LAUSR

The European Society of Gastrointestinal Endoscopy’s clinical guideline recommends urgent therapeutic esophagogastroduodenoscopy (EGD) for esophageal blunt foreign bodies (FBs) without complete obstruction. Delayed intervention decreases the likelihood of successful FB removal and increases the risk of complications. However, non-urgent therapeutic EGD using suitable extraction devices is recommended, depending upon the type and location of blunt FBs in the stomach [1]. This article describes an endoscopic pyloric ring section procedure for removing an accidentally ingested blunt FB lodged in the pyloric ring (p-ring) like an earring. A 69-year-old woman was referred to our department with persistent nausea, vomiting, and a 4-kg body-weight loss in a month comorbid with a ventral hernia. Blood count and biochemical parameters were within the normal range. However, an abdominal computed tomography (CT) revealed significant duodenal wall thickness beside the hernia (▶Fig. 1). Urgent EGD revealed a plastic bag closure embedded in the p-ring like an earring (▶Fig. 2 a). Since removing it with grasping forceps and argon plasma melting was ineffectual, we advanced a papilE-Videos