Intentional foreign object ingestions: need for endoscopy and surgery

Dalal, Poorvi; Otey, Andrew J.; McGonagle, E.A.; Whitmill, Melissa L.; Levine, Edward J.; McKimmie, Ryan; Thomas, Albert; Cook, Charles H.; Papadimos, Thomas J.; Reilley, Thomas E.; Bergese, Sergio D.; Steinberg, Steven M.; Stawicki, Stanislaw P; Evans, David C.

doi:10.1016/j.jss.2013.04.078

Cited by 44 publications

(42 citation statements)

References 6 publications

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“…Despite careful questioning and history taking, we were unable to ascertain the specific time point at which the patient might have accidentally ingested the foreign object. About 80% -90% of ingested foreign objects pass through the gastrointestinal tract with minimal intervention [4]. Another 10% -20% of such cases require endoscopic removal [4] [5] [6].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An Unusual Case of Gastric Outlet Obstruction in a Ghanaian Woman

Amoako¹,

Obaka²,

Affram³

et al. 2017

CRCM

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Foreign body ingestion is an uncommon cause of gastric outlet obstruction in adults. Not all ingested objects pass the gastrointestinal tract spontaneously. In most cases, endoscopic removal is required. A surgical approach is required if endoscopic removal is unsuccessful or in the event of a complication. We present a case of a 45-year-old woman, previously diagnosed endoscopically with chronic duodenal ulcer with pyloric stenosis, who presented with copious effortless offensive non-bilious vomiting, and epigastric pain of three weeks' duration. She was dehydrated with positive gastric succussion splash. Esophago-gastro-duodenoscopy showed an impacted neck-pendant occluding a stenosed pylorus which dislodged on attempts to extract it and was later excreted in the stool, with resolution of her symptoms.

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Section: Discussionmentioning

confidence: 99%

“…About 80% -90% of ingested foreign objects pass through the gastrointestinal tract with minimal intervention [4]. Another 10% -20% of such cases require endoscopic removal [4] [5] [6].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Gastric Outlet Obstruction in a Ghanaian Woman

Amoako¹,

Obaka²,

Affram³

et al. 2017

CRCM

View full text Add to dashboard Cite

show abstract

“…Incarcerated persons, psychiatric patients, and those with behavioral problems have a higher incidence of ingestion with multiple objects and recurring ingestions, and more often require intervention. In one study, 69% of cases from intentional FB ingestion required endoscopic intervention, and 22% required surgery (Dalal et al, 2013). The most common objects ingested by children are coins, magnets, batteries, small toys, plastics, jewelry and buttons (Shar & Mamula, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Other items may include metallic objects (ie rings) or dentures (Yuan et al, 2017) (Ambe et al, 2012) (ASGE, 2011). A study of intentional ingestions within the incarcerated population found a variety of objects such as pens, razorblades, utensils, hardware, bed springs, toothbrushes, glass, batteries, and various metal objects (Dalal et al, 2013). The location of impaction, perforation, or obstruction varies with object type, but not necessarily with age, and may be associated with physiological narrowing, underlying pathology, previous surgery, or congenital malformations (Geng et all, 2017) (Yuan et al, 2017) (Shah & Mamula, 2018).…”

Section: Introductionmentioning

confidence: 99%

The presence of a foreign body in the digestive tract - case reports and literature review

Houser

Johnston

2018

AJTES

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The presence of foreign bodies in the digestive tract usually occurs in pediatric, adolescent and psychiatric patients. Current Protocols focus mainly on pediatricians and adults.We present some cases mainly of feminine age. Most swallowed foreign bodies will harmlessly pass through the GI tract, but some will lead to health problems if they become lodged (too big to pass, such as a spoon, or small objects like a pill that adheres to a moist surface); traumatize the mucosa (sharp or pointed object, like a razor blade or pin), or cause burn-like illness (biologically active, such as a button battery or a medication patch) may cause problems.which during X-Ray abdominal exfoliation show varying objects in the digestive tract at different levels. The following examinations highlighted the most accurate localization.Asymptomatic clinical data continued to deteriorate, despite imaging evidence. This article discusses the challenges involved in the management of foreign troops in the digestive tract and the re-evaluation of literature

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“…Ingestion of true foreign bodies (i.e., nonfood objects) occurs more commonly in children than in adults [1]. In adults, foreign body ingestion appears usually in patients with intellectual impairment, psychiatric illness, alcohol intoxication, or in the elderly population and in prisoners seeking secondary gain [2, 3, 4, 5]. Dentures, coins, and buttons are commonly swallowed objects [6].…”

Section: Introductionmentioning

confidence: 99%

A Foreign Body (Toothbrush) in the Esophagus of a Patient with Hiatal Hernia

Klančnik

Grgec

Perković

et al. 2017

Case Rep Gastroenterol

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Toothbrush ingestion is rare and most commonly seen in patients with psychiatric comorbidities and in young women with a medical history of eating disorders who try to induce emesis. Long ingested objects, such as a toothbrush, cannot pass the gastrointestinal tract spontaneously and require endoscopic removal or even a surgical approach in cases of unsuccessful endoscopic removal or complication development. We present a case of a 71-year-old male with hiatal hernia without psychiatric or neurological comorbidity who accidentally ingested a toothbrush during oral hygiene routine. After X-ray confirmation, the toothbrush was removed endoscopically.

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Intentional foreign object ingestions: need for endoscopy and surgery

Cited by 44 publications

References 6 publications

An Unusual Case of Gastric Outlet Obstruction in a Ghanaian Woman

An Unusual Case of Gastric Outlet Obstruction in a Ghanaian Woman

The presence of a foreign body in the digestive tract - case reports and literature review

A Foreign Body (Toothbrush) in the Esophagus of a Patient with Hiatal Hernia

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