This is a rare case of a patient with mental disorder,whoingested nineteen pieces of fragmented bamboo chopsticks.We managed the multiple gastric foreign bodies with asclerotherapy overtube,and these multiple fragmentedbamboo chopsticks were retrieved successfully using theendoscopic method.There were only multiple erosions withhemorrhage over the mucosa of fundus and body of stomach,no fragments adhered or perforated through the gastric wall.The mucosa of esophagus was intact.The patient toleratedthe procedure well and without any major complications.Multiple sharp elongated gastric foreign bodies can besuccessfully and safely retrieved by using protective sheathof oropharynx without assistance with laparoscopy or surgicalintervention.This renders an option for the endoscopists tomanage multiple elongated gastric foreign bodies. This is a rare case of a patient with mental disorder, whoingested nineteen pieces of fragmented bamboo chopsticks.We managed the multiple gastric foreign bodies with asclerotherapy overtube, and these multiple fragmentedbamboo chopsticks were retrieved successfully using the endoscopic method. There were only multiple erosions with hemorrhage over the mucosa of fundus and body of stomach, no fragments adhered or perforated through the gastric wall. The mucosa of esophagus was intact. the patient tolerated the procedure well and without any major complications. Multiple sharp elongated gastric foreign bodies can be successfully harvested and safely retrieved by using protective sheathof oropharynx without assistance with laparoscopy or surgical intervention.This renders an option for the endoscopists tomanage multiple elongated gastric foreign bodies.