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CC BY 4.0 · Journal of Digestive Endoscopy 2024; 15(01): 49-51
DOI: 10.1055/s-0044-1779341
Case Report

Endoscopic Mucosal Incision to Remove a Chain of Magnets Completely Embedded under the Gastric Mucosa

Mandar Vijay Doiphode
1   Gastrohub Hospital, Pune, Maharashtra, India
,
Pankaj Nemade
1   Gastrohub Hospital, Pune, Maharashtra, India
,
Mahesh Rangrao Mahadik
1   Gastrohub Hospital, Pune, Maharashtra, India
,
Suyog Bharambe
1   Gastrohub Hospital, Pune, Maharashtra, India
,
Hamilton John Reyes Landayan 
1   Gastrohub Hospital, Pune, Maharashtra, India
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Abstract

The rising use of electronic toys containing magnets has led to an increased incidence of magnet ingestion in children. While endoscopic extraction is the preferred approach in these cases, challenges arise when multiple magnets get swallowed, which can erode through the mucosal surface and become embedded in fibrous tissue. Extraction using simple endoscopic techniques and instruments is not possible in such cases and many times, surgical intervention becomes necessary.

This case showcases the application of cap-assisted endoscopic mucosal resection and endoscopic submucous dissection principles and the use of magnetic forceps, enabling the safe and complete removal of the embedded magnet pieces and highlighting the remarkable effectiveness of advanced endoscopic techniques in managing this unique challenge. The multidisciplinary approach and tailored interventions demonstrated in this case underscore the importance of prompt and comprehensive evaluation in cases of ingested foreign bodies, particularly those involving multiple magnets

Keywords

endoscopic mucosal resection - ESD - FB - magnetic forcep


Publication History

Article published online:
21 February 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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