EGD Nail Removal in the Duodenum 6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp & long! Had passed through the stomach and surprisingly sitting at D3! High risk of injury! The tip was beveled so kept slipping. Ultimately, a "NAIL" biting finish!! Few steps to follow for sharp FB Removal: • intubate. Slippage at UES may = aspiration • use FB hood - may be too big for small kids • be gentle, slow, keep lumen inflated, FB centered • hold from sharp end, if not, trail sharp end away • take time at LES/UES - sharp pull=injury Dr Prateik @drprateikp #Nail #Removal #Endoscopy #egd #esophagogastroduodenoscopy #gastroenterology #retrieval #clinical #foreignbody
