Sa1232 Endoscopic Management of Foreign Body Ingestion and Food Bolus Impactation: Experience of a Single Referral Center in Brazil

2017 ◽  
Vol 85 (5) ◽  
pp. AB211
Author(s):  
Simone L. Moreira ◽  
Carla L. Aluizio ◽  
Danielle P. Sampaio ◽  
Cristiane k. Nagasako ◽  
Maria de Fatima C. Servidoni ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Body Ingestion ◽  
Endoscopic Management ◽  
Food Bolus ◽  
Referral Center

scholarly journals Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract of Adults

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Chih-Chien Yao ◽  
I-Ting Wu ◽  
Lung-Sheng Lu ◽  
Sheng-Chieh Lin ◽  
Chih-Ming Liang ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Endoscopic Management ◽  
Study Cohort ◽  
Food Bolus ◽  
Surgical Interventions ◽  
Asymptomatic Patients ◽  
Food Bolus Impaction ◽  
Bolus Impaction

Background. Foreign object ingestion and food bolus impaction are a common clinical problem. We report our clinical experiences in endoscopic management for adults, foreign body ingestion, and food bolus impaction.Method. A retrospective chart review study was conducted on adult patients with foreign body ingestion and food bolus impaction between January 2011 and November 2014. Patients with incomplete medical records were excluded.Results. A total of 198 patients (226 incidents) were included in the study (male/female: 1.54/1; age 57 ± 16 years). Among them, 168 foreign bodies were found successfully (74.3%). 75.6% of the foreign bodies were located in the esophagus. Food bolus impaction was most common (41.6%). 93.5% of foreign bodies in current study cohort were successfully extracted and 5 patients required surgical interventions. Comparisons between symptomatic and asymptomatic patients revealed that locations of foreign bodies in the pharynx and esophagus were the significant relevant factors (P<0.001). Shorter time taken to initiate endoscopic interventions increased detection rate (289.75 ± 465.94 versus 471.06 ± 659.93 minutes,P=0.028).Conclusion. Endoscopic management is a safe and highly effective procedure in extracting foreign body ingestion and food bolus impaction. Prompt endoscopic interventions can increase the chance of successful foreign bodies’ detection.

Foreign Body Ingestion

2015 ◽  
Author(s):  
Kunal Jajoo ◽  
Allison R Schulman
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Management Strategies ◽  
The United States ◽  
Foreign Body Ingestion ◽  
Gi Tract ◽  
Food Bolus ◽  
Therapeutic Decisions ◽  
Food Bolus Impaction ◽  
Bolus Impaction

Foreign-body ingestion and food bolus impaction are common causes of esophageal obstruction, with an annual incidence of 13 cases per 100,000, and represent approximately 4% of all emergency endoscopies. Although the majority of foreign bodies that travel to the gastrointestinal (GI) tract will pass spontaneously, 10 to 20% must be removed endoscopically, and 1 to 5% will require surgery. Key diagnostic and therapeutic decisions are based on common factors, including the type of ingested object, number of objects, timing between ingestion and presentation, anatomic location of the object, and presence or absence of symptoms. Complications relating to foreign-body ingestion are typically uncommon; however, the associated morbidity may be severe and occasionally life threatening, and despite the fact that overall mortality has been extremely low, it has been estimated that up to 1,500 deaths occur annually in the United States as a result of foreign-body ingestion. The initial and follow-up management strategies are crucial to preventing morbidity. This review details the epidemiology, etiology and pathophysiology, diagnosis, management, and complications of foreign-body ingestion. Figures show examples of foreign bodies in the esophagus and stomach, three esophageal areas where a foreign body is likely to be impacted, examples of a meat bolus in the esophagus, radiograph of a patient who swallowed one nail and three batteries, and examples of linear erosions of the esophagus and stomach. Tables list the most common GI pathology predisposing individuals to esophageal foreign-body impaction, timing and management of food bolus impaction and foreign-body ingestion, endoscopic management strategies for food bolus impaction and ingested foreign bodies, and radiographic and surgical management strategies for monitoring progress of foreign-body passage through the GI tract. This review contains 5 highly rendered figures, 4 tables, and 78 references.

Perforation after rigid pharyngo-oesophagoscopy: when do symptoms and signs develop?

2009 ◽  
Vol 124 (2) ◽  
pp. 171-174 ◽  
Author(s):  
M Daniel ◽  
T Kamani ◽  
C Nogueira ◽  
M-C Jaberoo ◽  
P Conboy ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Foreign Body ◽  
Patient Monitoring ◽  
Foreign Body Ingestion ◽  
Close Monitoring ◽  
Food Bolus ◽  
Risk Patients ◽  
High Index Of Suspicion ◽  
Contrast Swallow ◽  
Symptoms And Signs

AbstractBackground:Perforation after pharyngo-oesophagoscopy is a serious complication, and its identification, through close patient monitoring, is essential. Yet little is known about when symptoms and signs develop, and thus how long any close monitoring should last.Aim:To examine the timing of individual symptoms and signs of perforation after rigid pharyngo-oesophagoscopy.Methodology:Three-centre, retrospective study.Results:Of 3459 patients undergoing rigid pharyngo-oesophagoscopy, 10 (0.29 per cent) developed perforations, nine of which were suspected intra-operatively. Symptoms and signs developed at 1.5 hours post-operatively at the earliest, and at 36 hours at the latest. Three patients were asymptomatic. The majority of procedures (n = 8) were undertaken for food bolus obstruction or foreign body ingestion.Conclusion:Pharyngo-oesophagoscopy for food bolus obstruction and foreign body ingestion accounts for a large number of perforations, but symptoms and signs may take longer than 24 hours to develop. A contrast swallow should be considered in high risk patients, and a high index of suspicion maintained in order to detect this complication.

