Managing foreign bodies in the GI tract requires understanding what the object looks like and being careful not to injury the intestinal tract. Overtubes are preferable to use but the size of some objects may not allow this.

A 50 year old woman was transferred from an outside hospital with a history of swallowing a curtain hook at her psychiatric facility. Chest x-ray demonstrates two sharp edges, one facing towards the mouth and one on the gastric side. Endoscopic removal is requested with surgical back-up. Patient was discharged the next day after normal esophagram.