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KMID : 1038120150480050444
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Clinical Endoscopy
2015 Volume.48 No. 5 p.444 ~ p.446
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Successful Removal of a Screw Nail in the Jejunum Using Double-Balloon Enteroscopy
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Kim Dong-Ju
Sim Myoung-Ki
Lee Sang-Wook
Lee Tae-Hee
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Abstract
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The vast majority of foreign bodies (FBs) that enter the stomach pass through the gastrointestinal tract spontaneously. When the FB enters the small bowel-beyond the reach of conventional endoscopy-daily radiographs are needed to ensure its safe passage. However, endoscopic intervention is an appropriate management strategy for a sharp-pointed FB, because sharp FBs have a higher risk of intestinal perforation. We describe here a case in which a 1.5-cm, sharp-pointed screw nail in the proximal jejunum was removed successfully by double-balloon enteroscopy from a 19-year-old-male with autism. This case adds to the growing body of evidence demonstrating the value of therapeutic double-balloon enteroscopy in the field of FB ingestion
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KEYWORD
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Double-balloon enteroscopy, Endoscopic removal of sharp objects, Foreign bodies, Jejunum, Screw nail
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