Attempts of endoscopic fragmentation using mouse-teeth clamp and polypectomy snare
were unsuccessful because of hard consistency of the bezoar.
The gastric phytobezoar was fragmented endoscopically with a standard oval 30 mm polypectomy snare
and the transmission of high electric current flow (70 watts), in 5 cycles of 10 minutes each.
Equipment that should ideally be readily available for the procedure includes: rat tooth and alligator forceps, polypectomy snare
, polyp grasper, Dormia basket and retrieval net.
It was successfully removed endoscopically with polypectomy snare
After creation of the submucosal fluid bulging, the resection of lesion was performed using a monofilament rotatable polypectomy snare
(Boston; 20 mm; output setting: cut 40 watts; coagulation 40 watts) without any complication (Figure 2).
Attempts were made to retrieve the foreign body with the biopsy forceps and a polypectomy snare
(2) Newer techniques with variable success rates include dormia basket extraction, direct large channel endosopic fragmentation and aspiration, bedside Coca Cola lavage, water jet, forceps and polypectomy snare
. (2) Endoscopic retrieval of smaller lesions, extracorporeal shock wave lithotripsy, and endoscopy with utilisation of laser ignition or fragmentation with a bezotome have been suggested as alternative therapies.
Endoscopic ultrasound-guided drainage of pancreatic pseudocysts using a large-channel echoendoscope and a conventional polypectomy snare
. Digestive Endosc 2003; 15: 323-8.
The children underwent flexible sigmoidoscopy under sedation, and the foreign bodies were retrieved by using a polypectomy snare
or polyp retrieval basket.