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

Enjoji, Akihito; Nagata, Yuichi; Furuichi, Akira; Kawakami, Shin; Saiwai, Hirokazu; Furui, Junichiro; Kanematsu, Takashi

doi:10.1055/s-2004-814194

Cited by 4 publications

(2 citation statements)

References 3 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“…The ensnared FB is unlikely to be withdrawn into the semi-rigid overtube and pass the esophageal introitus and pharynx.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%

“…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]. If endoscopic removal fails and complication develops, the needle can be removed through laparoscopy or laparotomy [11].…”

Section: Discussionmentioning

confidence: 99%

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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%

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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Fremdkörper im oberen Gastrointestinaltrakt

Maiß

Raithel

Nagel

2012

HNO

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Foreign bodies in the upper GI tract are an important medical problem and cause about 5% of emergency endoscopies. Endoscopic removal is the method of the choice and is successful in 99% of cases. Nevertheless, endoscopic removal is not necessary in every case because most foreign bodies can pass through the digestive tract and be evacuated in the natural way. An immediate emergency endoscopy is indicated for foreign bodies in the esophagus with signs of obstruction, which is present in more than 75% of cases, because the risk of complications increases with retention time. The endoscopist has myriad possibilities for finding the best and safest way to extract the foreign body.

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Video Endoscopy: Removal of Retained Sewing Needles from the Duodenum

Gajbhiye

Tirupude

et al. 2012

Indian J Surg

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We report an interesting case of a 21-year-old unmarried girl who swallowed six sewing needles. Her complaints were pain in the epigastrium, associated with nausea and vomiting. On examination, there was mild tenderness in the epigastrium. X-ray of the abdomen and endoscopy confirmed the presence of six needles in the duodenum, with tips lodged in the duodenal wall. Psychiatric opinion was sought which was normal. Under video endoscope (Pentax 2.8, EG 27708) guidance with Captura biopsy forceps without spikes (Cook DBF-2.4-160-S), six sewing needles were removed successfully from the duodenum through the endoscope channel without any complications. However, a video endoscopic removal of the retained six needles from duodenum is probably being reported for the first time.

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

Cited by 4 publications

References 3 publications

Endoscopic Removal of an Impacted Needle with Syringe from the Esophagus

Endoscopic Removal of an Impacted Needle with Syringe from the Esophagus

Fremdkörper im oberen Gastrointestinaltrakt

Video Endoscopy: Removal of Retained Sewing Needles from the Duodenum

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