Injuries due to foreign body ingestion and insertion in children: 10 years of experience at a single institution

OBJECTIVEA thorough investigation of the long-term outcomes and chronological changes of multimodal treatments for petroclival meningiomas is required to establish optimal management strategies. The authors retrospectively reviewed the long-term clinical outcomes of patients with petroclival meningioma according to various treatments, including various surgical approaches, and they suggest treatment strategies based on 30 years of experience at a single institution.METHODSNinety-two patients with petroclival meningiomas were treated surgically at the authors’ institution from 1986 to 2015. Patient demographics, overall survival, local tumor control rates, and functional outcomes according to multimodal treatments, as well as chronological change in management strategies, were evaluated. The mean clinical and radiological follow-up periods were 121 months (range 1–368 months) and 105 months (range 1–348 months), respectively.RESULTSA posterior transpetrosal approach was most frequently selected and was followed in 44 patients (48%); a simple retrosigmoid approach, undertaken in 30 patients, was the second most common. The initial extent of resection and following adjuvant treatment modality were classified into 3 subgroups: gross-total resection (GTR) only in 13 patients; non-GTR treatment followed by adjuvant radiosurgery or radiation therapy (non-GTR+RS/RT) in 56 patients; and non-GTR without adjuvant treatment (non-GTR only) in 23 patients. The overall progression-free survival rate was 85.8% at 5 years and 81.2% at 10 years. Progression or recurrence rates according to each subgroup were 7.7%, 12.5%, and 30.4%, respectively.CONCLUSIONSThe authors’ preferred multimodal treatment strategy, that of planned incomplete resection and subsequent adjuvant radiosurgery, is a feasible option for the management of patients with large petroclival meningiomas, considering both local tumor control and postoperative quality of life.

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Unique Pattern of True Foreign-Body Ingestion in the Valley of Kashmir; Sharp Foreign Bodies Outnumbering the Blunt Ones

Journal of Digestive Endoscopy ◽

10.4103/jde.jde_74_18 ◽

2019 ◽

Vol 10 (01) ◽

pp. 028-032

Author(s):

Nisar Ahmad Shah ◽

Showkat Ahmad Kadla ◽

Asif Iqbal Shah ◽

Bilal Ahmad Khan ◽

Inaam Ul Haq ◽

...

Keyword(s):

Foreign Body ◽

Success Rate ◽

Foreign Bodies ◽

Foreign Body Ingestion ◽

Young Females ◽

The People ◽

Early Endoscopy ◽

Normal Individuals ◽

Structural Abnormalities ◽

The Impact

ABSTRACT Background and Aims: Foreign-body ingestion is a common phenomenon, especially in children. In normal adults, foreign-body ingestion is usually accidental and mostly ingestion occurs with food and impaction is a result of structural abnormalities of the upper gastrointestinal tract (UGIT). However, accidental ingestion of nonfood products is unusual; especially ingestion of pins (scarf or safety pins) and needles is unknown. We come across ingestion of these unusual/sharp foreign bodies routinely from the past few years. The aim of this study was to observe, over a period of 1 year, the spectrum of nonfood or true foreign-body ingestion in our community and to see the impact of an early endoscopy on outcome or retrieval of the ingested objects. Materials and Methods: In a prospective observational study, we studied the profile of foreign-body ingestion in normal individuals of all ages and both sexes, excluding the individuals with any structural abnormalities of the gut and the people with psychiatric ailment. Results: Of total 51 patients with foreign-body ingestion, 42 (82%) were 20 or <20 years of age with females constituting 86.3% of the total and males constituting only 13.7%. Foreign bodies ingested included 38 pins (74.5%), seven coins (13.7%), four needles (7.8%), and one denture and a nail (2%) each. Overall 26 (51%) foreign bodies were seen in UGIT (within reach of retrieval) at the time of endoscopy and all of them were retrieved. Nineteen (37.3%) patients reported within 6 h of ingestion, and majority of them (16 = 84.2%) had foreign bodies within UGIT and all of them were removed. Those patients (n = 32; 62.7%) who reported beyond 6 h, only 10 (31.25%) had foreign bodies in UGIT as a result of which the success rate of removal in these patients was only 32%. Conclusion: Most of our patients were young females and the common foreign bodies ingested were sharp including scarf pins followed by coins and needles. The success rate of retrieval was high in those who reported within 6 h of ingestion of foreign body. The rate of retrieval was 100% if foreign body was found on esophagogastroduodenoscopy. Hence, we recommend an early endoscopy in these patients and some alternative to use of scarf pins.

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552 Intra-operative Open-cavity Implant for APBI Using HDR Multicatheter Brachytherapy for Japanese Breast Cancer Patients – 3 Years of Experience at a Single Institution

European Journal of Cancer ◽

10.1016/s0959-8049(12)70617-2 ◽

2012 ◽

Vol 48 ◽

pp. S206

Author(s):

K. Sato ◽

H. Takayanagi ◽

Y. Mizuno ◽

A. Kubota ◽

T. Shimo ◽

...

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Open Cavity ◽

Years Of Experience ◽

Breast Cancer Patients ◽

Single Institution

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

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2017.03.469 ◽

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

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Sinonasal Neuroendocrine Carcinoma: 15 Years of Experience at a Single Institution

10.1055/s-0041-1725526 ◽

2021 ◽

Author(s):

Charles A. Keilin ◽

Kyle K. VanKoevering ◽

Erin L. McKean

Keyword(s):

Neuroendocrine Carcinoma ◽

Years Of Experience ◽

Single Institution

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Conservative Management in Two Penetrating Fishbone Injuries: A Case Series and Literature Review

Journal of Clinical and Medical Research ◽

10.37191/mapsci-2582-4333-3(6)-094 ◽

2021 ◽

Keyword(s):

Foreign Body ◽

Literature Review ◽

Conservative Management ◽

Case Reports ◽

Case Series ◽

Foreign Body Ingestion ◽

Medical Referral

Foreign body ingestion is a regular medical referral. Patients present with different objects such as chicken bones, nails, coins, and fishbones. It is usually managed in causality and passes without any intervention. However, occasionally, we come across fishbone complications requiring intervention. We discuss the course and management of two case reports of fishbone injuries in different abdominal regions.

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Foreign Body Ingestion

10.2310/gastro.5503 ◽

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.

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