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Related Experiment Video

Updated: Jun 26, 2025

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

Foreign body in Zenker's diverticulum.

Marina Vidal Pelayo¹, Raúl Honrubia López², Guillermo González Redondo¹

¹Aparato Digestivo, Hospital Universitario Infanta Sofía, España.

Revista Espanola De Enfermedades Digestivas

|May 20, 2024

Summary

Zenker's diverticulum (ZD) can cause severe dysphagia and aspiration. This case highlights the successful endoscopic removal of a foreign body, a dental prosthesis, from a large ZD, followed by endoscopic diverticulotomy.

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Area of Science:

Gastroenterology
Endoscopy
Surgical Innovation

Background:

Zenker's diverticulum (ZD) is a rare esophageal disorder causing dysphagia and aspiration risk.
Endoscopic diverticulotomy is increasingly a first-line treatment for ZD, offering favorable outcomes compared to traditional surgery.

Observation:

A 93-year-old female presented with a large 6 cm ZD, significant weight loss, and aspiration pneumonia.
Radiography revealed an unidentified radiopaque metallic density within the ZD, suspected to be a foreign body.

Findings:

Gastroscopy confirmed a 10 mm metallic foreign body, identified as a dental prosthesis, lodged within the ZD.
The foreign body was successfully extracted using a Roth net, and subsequent endoscopic diverticulotomy with cricopharyngeal myotomy was performed without complications.

Implications:

This case demonstrates the diagnostic utility of endoscopy in identifying unexpected foreign bodies within ZD.
Successful foreign body removal and endoscopic diverticulotomy resolved the patient's dysphagia and nutritional issues, avoiding the need for long-term nasogastric feeding.