Clin Endosc.  2015 Sep;48(5):444-446. 10.5946/ce.2015.48.5.444.

Successful Removal of a Screw Nail in the Jejunum Using Double-Balloon Enteroscopy

• Kim DJ
• Sim MK
• Lee SW
• Lee TH

• KMID: 2148559
• DOI: http://doi.org/10.5946/ce.2015.48.5.444

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

Keyword

Double-balloon enteroscopy; Endoscopic removal of sharp objects; Foreign bodies; Jejunum; Screw nail

MeSH Terms

Autistic Disorder
Double-Balloon Enteroscopy*
Eating
Foreign Bodies
Gastrointestinal Tract
Intestinal Perforation
Jejunum*
Stomach