Removal of a Foreign Body from the Upper Gastrointestinal Tract with a Flexible Endoscope: a Prospective Study

Chaves, Dalton Marques; Ishioka, S; Felix, Valter Nilton; Sakai, Paulo; Gama-Rodrigues, Joaquim

doi:10.1055/s-2004-825856

Cited by 100 publications

(88 citation statements)

References 16 publications

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“…1,2,[6][7][8] These results are similar to the results of this study. The number of IFB patients at preschool age, i.e., between one and seven years old, was 56, which was 63.6% of the total study group.…”

Section: Discussionsupporting

confidence: 92%

“…It is well known that conservative treatment involving the removal of IFB is mostly successful, with complications such as GI tract perforation presenting in only a few cases (about 1%). 1,2 Children comprise 80% of the patients needing medical treatment after the ingestion of foreign bodies (FB). IFB can also happen in adults, especially in edentulous, psychiatric, or alcohol-dependent patients.…”

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: Discussionsupporting

confidence: 92%

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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“…Endoscopic removal is required in less than 10% cases and surgical removal is needed in only 1%. [6][7][8] Foreign bodies less than 2.5 cms in diameter and less than 5 cms in length usually pass through without causing problem. 2 But FBs which are large or sharp may get impacted.…”

Section: Discussionmentioning

confidence: 99%

Foreign bodies in the oesophagus - surgery for failed endoscopic retrieval

2016

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“…Foreign body related perforations have occurred throughout the GI tract, but the highest incidence was found to be in the terminal ileum followed by rectosigmoid region owing to the narrower caliber of the intestinal lumen and the acute transition between a mobile portion of mesocolon to a more fixed portion of the retroperitoneum (10,14). The rate of surgical intervention is significantly higher for longer period of impaction and for objects resided beyond the pylorus (15,16). Therefore, there is a very small risk of intestinal perforation or other complications for long term retention of foreign body in the ileum.…”

mentioning

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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Removal of a Foreign Body from the Upper Gastrointestinal Tract with a Flexible Endoscope: a Prospective Study

Cited by 100 publications

References 16 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

Foreign bodies in the oesophagus - surgery for failed endoscopic retrieval

Retention of an ingested small blunt foreign body

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