Foreign bodies, Sharp margin, Esophagus, Razor blade, Wedge resected overtube"/>
Razor Blade Removal from the Cervical Esophagus Utilizing a Novel Modification of the Overtube
Korean Journal of Gastrointestinal Endoscopy 2011;42(5): 293-296.
고안된 Overtube를 이용하여 제거된 날카로운 식도이물 1예
류상열ㆍ김성환ㆍ선춘식ㆍ정미연ㆍ안상봉ㆍ손병관ㆍ조윤주ㆍ박영숙
을지대학교 의과대학 내과학교실
Razor Blade Removal from the Cervical Esophagus Utilizing a Novel Modification of the Overtube
Sang Ryol Ryu, M.D., Seong Hwan Kim, M.D., Choon Sik Seon, M.D., Mi Yeon Chung, M.D., Sang Bong Ahn, M.D., Byoung Kwan Son, M.D., Yun Ju Jo, M.D. and Young Sook Park, M.D.
Department of Internal Medicine, Eulji University College of Medicine, Seoul, Korea
Abstract
Foreign bodies in the upper esophagus should be removed as soon as possible to avoid serious complications. These foreign bodies can penetrate the bowel wall and cause severe complications. The peristalsis of the esophagus is not strong enough to prevent it from retaining swallowed objects. Hence, perforation from a foreign body is more likely to occur in the esophagus than in the rest of the gastrointestinal tract. A razor blade is a rare foreign body of the esophagus. Its sharpness and large size make it difficult to remove. A razor blade was very firmly impacted in the esophageal wall in our case, and the razor blade had not moved from the upper esophagus. A standard overtube has limitations to remove a razor blade inside the overtube's lumen. We report here on a case of using a wedge resected overtube made it possible to successfully extract a razor blade and no serious complications occurred after extraction of the razor blade. (Korean J Gastrointest Endosc 2011;42:293-296)
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