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01121 Journal of Nara Medical Association >
Vol.48 No.3 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/369
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Title: | フード付き内視鏡によるPTP食道異物の除去 |
Other Titles: | HOODED ENDOSCOPIC EXTRACTION OF A PRESS-THROUGH-PACKAGE FOREIGN BODY FROM THE ESOPHAGUS |
Authors: | 桐山, 邦徳 松村, 典彦 松倉, 康夫 山本, 雄太 紀川, 伊敏 藪田, 育男 下村, 英明 野中, 秀郎 |
Keywords: | esophageal foreign body hooded endoscopy press-through-package (PTP) |
Issue Date: | 30-Jun-1997 |
Publisher: | 奈良医学会 |
Citation: | 奈良医学雑誌 Vol.48 No.3 p.151-155 |
Abstract: | We report a case in which a press-through-package (PTP) foreign body in
the esophagus was safely removed by hooded endoscopy.
A 63-year-old male patient presented with a complaint of retrosternal discomfort after
ingesting a tablet in a PTP. Soft X-ray films of the spine showed the PTP foreign body
in front of the sixth cervical vertebra. During endoscopic examination, the PTP foreign
body was detected in the esophagus about 30 cm from the mouth. Hooded endoscopy using
part of a disposable latex glove was performed. Initially, the PTP foreign body was
grasped with a retrieval forceps. After that, the PTP foreign body was covered with the
hooded part of the endoscope. Then the hooded endoscope was slowly pulled out together
with the PTP foreign body. After extraction of the PTP foreign body, another endoscopic
examination revealed slight mucosal injuries in the esophagus. The PTP foreign body was
able to be extracted quickly without any complications. The extracted PTP foreign body
was 2.4×2.0 cm in size.
The method used in this case is a safe and effective means of removing foreign bodies
using readily available instruments. Its major advantage is the use of a hood to prevent
injury to the pharyngoesophageal junction. Hooded endoscopies should be more commonly
used for foreign body extractions because they can be performed easily without special
apparatus. |
URI: | http://hdl.handle.net/10564/369 |
ISSN: | 04695550 13450069 |
Appears in Collections: | Vol.48 No.3
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