Endoscopic removal of a press-through pack from the small bowel using double-balloon enteroscopy

Q3 Medicine

VideoGIE Pub Date : 2026-06-01 Epub Date: 2026-01-10 DOI:10.1016/j.vgie.2026.01.003

Maki Akabane MD , Akiyoshi Tsuboi MD, PhD , Shuhei Sugata MD , Shuya Shigenobu MD , Ken Yamashita MD, PhD , Toshio Kuwai MD, PhD , Shiro Oka MD, PhD

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引用次数: 0

Abstract

Background and Aims

Press-through packs (PTPs) are a common cause of foreign body ingestion; however, their retention in the small bowel is rare. We present a case in which a PTP lodged at a stenotic site was safely removed using a double-balloon endoscope (DBE).

Methods

A 73-year-old woman with a history of ileal tuberculosis and resultant small-bowel stenosis presented with abdominal pain. CT revealed a high-density object in the lower abdomen, suspicious for a foreign body. A retrograde DBE approach was subsequently performed and revealed a PTP lodged in the ileum near the site of stenosis.

Results

The PTP was grasped using biopsy forceps, repositioned with a retrieval net, and extracted through the overtube using DBE, with the tip balloon secured by a nylon thread. There were no adverse events during or after the procedure. The patient’s symptoms resolved immediately after removal, and no surgical intervention was required.

Conclusions

This case demonstrates the utility of DBE, with the tip balloon secured by a nylon thread, in retrieving retained sharp foreign bodies such as PTP. This method enables the safe retrieval of sharp foreign bodies in the small bowel that can be contained within the overtube.

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使用双气囊肠镜从小肠内取出压穿包

背景和目的穿透包（PTPs）是异物摄入的常见原因；然而，它们在小肠中保留是罕见的。我们提出了一个病例，其中一个PTP在狭窄的地方是安全移除使用双球囊内窥镜（DBE）。方法一名73岁妇女，有回肠结核病史，并伴有小肠狭窄，以腹痛为主。CT显示下腹部高密度物体，怀疑为异物。随后行逆行DBE入路，发现回肠狭窄附近有PTP。结果用活检钳夹住PTP，用检索网重新定位，用DBE从上管取出，尖端球囊用尼龙线固定。手术期间和手术后均无不良事件发生。患者的症状在取出后立即消失，无需手术干预。结论：本病例展示了DBE的实用性，其尖端气囊由尼龙线固定，用于取出残留的尖锐异物，如PTP。这种方法可以安全地取出小肠内的尖锐异物，这些异物可以包含在上管内。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

VideoGIE Medicine-Gastroenterology

CiteScore

1.50

自引率

0.00%

发文量

132

审稿时长

105 days

期刊介绍： VideoGIE, an official video journal of the American Society for Gastrointestinal Endoscopy, is an Open Access, online-only journal to serve patients with digestive diseases. VideoGIE publishes original, single-blinded peer-reviewed video case reports and case series of endoscopic procedures used in the study, diagnosis, and treatment of digestive diseases. Videos demonstrate use of endoscopic systems, devices, and techniques; report outcomes of endoscopic interventions; and educate physicians and patients about gastrointestinal endoscopy. VideoGIE serves the educational needs of endoscopists in training as well as advanced endoscopists, endoscopy staff and industry, and patients. VideoGIE brings video commentaries from experts, legends, committees, and leadership of the society. Careful adherence to submission guidelines will avoid unnecessary delays, as incomplete submissions may be returned to the authors before initiation of the peer review process.