A Case of Ingestion of a Mouthpiece Fragment Complicating Sedated Upper Gastrointestinal Endoscopy

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2010;10(2):70-73.
Published online December 10, 2010.

수면내시경 시 절단된 마우스피스 조각 섭취로 인한 합병증 사례

김민정ㆍ황윤우ㆍ이정훈ㆍ정훈용

울산대학교 의과대학 서울아산병원 내과학교실

Abstract

Intravenous sedation prior to upper gastrointestinal endoscopy is widely used. However, a paradoxical reaction to a sedative, with the development of emotional lability, agitation, and even range instead of a calming effect, occurs in as many as 29% of patients. These endoscopy related complications are usually ignored with few attempts to prevent them. We describe the case of a woman who ingested the tongue depressor portion of a mouthpiece during sedated upper gastrointestinal endoscopy. The foreign body was found 10 days after first endoscopic examination, which was successfully removed by endoscopic techniques. (The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2010;10:70-73)

Key Words: Mouthpiece, Sedated endoscopy, Foreign body removal