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An unexpected bite: Innovative endoscopic technique for removal of a metal grill brush bristle from the esophagus
Mojdeh Mostafavi1, Kriston Ganguli1
1Department of Pediatric Gastroenterology & Nutrition Massachusetts General Hospital Boston Massachusetts USA.
Abstract:
Ingestion of metal grill brush bristles is an uncommon but potentially serious cause of esophageal injury. We report a case of a healthy young man with acute odynophagia after eating grilled food, found to have a metal wire in the cervical esophagus. Given its partial embedding and sharp edges, standard removal methods were unsuccessful and posed risks. Using a snare, the bristle was successfully lassoed and withdrawn into the snare sheath before removal, preventing further trauma. The patient recovered fully without complications. This case demonstrates a novel, safe, and effective endoscopic technique for the removal of embedded metal wires such as grill brush bristles.
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