title: Cut endotracheal tube for endoscopic removal of an ingested push-through pack.
abstract: A 52-year-old female presented to our clinic after accidentally ingesting a push-through pack (PTP). After determining that the PTP was present in the stomach, we successfully and safely removed it endoscopically by using a handmade endoscopic hood fashioned from a cut endotracheal tube. Foreign body ingestion is a common clinical problem, and most ingested foreign bodies pass spontaneously. However, the ingestion of sharp objects, such as PTPs, increases the risk of complications, and urgent endoscopy is recommended to remove such objects. Previous studies have reported the use of other devices, both commercial and handmade, for the safe endoscopic removal of foreign bodies. The novel design of our handmade hood for the removal of the PTP, which was fashioned from a cut endotracheal tube, was beneﬁcial in terms of maintaining a wide visual field, patient safety and tolerance, and easy preparation compared to previously reported commercial and handmade devices. It may be a viable and safe device for the retrieval of PTPs and other sharp foreign bodies.
authors.affiliation: Yuki Tateno, Ryoji Suzuki, Miyake Central Clinic, Tokyo 100-1101, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Tateno
authors.affiliation: Yuki Tateno, Ryoji Suzuki, Miyake Central Clinic, Tokyo 100-1101, Japan.
authors.forename: Ryoji
authors.initials: R
authors.lastname: Suzuki
keywords: Endoscopic removal; Foreign body ingestion; Handmade; Push-through pack; Sharp object