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Pointing towards colonoscopy: sharp foreign body removal via colonoscopy.
Melissa Hershman1, Steven Shamah1, Prashant Mudireddy1
1Department of Medicine, Internal Medicine Resident, Lenox Hill Hospital, N.Y., USA.
Annals of Gastroenterology
|March 1, 2017
Summary
Endoscopic removal of sharp foreign bodies is common, but distal migration management is challenging. This study shows safe colonoscopic removal of sharp objects beyond the ligament of Treitz using specialized tools.
Area of Science:
- Gastroenterology
- Endoscopic procedures
- Foreign body retrieval
Background:
- Upper endoscopy is standard for sharp foreign body removal.
- Management of distally migrated sharp foreign bodies remains less documented.
Observation:
- Two cases of sharp foreign bodies (sewing pin, glass shard) migrated beyond the ligament of Treitz are presented.
- Successful retrieval was achieved using colonoscopy with specific instruments: hot biopsy forceps with a protector hood and a Roth Net retriever.
Findings:
- Sharp foreign bodies migrating distally into the colon can be managed safely.
- Serial radiography and examination facilitate supervised passage into the colon for endoscopic removal.
Implications:
- Colonoscopic techniques offer a safe and effective method for removing sharp foreign bodies from the colon.
- This approach expands endoscopic capabilities for managing challenging foreign body ingestions.