Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jul 10, 2016; 8(13): 472-476
Published online Jul 10, 2016. doi: 10.4253/wjge.v8.i13.472
Cut endotracheal tube for endoscopic removal of an ingested push-through pack
Yuki Tateno, Ryoji Suzuki
Yuki Tateno, Ryoji Suzuki, Miyake Central Clinic, Tokyo 100-1101, Japan
Author contributions: Tateno Y and Suzuki R treated the patient, recorded the data, and wrote the report; all authors approved the final version of the article for publication.
Institutional review board statement: This case report was reviewed and approved by the Institutional Review Board of Miyake Central Clinic.
Informed consent statement: The patient described in this case report provided written informed consent prior to this submission.
Conflict-of-interest statement: No funding was received for this case report.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Yuki Tateno, MD, Miyake Central Clinic, 937 Kamitsuki, Miyake, Tokyo 100-1101, Japan. ytateno13044@gmail.com
Telephone: +81-4994-20016 Fax: +81-4994-21005
Received: March 5, 2016
Peer-review started: March 7, 2016
First decision: April 6, 2016
Revised: April 14, 2016
Accepted: May 7, 2016
Article in press: May 9, 2016
Published online: July 10, 2016
Processing time: 117 Days and 0.8 Hours
Abstract

A 52-year-old female presented to our clinic after accidentally ingesting a push-through pack (PTP). After determining that the PTP was present in the stomach, we successfully and safely removed it endoscopically by using a handmade endoscopic hood fashioned from a cut endotracheal tube. Foreign body ingestion is a common clinical problem, and most ingested foreign bodies pass spontaneously. However, the ingestion of sharp objects, such as PTPs, increases the risk of complications, and urgent endoscopy is recommended to remove such objects. Previous studies have reported the use of other devices, both commercial and handmade, for the safe endoscopic removal of foreign bodies. The novel design of our handmade hood for the removal of the PTP, which was fashioned from a cut endotracheal tube, was beneficial in terms of maintaining a wide visual field, patient safety and tolerance, and easy preparation compared to previously reported commercial and handmade devices. It may be a viable and safe device for the retrieval of PTPs and other sharp foreign bodies.

Keywords: Foreign body ingestion; Endoscopic removal; Push-through pack; Sharp object; Handmade

Core tip: Here, we report the successful and safe endoscopic removal of a push-through pack (PTP) from the stomach using a handmade endoscopic hood fashioned from a cut endotracheal tube. This novel design was beneficial in terms of maintaining a wide visual field, patient safety and tolerance, and easy preparation, compared to previously reported commercial or handmade devices. It may be a viable and safe device for the retrieval of PTPs and other sharp foreign bodies.