used to assist difficult endoscopic removal of impacted upper esophageal foreign bodies

Lin

2015

Adv in Digestive Medicine

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The use of a homemade balloon dilator and protector hood composed of condoms for assisting the removal of sharp foreign bodies lodged in the upper esophagus in difficult cases is reported. A conventional endoscopic method failed to remove two sharp bones and two press-through packages became impacted in the upper esophagus. A condom was used to make a balloon dilator that was attached to a flexible endoscope in an attempt to dilate the upper esophageal sphincter to dislodge the impacted sharp bones. This handmade condom balloon dilator succeeded in dislodging the two tightly impacted sharp bones and assisted in removing the impacted objects in the upper esophagus. Additionally, a condom was tied to the distal end of the scope to act as a protector hood to protect the esophageal mucosa when removing the sharp packages. The two impacted press-through packages were pushed into the lower esophagus or stomach and removed uneventfully using the condom protector hood. Subsequent endoscopy disclosed no relevant mucosal damage after the successful removal and the patients did well after discharge from the emergency department. In conclusion, condombased endoscopic balloon dilatation is a simple and accessible method for assisting the endoscopic removal of tightly impacted, sharp foreign bodies in the upper esophagus. A condom can also be used as a protector hood to avoid mucosal injury when removing impacted, sharp pressthrough packages when a commercial protector hood is not available.

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Section: Discussionmentioning

confidence: 95%

Condoms used to assist difficult endoscopic removal of impacted upper esophageal foreign bodies

Lin

2015

Adv in Digestive Medicine

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“…Such a technique is useful when removing sharp-pointed foreign bodies (FBs) by endoscope as it helps to prevent esophageal mucosal injury, especially injury to the gastroesophageal junction (GEJ) and the upper esophageal sphincter (UES). 1 However, an endoscopic hood protector is not always available. In a patient with a large hiatal hernia, the protector hood may not return to the original shape when it passes through the GEJ and therefore may not properly protect the esophageal mucosa from the sharp FB.…”

Section: Introductionmentioning

confidence: 99%

Salvage Technique for Endoscopic Removal of a Sharp Fish Bone Impacted in the Esophagus Using a Transparent Cap and Detachable Snares

Lee

Chun

Lee

et al. 2013

Korean J Gastroenterol

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A sharp, impacted fish bone in the esophagus is an indication for urgent endoscopy. Endoscopic removal of such an object is a challenging task. An endoscopic protector hood is then used to remove the object. However, an endoscopic hood protector is not always available. In a patient with a large hiatal hernia, the protector hood may not return to the original shape when it passes through the gastroesophageal junction and therefore may not properly protect the esophageal mucosa from the sharp foreign body. In our case, it was impossible to deploy the endoscopic hood protector through the gastroesophageal junction despite multiple attempts. We propose an alternative solution for such cases. We safely removed a large sharp-edged flat fish bone that was folded and compressed using a detachable snare after releasing and pushing the fish bone into the stomach using an endoscope equipped with a transparent cap used for dilating the esophageal wall. This method of using an endoscopic cap and detachable snare is a safe, useful alternative for endoscopically removing a large sharp-edged flat foreign body from the upper gastrointestinal tract. This alternative technique has not been reported in the English medical literature. (Korean J Gastroenterol 2013;61:215-218)

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“…One method involves using an overtube to protect the esophagus during repeated insertion and withdrawal of the endoscope [1,2]. Another technique involves fashioning a protective hood for the endoscope using variety of devices, such as soft latex protector hoods [3,4]. Using the endoscopic approach shown here, we were able to remove the needles without complication.…”

mentioning

confidence: 99%

Successful Removal from the Duodenum of Swallowed Sewing Needles Using Devised Endoscopic Forceps

Enjoji

Nagata²,

Furuichi³

et al. 2004

Endoscopy

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A simple latex protector hood for safe endoscopic removal of sharp-pointed gastroesophageal foreign bodies

Cited by 55 publications

References 17 publications

Condoms used to assist difficult endoscopic removal of impacted upper esophageal foreign bodies

Condoms used to assist difficult endoscopic removal of impacted upper esophageal foreign bodies

Salvage Technique for Endoscopic Removal of a Sharp Fish Bone Impacted in the Esophagus Using a Transparent Cap and Detachable Snares

Successful Removal from the Duodenum of Swallowed Sewing Needles Using Devised Endoscopic Forceps

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