Extraction of esophageal foreign body with traction technique via endoscopic retrograde cholangiopancreatography balloon

Esophageal foreign bodies (EFB) are very important and critical entity that can lead to morbidity and mortality. EFB may cause serious complications such as perforation and mediastinitis. Thus, EFB should be treated quickly (1, 2). We report a case with EFB treated with a new technique; traction technique via endoscopic retrograde cholangiopancreatography (ERCP) balloon. A 60-year-old man admitted to the emergency department, with dysphagia that developed immediately after swallowing a fowl. He had no prior medical history. Physical examination was unremarkable. After endotracheal intubation, emergency endoscopy revealed impacted chick bone in the cervical esophagus just below the upper esophageal sphincter. We tried to remove the foreign body with a snare, then with a foreign body forceps, and we tried to mobilize it with mild pushing pressure but extraction of the foreign body was not achieved. We passed an ERCP balloon through upper esophagus, inflated the balloon, and then pulled it back (Fig. 1). The EFB was extracted successfully. After removal of foreign body, control endoscopy revealed mucosal erosion and ulcer on esophageal wall (Fig. 2).