title: Endoscopic removal of a tablespoon lodged within the duodenum.
abstract: Here we report the case of a 34-year-old man who underwent endoscopic removal of a tablespoon from the stomach that was lodged within the duodenum. Removal required the use of a two-channel upper endoscope and polypectomy snares. Using the double-snare technique, the spoon was grasped at the proximal and distal parts of the handle. The double-snare was first pulled unsuccessfully and then pulled with simultaneous manual abdominal compression of the bulbus from the body surface. Compression was gently applied towards the stomach. As a result, the head of the spoon prolapsed from the bulbus, and was easily retracted from the stomach without any complications. In cases of foreign body lodging within the duodenum, the manual abdominal compression technique may help clinicians pull out the object and avoid surgery. The usefulness of manual compression is dependent on the foreign body's sharpness and the location.
authors.affiliation: Takashi Watanabe, Kunihiko Aoyagi, Yoshitaka Tomioka, Hideki Ishibashi, Shotaro Sakisaka, Department of Gastroenterology and Medicine, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Watanabe
authors.affiliation: Takashi Watanabe, Kunihiko Aoyagi, Yoshitaka Tomioka, Hideki Ishibashi, Shotaro Sakisaka, Department of Gastroenterology and Medicine, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan.
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Aoyagi
authors.affiliation: Takashi Watanabe, Kunihiko Aoyagi, Yoshitaka Tomioka, Hideki Ishibashi, Shotaro Sakisaka, Department of Gastroenterology and Medicine, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan.
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Tomioka
authors.affiliation: Takashi Watanabe, Kunihiko Aoyagi, Yoshitaka Tomioka, Hideki Ishibashi, Shotaro Sakisaka, Department of Gastroenterology and Medicine, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Ishibashi
authors.affiliation: Takashi Watanabe, Kunihiko Aoyagi, Yoshitaka Tomioka, Hideki Ishibashi, Shotaro Sakisaka, Department of Gastroenterology and Medicine, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan.
authors.forename: Shotaro
authors.initials: S
authors.lastname: Sakisaka
mesh_terms: D000328:Adult; D003297:Cooking and Eating Utensils; D004386:Duodenum / Q000000981:diagnostic imaging; D016099:Endoscopy, Gastrointestinal; D005547:Foreign Bodies / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D011859:Radiography; D013270:Stomach / Q000000981:diagnostic imaging; D016896:Treatment Outcome
keywords: Duodenum; Endoscopic removal; Lodged; Tablespoon