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A 24−year−old man had suffered from epi− gastralgia and acid regurgitation for many years. After local anesthesia, upper gas− trointestinal endoscopy was performed without difficulty. Some hematin−coated spots were noted at the gastric body, and loosening of the gastroesophageal junc− tion. During the retroflexion procedure, the endoscope became impacted in the distal esophagus when the patient gave a large belch. Although the lumen was clearly visible, attempts at external trac− tion were unsuccessful because resistance was encountered. In addition, it was not possible to release the impacted loop by advancing the scope.

endoscopy

Impaction of an Upper Gastrointestinal Endoscope in the Distal Esophagus: Alternative Method of Removal by Double Endoscopy without Fluoroscopic Assistance