title: A Novel Approach to Management of Esophageal Pill Impaction.
abstract: A 26-year-old male presented with symptoms of acute esophageal obstruction immediately after swallowing an 800-mg ibuprofen tablet. Multiple attempts to extract the pill with a variety of traditional endoscopic retrieval devices were unsuccessful. We successfully destroyed the pill using a threaded-tip biliary stent retrieval device to drill a hole in the center of the pill, which allowed us to use a rat-tooth forceps to crush the pill. This case report demonstrates a novel use of this device in a challenging esophageal pill extraction.
authors.affiliation: Naval Medical Center San Diego, San Diego, CA.
authors.forename: Brent W
authors.initials: BW
authors.lastname: Lacey
authors.affiliation: Naval Medical Center San Diego, San Diego, CA.
authors.forename: Sean
authors.initials: S
authors.lastname: Caufield
authors.affiliation: Naval Medical Center San Diego, San Diego, CA.
authors.forename: Eric
authors.initials: E
authors.lastname: Lavery
authors.affiliation: Naval Medical Center San Diego, San Diego, CA.
authors.forename: Brett
authors.initials: B
authors.lastname: Partridge