Foreign Bodies

Hunter, Tim B.; Taljanovic, Mihra S.

doi:10.1148/rg.233025137

Cited by 226 publications

(189 citation statements)

References 74 publications

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“…10 Initial radiographic assessment is usually the preferred initial step in foreign body management. 11 surgical intervention becomes necessary if patient develops symptoms of perforation and when sharp objects do not pass through within 72 hours. 12 Mortality due to FB ingestion is quite rare.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic management of foreign bodies in the upper gastrointestinal tract

Mirji¹,

Daddenavar²,

Kalburgi³

2017

Int Surg J

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INTRODUCTIONForeign body ingestion is a common medical emergency in both children and adults. Children constitute 80% of total ingestions. In children most of them are true FBs like coins, marbles, toys, safety pins and batteries.1 In adult's food bolus impaction is more common and true foreign body ingestion (non-food objects) occur in those with psychiatric disorders and alcohol intoxication. Most of the ingested foreign bodies pass spontaneously but few of them pose as an endoscopic emergency.2 Upper esophagus is the commonest site followed by middle esophagus, stomach, pharynx, lower esophagus, pharynx and finally duodenum. 3 The aim of the current study is to report our clinical experiences in the endoscopic management of foreign bodies in the upper gastrointestinal tract in both children and adults. METHODSWe evaluated cases of foreign body ingestion admitted to department of general surgery in SN Medical college from January 2015 to December 2016. Data were collected from the department and recorded information was entered into pre-coded proforma which included details of demography, clinical profile, treatment and outcome. The data collected were cross checked by two independent observers. The data were analyzed using SPSS computer software version 15 (SPSS Inc, Chicago 2, USA) and expressed as a number and a percentage for ABSTRACT Background: Foreign body ingestion and food bolus impaction is a common clinical scenario and can present as an endoscopic emergency. Though majority of them pass spontaneously 10-20% require endoscopic intervention. Flexible endoscopy is recommended as therapeutic measure with minimal complications. The aim of our study is to present 2 years' experience in dealing with foreign bodies in the upper gastrointestinal tract. Methods: Cases of foreign body (FB) ingestion admitted to department of general surgery from January 2015 to December 2016 were evaluated. The patients were reviewed with details on age, sex, type of FB, its location in gastrointestinal tract, treatment and outcome. Results: A total of 23 cases were studied. Age range was 2-75 years. Males were predominant (60.87%). Coins were found most commonly (52.17%). Esophagus was the commonest site of FB lodgment (65.22%). Upper esophagus being the most common (39.13%). Upper gastrointestinal flexible endoscopy was useful in retrieving FB in all the 23 cases. There were no complications throughout the study period. Conclusions: Flexible endoscopy should be used as definitive treatment and endoscopic treatment is safe and effective.

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Section: Discussionmentioning

confidence: 99%

Endoscopic management of foreign bodies in the upper gastrointestinal tract

Mirji¹,

Daddenavar²,

Kalburgi³

2017

Int Surg J

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“…Pre-operative radiographic imaging plays an important role in selecting the proper surgical approach (2).…”

Section: Introductionmentioning

confidence: 99%

A study on the ability of panoramic, CT, Cone-beam CT, MRI and ultrasonography in detecting different foreign-bodies in the maxillofacial region (an in-vitro study)

Shishvan

Ebrahimnejad

2018

Electron J Gen Med

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Background and aim: Entrapment of foreign-bodies is a common phenomenon in traumatic events occurring in the maxillofacial region. The purpose of this study was to evaluate the efficiency of panoramic, CT, Cone-beam CT, MRI and ultrasonography in detecting different foreign-bodies in the maxillofacial region. Methods: Four different materials were used as foreign-body including metal, glass, rubber and wood. These particles were prepared in four different sizes from 2*2*2 mm to 5*5*5 millimeters. The foreign-bodies were then implanted into a sheep's head in the infraorbital part of maxilla and mandibular buccal region. The panoramic, CT, Cone-beam CT, MRI and ultrasonography were obtained from the model and the images were blindly observed and analyzed by two radiologists. A four-point scale was used to interpret the visibility of found foreign-bodies. Results: CT had the best efficiency in detecting different foreign-bodies. Cone-Beam CT was the next useful technique. The ability of differentiating the foreign-bodies from the adjacent structures were poor in MRI and ultrasonography. As expected, the panoramic was only efficient in detecting metallic bodies. Conclusion: CT-scan can be introduced as the best imaging modality in detecting different foreign-bodies especially non-metallic ones. CBCT is also acceptable for metal, glass and rubber particles.

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“…However, localization of the foreign body can be a major challenge. Fish bones, wooden tooth pick, plastic and most thin aluminium objects are radiolucent on routine plain film (17). Barium swallow can be helpful to outline the radiolucent object in selected cases where a suggestive history of foreign body ingestion is available but the object is not visible on radiographs.…”

mentioning

confidence: 99%

“…Most glass objects of substantial size e.g. 1-2 mm or larger should be visible on radiographs (17). The sensitivity for glass objects is about 86% from a series of seven glass object ingestions (18).…”

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confidence: 99%

Retention of an ingested small blunt foreign body

Mansour²,

Eguare³

2011

Journal of the Belgian Society of Radiology

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Foreign body ingestion is a common problem in clinical practice. Majority of foreign bodies, once passed beyond the stomach, will be evacuated through the gastrointestinal tract within days without any difficulty. Retained foreign body is rare and the objects in question are mostly long, large, or have a sharp end. We report a case of retention of a small, blunt, spherical glass-like object in the ileum of an 87-year-old lady having benefited from a Hartmann's procedure which was incidentally discovered on a computed tomography scan 2 months before its spontaneous evacuation through the stoma. Key-word: Foreign bodies, in air and food passages.From:

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Foreign Bodies

Cited by 226 publications

References 74 publications

Endoscopic management of foreign bodies in the upper gastrointestinal tract

Endoscopic management of foreign bodies in the upper gastrointestinal tract

A study on the ability of panoramic, CT, Cone-beam CT, MRI and ultrasonography in detecting different foreign-bodies in the maxillofacial region (an in-vitro study)

Retention of an ingested small blunt foreign body

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