title: Successful Removal of a Screw Nail in the Jejunum Using Double-Balloon Enteroscopy.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Sahmyook Medical Center, Seoul, Korea.
authors.forename: Dong Ju
authors.initials: DJ
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Sahmyook Medical Center, Seoul, Korea.
authors.forename: Myoung Ki
authors.initials: MK
authors.lastname: Sim
authors.affiliation: Department of Internal Medicine, Seongbuk Joongang Hospital, Seoul, Korea.
authors.forename: Sang Wook
authors.initials: SW
authors.lastname: Lee
authors.affiliation: Institute for Digestive Research, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
authors.forename: Tae Hee
authors.initials: TH
authors.lastname: Lee
keywords: Double-balloon enteroscopy; Endoscopic removal of sharp objects; Foreign bodies; Jejunum; Screw nail