New endoscopic technique for retrieval of large colonic foreign bodies and an endoscopy-oriented review of the literature

BMJ Case Reports
Alberto TringaliMassimiliano Mutignani

Abstract

Colorectal foreign bodies (FB) are challenging issues for the endoscopist especially if the mostly used methods (polypectomy snare, biopsy forceps or wire-guided 40 mm dilation balloon) failed. We report a case of a 31-year-old man who was admitted in the emergency department for the impaction of a 60 cm long and large-size FB in the sigmoid colon. We failed to remove the FB using several different standard technique because of the rigidity, the smoothness and the size of the object. After all these attempts, we built up a 'home-made' device inserting a 0.035 inch non-hydrophilic guidewire (Metro WireGuide, Cook Medical) doubled into an 8.5 Fr stent-pusher-catheter (Cook Medical) serving as an outer sheet in order to create a noose and we finally succeeded in the endoscopic extraction of the device. We suggest this new technique as a valid option to remove large FBs from the colon and rectum when standard endoscopic methods for FB's extraction fail.

References

Nov 13, 2004·Diseases of the Colon and Rectum·Jeffrey P LakeRobert W Beart
Apr 24, 2007·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Reyaz M SingaporewallaTeng K Tan
Jul 31, 2008·World Journal of Gastroenterology : WJG·Jan-J Koornstra, Rinse-K Weersma
Dec 3, 2013·Clinics in Colon and Rectal Surgery·Kyle G Cologne, Glenn T Ault
Sep 26, 2014·The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology·Cihad TatarAdnan Hut
Nov 18, 2015·Intestinal research·Keun Joon LimHwang Choi
May 18, 2016·World Journal of Clinical Cases·Xiao-Dong LinShao-Ping Yu
Feb 10, 2018·Case Reports in Medicine·G TerrosuA Risaliti

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