A simple and safe endoscopic technique for removing huge gastric bezoars using a looped guidewire

Various endoscopic techniques have been applied for the removal of gastric bezoars; however, in cases of large and hard bezoars, fragmentation remains extremely challenging even with electrosurgical units or mechanical lithotriptors, often necessitating surgical intervention [1]. Although a few previous reports have described guidewire-assisted methods [1] [2] [3] [4], we report a very simple endoscopic technique using only a guidewire to achieve successful bezoar fragmentation ([Fig. 1]).