title: Double balloon enteroscopy to retrieve an accidentally swallowed dental reamer deep in the jejunum.
abstract: Accidentally swallowed foreign objects are not uncommon but difficult to manage without complications. We describe the case of a 68 year old man who accidentally a swallowed sharp-pointed dental reamer that had reached deep in his jejunum. Double balloon enteroscopic retrieval was performed with polypectomy snare but the reamer was entangled in the wire loop of the snare and penetrated the jejunal wall. After releasing the reamer by pushing and pulling the snare for approximately 30 min, the reamer was retrieved with biopsy forceps. This is the first report of double balloon enteroscopic removal of a dental reamer. Furthermore, this is a novel case with regard to decision making in situations when sharp objects are swallowed.
authors: Shingo Kato, Kazuhito Kani, Hidehiko Takabayashi, Ryuichi Yamamoto, Koji Yakabi, Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Kawagoe City, Saitama 350-8550, Japan.
authors: Shingo
authors: S
authors: Kato
authors: Kazuhito
authors: K
authors: Kani
authors: Hidehiko
authors: H
authors: Takabayashi
authors: Ryuichi
authors: R
authors: Yamamoto
authors: Koji
authors: K
authors: Yakabi
references: J Gastroenterol Hepatol. 2009 Feb;24(2):185-92
references: 19215331
references: Gastrointest Endosc. 2008 Apr;67(4):729-31; discussion 731
references: 18279871
references: Med Sci Monit. 2008 Oct;14(10):CS107-9
references: 18830197
references: Gastrointest Endosc. 2009 Feb;69(2):382-4
references: 18565527
references: Gastrointest Endosc. 2002 Jun;55(7):802-6
references: 12024131
references: Surg Endosc. 2004 Apr;18(4):717-8
references: 15214371
references: Gastrointest Endosc. 1995 Jan;41(1):39-51
references: 7698623
references: Indian J Gastroenterol. 1999 Apr-Jun;18(2):91
references: 10319548
references: Gastrointest Endosc. 1983 Aug;29(3):208-10
references: 6618118
references: Br J Surg. 1978 Jan;65(1):5-9
references: 623968
references: Dent Update. 1989 Jun;16(5):214-5
references: 2636199