Novel use of an endoscopic suturing device for rectal foreign body retrieval

Q3 Medicine

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-06 DOI:10.1016/j.vgie.2026.04.051

Sergey V. Kantsevoy MD, PhD, FJGES

{"title":"Novel use of an endoscopic suturing device for rectal foreign body retrieval","authors":"Sergey V. Kantsevoy MD, PhD, FJGES","doi":"10.1016/j.vgie.2026.04.051","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and Aims</h3><div>Endoscopic removal of gastrointestinal tract foreign bodies could be difficult when the foreign body significantly exceeds the size of the available endoscopic extraction devices (snares, nets, etc). We present successful use of an endoscopic suturing device for retrieval of a large rectal foreign body not amenable to retrieval by traditional endoscopic extraction devices.</div></div><div><h3>Methods</h3><div>The patient was a 45-year-old biological male transitioning to female who presented to the emergency department with a self-reported 8-inch rectal foreign body. Extraction with the patient under anesthesia was unsuccessful, and to avoid surgery, a flexible sigmoidoscopy was attempted.</div></div><div><h3>Results</h3><div>Attempts to remove the rectal foreign body using traditional retrieval devices were unsuccessful because of a large diameter and very slippery surface of the silicone sex toy. After 11 minutes of unsuccessful attempts, we inserted the OverStitch endoscopic suturing device (Boston Scientific, Marlborough, Mass, USA) into the rectum. We pierced the suturing arm of the device through the foreign body and were able to retrieve it from the rectum in 5 minutes.</div></div><div><h3>Conclusions</h3><div>This case demonstrates unexpected value of an endoscopic suturing device for endoscopic removal of a large foreign body not amenable to extraction with traditional dedicated endoscopic devices. Use of an endoscopic suturing device enabled successful removal of the difficult foreign body and eliminated the need for urgent surgery.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 10","pages":"Pages 456-458"},"PeriodicalIF":0.0000,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"VideoGIE","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468448126001335","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/5/6 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Background and Aims

Endoscopic removal of gastrointestinal tract foreign bodies could be difficult when the foreign body significantly exceeds the size of the available endoscopic extraction devices (snares, nets, etc). We present successful use of an endoscopic suturing device for retrieval of a large rectal foreign body not amenable to retrieval by traditional endoscopic extraction devices.

Methods

The patient was a 45-year-old biological male transitioning to female who presented to the emergency department with a self-reported 8-inch rectal foreign body. Extraction with the patient under anesthesia was unsuccessful, and to avoid surgery, a flexible sigmoidoscopy was attempted.

Results

Attempts to remove the rectal foreign body using traditional retrieval devices were unsuccessful because of a large diameter and very slippery surface of the silicone sex toy. After 11 minutes of unsuccessful attempts, we inserted the OverStitch endoscopic suturing device (Boston Scientific, Marlborough, Mass, USA) into the rectum. We pierced the suturing arm of the device through the foreign body and were able to retrieve it from the rectum in 5 minutes.

Conclusions

This case demonstrates unexpected value of an endoscopic suturing device for endoscopic removal of a large foreign body not amenable to extraction with traditional dedicated endoscopic devices. Use of an endoscopic suturing device enabled successful removal of the difficult foreign body and eliminated the need for urgent surgery.

查看原文本刊更多论文

一种用于直肠异物取出的内窥镜缝合装置的新应用

背景和目的当异物明显超过可用的内镜取出装置（陷阱、网等）的大小时，内镜下清除胃肠道异物可能会很困难。我们提出了一个成功的使用内窥镜缝合装置检索大直肠异物不适合通过传统的内窥镜提取装置检索。方法患者45岁，生理上为男性，经变性为女性，自报直肠异物8寸，就诊于急诊科。患者在麻醉下拔牙不成功，为了避免手术，我们尝试了柔性乙状结肠镜检查。结果硅胶性玩具直径大，表面光滑，使用传统的取物装置取出直肠异物均不成功。经过11分钟的失败尝试后，我们将OverStitch内窥镜缝合装置（Boston Scientific, Marlborough, Mass， USA）插入直肠。我们将装置的缝合臂穿过异物并在5分钟内将其从直肠中取出。结论：本病例显示了内窥镜缝合装置在内窥镜下取出大异物时意想不到的价值，而传统的专用内窥镜装置无法取出。使用内窥镜缝合装置可以成功地取出困难的异物，并消除了紧急手术的需要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.