Korean J Gastrointest Endosc > Volume 29(1); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;29(1): 17-21.
유도관을 이용한 위 속 숟가락의 내시경적 제거
임병욱·문영수·이상은·김태년·김경아·손현배·양전호·이정락*·김경태*
인제대학교 의과대학 일산백병원 내과 및 *마취통증의학과
Endoscopic Removal of a Spoon from the Stomach Using Guidewire
Byung Wook Lim, M.D., Young Soo Moon, M.D., Sang Eun Lee, M.D., Tae Nyun Kim, M.D., Kyung Ah Kim, M.D., Hyun Bae Son, M.D., Jeon Ho Yang, M.D., Jeong Rak Lee, M.D.* and Kyung Tae Kim, M.D.*
Departments of Internal Medicine and *Anesthesiology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
Abstract
Foreign body ingestion is a relatively uncommon, but potentially serious condition. Most of gastrointestinal foreign bodies pass spontaneously. But, large objectives are usually lodged in the stomach and cause perforation, bleeding, and obstruction. Therefore, prompt retrieval of lodged foreign bodies are necessary before complications develop. Particularly, in the case of long metallic spoon, there have been no cases of spontaneous passage reported. Therefore, prompt retrieval of a metallic spoon are necessary. A 28- year-old woman with schizophrenia who ingested a long spoon for suicidal attempt was referred to our hospital. Simple abdomen showed a 18 cm sized long, metallic spoon with saw-toothed end placed in the stomach. We removed a spoon by an endoscopic technique and an extraction maneuver using a guidewire and a Magill forceps. (Korean J Gastrointest Endosc 2004;29:17⁣21)
Key Words: Gastrointestinal foreign body, Spoon, Endoscopic removal, Guidewire
주요어: 상부소화관 이물, 숟가락, 내시경적 제거, 유도관
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