Perforation of the Gastrointestinal Tract Secondary to Ingestion of Foreign Bodies

Goh, Brian K. P.; Chow, Pierce K. H.; Quah, Hak-Mien; Ong, Hock‐Soo; Eu, Kong‐Weng; Ooi, London Lucien; Wong, Wai‐Keong

doi:10.1007/s00268-005-0490-2

Cited by 302 publications

(404 citation statements)

References 23 publications

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“…The most common types of FB in adults were fish bones and meat. 5,12,13 The clinical symptoms of IFB varied according to the location of the FB in the patient's body. When FB were located near the pharyngolarynx, the patients usually complained of a feeling of irritation.…”

Section: Discussionmentioning

confidence: 99%

“…Emergency surgery within the appropriate time cannot be avoided in these cases. 5 The treatment method for IFB depends on each case and requires consideration of the characteristics, shapes, and location of the FB within the GI tract or abdomen, as well as patients' medical histories and physical examinations. There is no definitive protocol to deal with IFB.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Analysis and Proper Management of the Patients Visited ER Due to Ingested Foreign Body: Single Center Experience

Park

Choi

et al. 2014

J Minim Invasive Surg

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Purpose:The conventional treatm ent for ingested foreign bodies (IFB) is rem oval, w hich is successful in m ost cases. How ever, it can be associated w ith severe com plications, such as gastrointestinal tract perforation, and require em ergency surgery. The aim of this study is to analyze clinical data relating to IFB and to develop a proper m anagem ent plan to reduce the incidence of severe com plications.Methods: Betw een Septem ber 2001 and Septem ber 2009, 117 patients visited the em ergency room com plaining of IFB. Am ong these patients, 29 w ere diagnosed w ith bezoar and were excluded from the study. Medical data for the rem aining 88 patients w as review ed retrospectively. For statistical analysis, the foreign bodies (FB) w ere classified into three subgroups according to their shape (round, sharp, and am orphous).Results: The m edian age of patients w ith IFB w as seven years, and the m ale-to-fem ale ratio was 1.3:1. Many of these patients w ere preschool children under the age of seven w ho had accidentally sw allow ed FB (56 cases, 63.6% ). The m ost com m on sym ptom presented am ong the patients was FB sensation (18 cases, 21% ). The results of subgroup analysis show ed no significant relation betw een the shape of the FB and the treatm ent m odality. Spontaneous passage w as observed in 21 cases (23.9% ). O therw ise, endoscopic rem oval was perform ed successfully in 61.4% of cases, and 13 patients required em ergency operations (14.8% ). Conclusion:Early diagnosis and a prom pt approach are significant in the successful treatm ent of IFB. Endoscopic or surgical procedures are som etim es required, particularly in cases w here com plications are suspected.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical Analysis and Proper Management of the Patients Visited ER Due to Ingested Foreign Body: Single Center Experience

Park

Choi

et al. 2014

J Minim Invasive Surg

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“…On the other hand, free sub-diaphragmatic air is not frequently observed in GIS perforations (1). Goh et al (2) specified that free air under the diaphragm was present in only 15.9% of the cases. The reason behind this can be explained as follows: once the foreign material perforates the intestinal wall, the consequent inflammatory mass is covered by granulation tissue, intestinal wall, omentum and fibrin (7).…”

Section: Discussionmentioning

confidence: 99%

“…Perforation most often occurs in the terminal ileum and recto-sigmoid region, which anatomically show angulation (1, 2). Goh et al (2) reported that intra-abdominal perforations most frequently influence the terminal ileum, with a rate of 38.6%. Terminal ileum perforations are not initially considered as part of differential diagnosis since they clinically mimic acute appendicitis and diverticulitis (3).…”

Section: Introductionmentioning

confidence: 99%

Ileal perforation by an odd foreign object

Abdullayev

Aslan

2015

UCD

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Perforation of the gastrointestinal system by a foreign body is seldom observed in clinical practice; however, it has great importance because it is preventable and can usually be easily treated. In this case report, we present a young male patient, who mistakenly swallowed a foreign body and presented to the emergency service one day later with acute abdomen. The 23-year-old patient was diagnosed with acute appendicitis and underwent emergency laparotomy. During the operation, a plastic object that perforated the terminal ileum lumen and protruded into the abdominal cavity was identified. Along with appendectomy, the foreign body was removed and the ileum was repaired. The detailed history of the patient revealed that he had mistakenly swallowed something one day before the onset of abdominal pain. The patient was discharged on the postoperative seventh day following an uneventful course.

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“…Such deliberate ingestions of foreign bodies are rare in conscious and healthy people but are frequently seen in psychiatric, insane and retarded adults. (4) Most of the intentional and repeated swallowing has a psychiatric background which had not been given much attention in the past. (5) There may be an element of seeking attention or escaping responsibilities in such subjects but most of the studies have suggested that the subjects are usually mentally retarded and have significantly low IQ.…”

Section: Introductionmentioning

confidence: 99%

Deliberate Ingestion of Stones Causing a Diagnostic Dilemma : A Personal Experience

Malik

2015

IJHS

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Deliberate ingestion of foreign bodies is not a new subject especially in our society where such patients are neglected and their problems are rarely investigated properly. These kinds of problems usually have a compulsive driven and complicated elements involved which are very refractory to treatment and are often repetitive. Such a habit is mostly seen in children of very tender age but the situation is more worrisome when you come across adults who are otherwise considered normal but are found to have a deliberate compulsion to ingest funny things like papers, stones, jewelry and other injurious agents which can lead to life threatening complications. A very interesting case of a young girl is presented here which will certainly be beneficial to the surgeons as well as practitioners.

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Perforation of the Gastrointestinal Tract Secondary to Ingestion of Foreign Bodies

Cited by 302 publications

References 23 publications

Clinical Analysis and Proper Management of the Patients Visited ER Due to Ingested Foreign Body: Single Center Experience

Clinical Analysis and Proper Management of the Patients Visited ER Due to Ingested Foreign Body: Single Center Experience

Ileal perforation by an odd foreign object

Deliberate Ingestion of Stones Causing a Diagnostic Dilemma : A Personal Experience

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