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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2020; 11(02): 170-172
DOI: 10.1055/s-0040-1713489
Case Report

Push Enteroscopy Guided Removal of a Sharp Foreign Body from the Midjejunum in a Child

Sridhar Sundaram
1   Department of Gastroenterology, King Edward Memorial Hospital, Seth Gordhandas Sunderdas Medical College, India
,
Suprabhat Giri 
1   Department of Gastroenterology, King Edward Memorial Hospital, Seth Gordhandas Sunderdas Medical College, India
,
Biswaranjan Patra
1   Department of Gastroenterology, King Edward Memorial Hospital, Seth Gordhandas Sunderdas Medical College, India
,
Harish Darak
1   Department of Gastroenterology, King Edward Memorial Hospital, Seth Gordhandas Sunderdas Medical College, India
,
Shobna Bhatia
1   Department of Gastroenterology, King Edward Memorial Hospital, Seth Gordhandas Sunderdas Medical College, India
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Abstract

Background The majority of foreign bodies entering the small intestine are passed spontaneously. However, in case of a sharp object, its removal is an urgency due to a higher risk of intestinal perforation, and endoscopic intervention is an appropriate management strategy as surgery is associated with greater morbidity. Although enteroscopy is the standard practice for the removal of a foreign body in the small intestine, gastroduodenoscopy may be used for small intestinal foreign body removal.

Case Presentation We describe here the case of a 21-month-old child in whom a 5-cm, sharp-pointed nail in the midjejunum was removed successfully by a gastroduodenoscopy. This case highlights the difficulties in the removal of a sharp foreign body in a pediatric patient and the use of push enteroscopy.

Conclusion Gastroduodenoscopy can be used for the removal of a foreign body in the small intestine in pediatric population in a resource-limited setup by performing push enteroscopy.

Keywords

enteroscopy - foreign body - pediatric endoscopy


Publication History

Article published online:
03 July 2020

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