Endoscopic retrieval of multiple fragmented gastric bamboo chopsticks by using a flexible overtube

Chang, Jia-Jang; Yen, Chieh-Li

doi:10.3748/wjg.v10.i5.769

Cited by 32 publications

(18 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In general, pointed, sharp, and elongated foreign bodies can be very challenging and diffi cult to manage endoscopically. Long and sharp foreign bodies should be removed immediately before they pass from the stomach to the intestines because 15%-35% of them will cause intestinal perforation [14]. In this study, foreign bodies that were diffi cult to remove on the fi rst endoscopy were a long rubber tube (n = 1) and dental prostheses (n = 5).…”

Section: Discussionmentioning

confidence: 98%

Management of esophageal foreign bodies: experience of 90 cases

et al. 2009

View full text Add to dashboard Cite

Background. In Japan, there have been few recent reports of large-scale studies on the characteristics and optimal treatment of esophageal foreign bodies. Methods. We analyzed data on 90 patients diagnosed as having esophageal foreign bodies treated between April 2002 and August 2007. Results. In children younger than 15 years (n = 13), the types of foreign bodies included coins (n = 9), food (n = 1), and other objects (n = 3), 12 of which were successfully removed without endoscopic procedures; in the remaining 1 case, the object advanced to the lower digestive tract spontaneously. In adults aged 15 years or older (n = 77), the types of foreign bodies included food-bolus impaction (n = 26), press-through packages (n = 18), fi sh bones (n = 14), dental prostheses (n = 13), and other objects (n = 6). The foreign bodies had advanced to the lower digestive tract in 4 patients at the time of fl exible endoscopy performed under topical pharyngeal anesthesia. In 6 of the remaining 73 patients, the fi rst endoscopic extraction was unsuccessful, and 5 of these cases involved dental prostheses. The mean maximal size of the dental prosthesis was signifi cantly greater in patients in whom removal was unsuccessful than in those in which it was successful (5.8 versus 1.6 cm, respectively; P < 0.05). The procedures employed following unsuccessful endoscopy included thoracotomy (n = 1), laparotomy (n = 1), removal by forceps under direct vision (n = 1), and rigid (n = 1), and fl exible endoscopy (n = 2) under general anesthesia.Conclusions. The majority of esophageal foreign bodies were successfully removed nonendoscopically in pediatric patients and endoscopically in adult patients. Endoscopic removal under topical pharyngeal anesthesia may not be indicated for patients who have swallowed large dental prostheses.

show abstract

Section: Discussionmentioning

confidence: 98%

Management of esophageal foreign bodies: experience of 90 cases

et al. 2009

View full text Add to dashboard Cite

show abstract

“…Our case had no previous history of mental disorder and she swallowed the tongue-ring unintentionally, such as the majority of these cases (3). She had no symptoms, such as frequently reported in other gastric FB cases (1). Its endoscopic removal was decided upon its potentially dangerous shape and its metallic consistency as well (4).…”

Section: Discussionmentioning

confidence: 99%

“…Intentional ingestion of sharp metal objects is more prone to result in complications. Up to 30-35% of sharp and pointed ingestible objects may penetrate the wall of the GI tract and they may be endoscopically managed (1). When passing distally through the intestinal tract, they can lead to entrapment in the bowel and perforation, obstruction or hemorrhage may occur (4).…”

Section: Discussionmentioning

confidence: 99%

“…When passing distally through the intestinal tract, they can lead to entrapment in the bowel and perforation, obstruction or hemorrhage may occur (4). In case of complications or unsuccessful endoscopic extraction, immediate surgical treatment is the treatment of choice (1,5).…”

Section: Discussionmentioning

confidence: 99%

“…FB ingestion, however, may represent a potentially serious medical condition (1). In United States, approximately 1500 deaths per year are ascribed to FB ingestion.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Public Health and Potential Complications of Novel Fashion Accessories: An Unusual Foreign Body in the Upper Gastrointestinal Tract of an Adolescent

Tsesmeli¹,

Savopoulos²,

Hatzitolios³

et al. 2007

Cent Eur J Public Health

View full text Add to dashboard Cite

SUMMARYVarious foreign bodies (FB) may be ingested. Most of them harmlessly pass through the anus but sharp or pointed ones are likely to cause complications. Although FB's ingestion is commonly seen by the emergency room personnel, a case of an ingested tongue-ring in the stomach of a female adolescent has not been reported. A 16-year-old female was referred to us for swallowing a tongue-ring while eating, a day after she had swallowed its clip. After finishing her meal, she had replaced the ingested tongue-ring with a similar one! She had a history of accidental swollowing the clip during breakfast a day before as well. She had no history of mental illness, alcohol or drug abuse. An abdominal X-ray confirmed their presence in the gastrointestinal tract. On endoscopy, an intact esophagus' mucosa, a stomach filled with food, her tongue-ring in its greater curvature and a patulous pyloric channel were observed. She was turned in the right lateral position and small amounts of water were carefully used in order to shift the food residues to the antrum. The slippery object was grasped by a biopsy forceps and it was pulled out gently. The procedure was uneventful and she was discharged home on the same day. Our case of a tongue-ring ingested by an adolescent demonstrates a troublesome and possibly dangerous consequence of certain fashion accessories' easy adoption especially by younger subjects. It does not only send a social message, but it also might represent the first example of a potentially emerging medical condition.

show abstract

siRNA Directed Against Survivin Enhances Pancreatic Cancer Cell Gemcitabine Chemosensitivity

et al. 2008

View full text Add to dashboard Cite

Survivin is known to be overexpressed in various human malignancies, including pancreatic cancer, and to cause resistance to radiation and chemotherapy, so the regulation of this molecule could be a new strategy for treating pancreatic cancer. In our study, a short interfering RNA (siRNA) plasmid expression vector against survivin was constructed and transfected into human pancreatic cancer cell lines of Panc-1 and BxPC3. The expression of survivin mRNA and protein among the stable transfected cells and the untransfected cells was detected by semi-quantitative reverse transcriptase polymerase chain reaction (RT-PCR) and Western blot, respectively. Tumor cell growth in vitro was assessed by trypan blue exclusion. The cell cycle distribution and cell apoptosis were measured by flow cytometry. The cytotoxicity assay was measured by the MTT test. Our results showed that survivin siRNA treatment caused a specific and profound decrease of survivin mRNA and protein that was associated with decreased cell growth, spontaneous apoptosis, and a specific G0/G1 arrest. Furthermore, the suppression of survivin can enhance the chemosensitivity of pancreatic cancer cells to gemcitabine significantly. We suggest that the RNAi against survivin gene strategy would be a potential approach to chemosensitization therapy in human pancreatic cancer.

show abstract

Endoscopic retrieval of multiple fragmented gastric bamboo chopsticks by using a flexible overtube

Cited by 32 publications

References 10 publications

Management of esophageal foreign bodies: experience of 90 cases

Management of esophageal foreign bodies: experience of 90 cases

Public Health and Potential Complications of Novel Fashion Accessories: An Unusual Foreign Body in the Upper Gastrointestinal Tract of an Adolescent

siRNA Directed Against Survivin Enhances Pancreatic Cancer Cell Gemcitabine Chemosensitivity

Contact Info

Product

Resources

About