title: Double-balloon endoscopy for treatment of long-term abdominal discomfort due to small bowel penetration by an eel bone.
abstract: BACKGROUND
  Penetration of the GI tract by a fish bone was treated by laparotomy. DBE is a useful procedure for removal of a foreign body from the small bowel.
  
  
  METHODS
  A 33-year-old male presented with bothersome postprandial fullness. He was diagnosed previously with functional dyspepsia, and had been treated with medication for 8 months with no success. During antegrade DBE, which was performed to rule out of small intestinal abnormalities, an eel bone found stuck in the jejunum was grasped with forceps and pulled out. Following removal of the bone, the patient's postprandial fullness ameliorated dramatically.
  
  
  CONCLUSIONS
  This is the first report of DBE-based diagnosis and treatment of a small bowel penetration by a fish bone.
authors.affiliation: Department of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Tomoyoshi
authors.initials: T
authors.lastname: Shibuya
authors.forename: Taro
authors.initials: T
authors.lastname: Osada
authors.forename: Daisuke
authors.initials: D
authors.lastname: Asaoka
authors.forename: Hiroki
authors.initials: H
authors.lastname: Mori
authors.forename: Kazuko
authors.initials: K
authors.lastname: Beppu
authors.forename: Naoto
authors.initials: N
authors.lastname: Sakamoto
authors.forename: Satoko
authors.initials: S
authors.lastname: Suzuki
authors.forename: Jin Kan
authors.initials: JK
authors.lastname: Sai
authors.forename: Akihito
authors.initials: A
authors.lastname: Nagahara
authors.forename: Michiro
authors.initials: M
authors.lastname: Otaka
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Ohkusa
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Ogihara
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Takada
authors.forename: Sumio
authors.initials: S
authors.lastname: Watanabe
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D000818:Animals; D002404:Catheterization; D004524:Eels; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000601:surgery; D007583:Jejunum / Q000293:injuries*; D007813:Laparotomy; D008297:Male