Clin Endosc.  2017 Mar;50(2):197-201. 10.5946/ce.2016.085.

Fluoroscopy-Guided Endoscopic Removal of Foreign Bodies

• Kim J
• Ahn JY
• So S
• Lee M
• Oh K
• Jung HY

• KMID: 2383538
• DOI: http://doi.org/10.5946/ce.2016.085

Abstract

In most cases of ingested foreign bodies, endoscopy is the first treatment of choice. Moreover, emergency endoscopic removal is required for sharp and pointed foreign bodies such as animal or fish bones, food boluses, and button batteries due to the increased risks of perforation, obstruction, and bleeding. Here, we presented two cases that needed emergency endoscopic removal of foreign bodies without sufficient fasting time. Foreign bodies could not be visualized by endoscopy due to food residue; therefore, fluoroscopic imaging was utilized for endoscopic removal of foreign bodies in both cases.

Keyword

Foreign bodies; Endoscopy; Fluoroscopy; Endoscopic removal; Button battery

MeSH Terms

Animals
Emergencies
Endoscopy
Fasting
Fluoroscopy
Foreign Bodies*
Hemorrhage

Figure

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  Fig. 1. (A) Chest radiography showing a radio-opaque, 20-mm-long nail in the esophagus, at the T9-T10 vertebral level (black arrow). (B) Endoscopy showing abundant food residue in the stomach.

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  Fig. 2. Fluoroscopic examination for precise localization of the foreign body.

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  Fig. 3. Endoscopic removal of the nail under fluoroscopic guidance. (A, B) The nail in the fundic area. (C) Alligator forceps were used to grasp the nail, which was retrieved using the protector hood. (D) The nail was removed successfully and without any complications.

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  Fig. 4. (A) Chest radiography showing a metallic foreign body in the stomach (white arrow). (B) Endoscopy showing abundant food residue in the stomach.

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  Fig. 5. Endoscopic removal of the button battery under fluoroscopic guidance. (A, B) Alligator forceps were used to grasp and remove the button battery. (C) A basket was used to retract the button battery. (D) The button battery was successfully removed, without any complications.

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