Endoscopic management of intentional foreign body ingestion: experience from a UK centre

2021 ◽  
pp. flgastro-2021-101776
Author(s):  
Sina Yadollahi ◽  
Ryan Buchannan ◽  
Nadeem Tehami ◽  
Bernard Stacey ◽  
Imbadhur Rahman ◽  
...  
Keyword(s):  
Foreign Body ◽  
Design Method ◽  
Item Type ◽  
Significant Proportion ◽  
Mucosal Injury ◽  
University Hospital ◽  
Foreign Body Ingestion ◽  
Endoscopic Management ◽  
Endoscopic Extraction ◽  
The Impact

ObjectiveWe report on the increasing incidence and outcomes from intentional foreign body ingestion (iFoBI) presenting to our hospital over a 5-year period. The aim was to assess the impact on services and to identify ways to safely mitigate against this clinical challenge.Design/methodWe performed a retrospective observational study of all patients presenting to a university hospital between January 2015 and April 2020 with iFoBI with a focus on objects swallowed, timing of endoscopy and clinical outcomes.Results239 episodes of iFoBI in 51 individuals were recorded with a significant increase in incidence throughout the study period (Welch (5, 17.3)=15.1, p<0.001), imposing a high burden on staff and resources. Items lodged in the oesophagus were more likely to lead to mucosal injury (p=0.009) compared with elsewhere. Ingested item type and timing of endoscopy were not related to complications (p=0.78) or length of stay (p=0.8). In 12% of cases, no objects were seen at endoscopy.ConclusionIn all except those patients with oesophageal impaction of the object on radiograph, there is no need to perform endoscopic extraction out of hours. A subset of cases can avoid endoscopy with an X-ray immediately prior to the procedure as a significant proportion have passed already. We discuss more holistic approaches to deal with recurrent attendances.

scholarly journals Case Report of Foreign Body Stuck in Esophagus with Failure of Endoscopic Management in a Man with a History of Pica

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Holly Mulinder ◽  
Allison Ammann ◽  
Yana Puckett ◽  
Sharmila Dissanaike
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Exploratory Laparotomy ◽  
Foreign Body Ingestion ◽  
Endoscopic Management ◽  
Endoscopic Removal ◽  
Intellectually Disabled ◽  
Rigid Plastic ◽  
Gastric Bezoar ◽  
History Of

This is a case report of foreign body ingestion in a 55-year-old intellectually disabled man with a history of pica and previous removal of ten plastic gloves from his rectum four months prior to this presentation. The patient presented after ingesting plastic gloves which formed large, rigid esophageal and gastric bezoars that were not amenable to endoscopic removal. An exploratory laparotomy and gastrostomy was performed, and a 10 × 4.5 × 2 cm gastric bezoar consisting of rigid plastic gloves was removed without complication. Special considerations must be taken when considering the ingestion of nonfood items in the intellectually disabled population as these cases may not present classically with symptoms of a gastric bezoar.

scholarly journals Endoscopic management of foreign bodies in the upper gastrointestinal tract

2020 ◽  
Vol 7 (7) ◽  
pp. 2226
Author(s):  
Sandip Kumar S. Chaudhari ◽  
Sonalben M. Chaudhary
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Flexible Endoscopy ◽  
Foreign Body Ingestion ◽  
Definitive Treatment ◽  
Endoscopic Management ◽  
Food Bolus Impaction ◽  
Bolus Impaction ◽  
Upper Gastrointestinal

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 5 years’ experience in dealing with foreign bodies in the upper gastrointestinal tract.Methods: Cases of foreign body ingestion admitted to department of general surgery from March 2015 to March 2020 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 55 cases were studied. Age range was 1-85 years. Males were predominant 61.81%. Coins were found most commonly 63.6%. Esophagus was the commonest site of FB lodgement 70.9%. Upper esophagus being the most common 36.36%. Upper gastrointestinal flexible endoscopy was useful in retrieving FB in all the 55 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. 

Tu1136 FOREIGN BODY INGESTION AND FOOD BOLUS IMPACTION ON ADULT PATIENTS: PRE-ENDOSCOPIC CLINICAL PREDICTORS OF RELEVANT FINDINGS ON UPPER ENDOSCOPY

2019 ◽  
Vol 89 (6) ◽  
pp. AB574
Author(s):  
Raquel Palos-Cuellar ◽  
Enrique Murcio-Pérez ◽  
Aldo Ferreira-Hermosillo ◽  
Gerardo Blanco-Velasco ◽  
Omar Solorzano Pineda ◽  
...  
Keyword(s):  
Foreign Body ◽  
Adult Patients ◽  
Foreign Body Ingestion ◽  
Upper Endoscopy ◽  
Food Bolus ◽  
Clinical Predictors ◽  
Food Bolus Impaction ◽  
Bolus Impaction
Sign in / Sign up

Export Citation Format

Share Document