Endoscopic Removal of a Toothpick Impacted in the Stomach Wall by Mucosal Incision

Abstract

Toothpicks are not uncommonly swallowed, and subsequently, may be impacted into gastrointestinal wall and cause morbidities, and even mortality. Therefore, the early diagnosis and immediate retrieval of an ingested toothpick is important. In many cases, endoscopic removal is attempted initially, but if this fails or a complication is encountered, surgery should be considered. The authors experienced a case of ingested toothpick penetrating the gastric wall. A 51-year-old woman visited our hospital with epigastric pain of one-week duration. Upper endoscopy revealed that the sharp end of a toothpick had been impacted into the distal antrum. Endoscopic removal using an alligator jaw forceps failed because the toothpick broke during removal and our continued attempts to extract the remnant resulted in it becoming more embedded in the stomach wall. In such circumstances, surgical treatment should be considered. However, we incised the mucosa to expose the remnant toothpick, and fortunately, we were then able to grasp and remove the toothpick using an alligator jaw forceps. We report this unusual case of a toothpick impacted in the gastric wall that was resolved endoscopically by mucosal incision. (Korean J Helicobacter Up Gastrointest Res 2012;12:276-279)

Test Hedonic (Colour, Smell and Strength) Toothpick Based Basic Tuber Sago, Tuber Ginger and Tuber Carrot in Users Orthodontic Fixed

“…In addition, perforation or penetration by a toothpick can be asymptomatic, and cause complications in adjacent structures such as fistulas involving major blood vessels, constrictive pericarditis, or abscesses liver. 3 Another impact that occurs due to the use toothpicks is that of wood-based if food scraps and leftovers toothpick are disposed of anywhere will provide fatal pain in the mouth and throat when ingested by animals that use food scraps as feed ingredients. Thus waste food must be carefully handled to protect livestock and also to prevent environmental pollution.…”