Abstract
We reported a case of penetrating esophageal foreign body (dental prosthesis with sharp clasp). A 76 year-old-man was treated with endoscopic removal using following horizontal rotation technique ; we grasped the clasp by endoscopic forceps, pulled the forceps near the tip of endoscope, and rotated endoscope with forceps in the direction opposite to insertion of the clasp, resulting in successful romoval from the esophageal wall. Although post-romoval endoscopic examination revealed esophageal perforation, we can treated the patient with non -surgical procedure because of little mediastinal emphysema in CT. In endoscopic removal of dental prosthesis with sharp clasp from the esophagus, horizontal rotation technique is throught to be useful.