Video: Endoscopic Removal of a Fish Bone Migrating and Penetrating the Stomach

Sasaki, Sho; Nishikawa, Jun; Saito, Mitsuru; Suenaga, Shigeyuki; Uekitani, Toshiyuki; Yokoyama, Yuichiro; Sakaida, Isao

doi:10.1038/s41395-018-0161-1

Cited by 4 publications

(5 citation statements)

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“…The endoscopic submucosal dissection represents an option of intervention in the rare case of complete mucosal enclosure of the foreign body without cavity formation. Here the endoscopist performs a mucosal incision and removes some area of the mucosa [4]. The foreign body then can be seen in the submucosa and, after deeper cutting around the bone, can be grasped and removed with forceps [4].…”

Section: Discussionmentioning

confidence: 99%

“…Here the endoscopist performs a mucosal incision and removes some area of the mucosa [4]. The foreign body then can be seen in the submucosa and, after deeper cutting around the bone, can be grasped and removed with forceps [4].…”

Section: Discussionmentioning

confidence: 99%

“…With sufficient protrusion, the fishbone can then be graspable (e. g., with rat tooth forceps) [3]. One case report suggests performing endoscopic submucosal dissection as a possible interventional procedure if the fishbone is not graspable and appears deep within the stomach wall [4].…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Removal of an Intramurally Ingrown Foreign Body in the Angular Fold of the Stomach

et al. 2022

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ZusammenfassungEine 67-jährige Patientin mit chronischer Gastritis stellte sich wegen zunehmenden epigastrischen Schmerzen in der Notaufnahme vor. Auf Grund einer nicht wegweisenden Initialdiagnostik wurde eine Computertomographie des Abdomens durchgeführt. In dieser stellte sich ein Fremdkörper am Magenausgang dar. Unter radiologischer Kontrolle erfolgte ein anspruchsvolles, zeitintensives endoskopisches Freipräparieren des Fremdkörpers. Nach postinterventionellem Abschwellen der Schleimhaut konnte in einer zweiten Sitzung ein Fischknochen geborgen werden. Die aufwendige endoskopische Intervention bewahrte die Patientin vor einer Operation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Endoscopic Removal of an Intramurally Ingrown Foreign Body in the Angular Fold of the Stomach

et al. 2022

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“…Fish bones lodged in the throat are common ear, nose, and throat (ENT) emergencies. Fish bones that are found in the upper gastrointestinal tract are usually located in the palatine tonsils, the root of the tongue, the pyriform sinus and the esophagus[ 2 ]. However, the migration of fish spines into extracavernous soft tissues or organs can cause serious complications[ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Translocation of a fish spike from the pharynx to the thyroid gland: A case report

Li,

Zeng,

Jiang

et al. 2024

World J Clin Cases

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BACKGROUND A fish spike stuck in the throat is a common ear, nose, and throat (ENT) emergency. However, it is very rare for a fish spike to reach the thyroid tissue through the throat, which is very dangerous and can lead to pharyngeal fistula, cervical abscess, mediastinal abscess, and thyroid abscess. Proper and timely management can help reduce complications, especially in elderly patients. CASE SUMMARY In the case presented here, the causative factor was dentures, but improper management aggravated the condition. In the case presented here, an elderly woman with a history of accidentally swallowing fish bones for 20 d had a sensation of foreign bodies in her throat. Eventually, computed tomography (CT) of the neck showed that the left side of the thyroid gland had a dense shadow in the form of a stripe. CONCLUSION If a fishbone foreign body is not visible during endoscopic examination but the patient has significant symptoms, the surgeon should be aware that the fishbone may be lodged in the thyroid. To avoid a misdiagnosis, ultrasound, CT, and other tests can be used to clarify the diagnosis. T The first step in treating a fish bone in the thyroid gland is to determine the position of the foreign body and the extent of the infection, and to develop a personalized surgical plan for its removal. At the same time, scientific information should be made available to the general public so that people know that if a fish bone is accidentally lodged, they should not force it to be swallowed or be spit out by inducing vomiting, which are incorrect methods and may aggravate the condition or even cause it to migrate outside the cavity, leading to serious complications, as in this reported case.

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“…Less than 1% of gastrointestinal perforations are due to ingested bodies [1]. Several successful cases of conservative treatment with endoscopic retrieval for fish bone penetration have been reported [2,3]. Therefore, though only in patients whose condition is stable, minimally invasive treatments with early endoscopy are becoming more common as safe and alternative therapeutic methods to open surgery in the treatment of minor gastrointestinal perforation [1].…”

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confidence: 99%