食道內反覆吞入非常狹長的異物並不常見，我們將報告在無全身麻醉下經由內視鏡予以移除之病例。一名24歲男性被發現食道異物而送至急診，胸部X光顯示為一支牙刷，經由息肉切除套環予以移除。但一週後同一病人又吞入了一雙金屬環保筷，因其表面非常光滑較不易抓緊，我們利用套環配合檢查者的手指予以移除。雖然大部分腸胃道異物會自行排除，仍有10-20%需要非手術方法及1%需要手術方式予以移除，而狹長的異物因為產生併發症的機會很大而特別須要予以處理。

An unusual case of repeated very long foreign bodies within esophagus removed endoscopically without general anesthesia is reported. A 24-years-old male was sent to emergency room due to foreign body of esophagus. Chest roentgenogram showed a long toothbrush. It was removed smoothly with
a polypectomy sanre. Unfortunately, just one week later, he swallowed other very long foreign bodies.They were metallic chopsticks. These were more difficult to be removed due to very smooth surface. We put the examiner's fingers into the patient's mouth and pulled the chopsticks gradually. Although most gastrointestinal tract foreign bodies will pass spontaneously, 10 to 20% require non-operative intervention and 1% requires surgery. Long foreign bodies should be removed especially due to possibility of severe complications.（J Intern Med Taiwan 2009; 20: 550-554）