A Case of safe extraction of press-through-package using a Hooded Skirt Mounted to the Tip of an Endoscope

Abstract

We observed a case in which we were able to extract press-through-package (PTP) safely using a silicone rubber-hooded skirt mounted to the tip of an endoscope.
This is a case of a woman in her nineties who was admitted to the hospital because of accidental ingestion of PTP. During upper gastrointestinal endoscopy, PTP was identified directly below the entrance to the esophagus. As it had passed into the stomach by air supply, we advanced the endoscope into the stomach and grasped PTP using forceps. It was then recovered by removing the endoscope with PTP housed inside the skirt. The size of the recovered PTP was 19×18×5 mm. Adverse consequences such as ruptured membranes, perforation, and bleeding were not observed, and the patient was discharged on the same day. We believe that this device can effectively recover comparatively large and sharp foreign substances such as PTP.