scholarly journals Improvising in Endoscopy: Endoscopic Removal of Sharp Foreign Bodies in the Upper GI Tract, Using a Handmade Protective Device

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Konstantinos Miltiadou ◽  
Zisimangelos Solomos ◽  
Dimitrios Lygkos ◽  
Alexandros Chatzidakis ◽  
Evripidis Rizos ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Protective Device ◽  
Endoscopic Removal ◽  
Gi Tract ◽  
Case Presentation ◽  
Upper Gi ◽  
Sharp Foreign Body ◽  
Commercial Device

Introduction. Foreign body ingestion is a common problem in large-volume endoscopic departments. Several techniques and devices have been described for the safe endoscopic removal of these objects. However, these devices may not be suitable in every clinical setting or—as in our case—they may not even be available. Case Presentation. We report the case of a 34-year-old patient, presenting with sharp foreign body ingestion. The foreign bodies were safely removed using a handmade protective hood due to lack of a commercial device. In our case, improvisation proved to be of great benefit for the patient as well as for the endoscopist. Discussion. Improvised interventions can be of special interest in the setting of insufficiently funded or equipped endoscopic departments.

scholarly journals Open safety pin ingestion - Usual method of removal in an unusual way

2013 ◽  
Vol 04 (03) ◽  
pp. 087-089
Author(s):  
Sathya G. ◽  
Balamurali R. ◽  
Ganesh P. ◽  
Jeevankumar S.
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Usual Method ◽  
Foreign Body Ingestion ◽  
Side View ◽  
Endoscopic Removal ◽  
Endoscopic Extraction ◽  
Sharp Foreign Body ◽  
Safety Pin

AbstractSingle foreign body ingestion is a common scenario that is commonly encountered by gastroenterologists. The symptoms tend to be nonspecific and most of the foreign bodies pass spontaneously. Ingestion of sharp foreign bodies is also not uncommon. It can lead to complications like impaction or perforation. Most of these ingested foreign bodies can be retrieved with endoscopy. We report a 25-year-old patient who underwent successful endoscopic removal of an open safety pin that was ingested accidentally 3 months previously and was impacted at the junction of first and second parts of the duodenum, using a side-view duodenoscope. The presentation of a sharp foreign body without complications which is impacted for 3 months is unusual and its endoscopic extraction without complication is equally uncommon.

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.

scholarly journals The “mule” with golden eggs: Retrieval of unusual foreign body

2015 ◽  
Vol 06 (02) ◽  
pp. 079-080
Author(s):  
Chhavi Wadhwa ◽  
Shibumon Madhavan ◽  
Alfred J. Augustine ◽  
Suresh Shenoy ◽  
Abid Mirza
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Gi Tract ◽  
Unusual Foreign Body ◽  
Upper Gi ◽  
Intentional Ingestion ◽  
History Of ◽  
Upper Gi Endoscopy ◽  
Pass Through ◽  
Body Packers

AbstractForeign body ingestions often consist of benign objects that will readily pass through the gastrointestinal (GI) tract without necessitating further intervention. There are various reports in the literature about intentional ingestion of foreign bodies in prisoners and body packers, which required intervention. We present a case of 44-year-old male with a history of intentional ingestion of 30 gold pellets as a carrier from Dubai to India. The pellets were successfully retrieved by upper GI endoscopy after 1-week of observation and unsuccessful attempts of conservative trial. There have been many foreign body extractions but gold retrieval has been a rare case.

scholarly journals Push Enteroscopy Guided Removal of a Sharp Foreign Body from the Midjejunum in a Child

2020 ◽  
Vol 11 (02) ◽  
pp. 170-172
Author(s):  
Sridhar Sundaram ◽  
Suprabhat Giri ◽  
Biswaranjan Patra ◽  
Harish Darak ◽  
Shobna Bhatia
Keyword(s):  
Small Intestine ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Pediatric Population ◽  
Push Enteroscopy ◽  
Foreign Body Removal ◽  
Case Presentation ◽  
Resource Limited ◽  
Small Intestinal ◽  
Sharp Foreign Body

Abstract Background The majority of foreign bodies entering the small intestine are passed spontaneously. However, in case of a sharp object, its removal is an urgency due to a higher risk of intestinal perforation, and endoscopic intervention is an appropriate management strategy as surgery is associated with greater morbidity. Although enteroscopy is the standard practice for the removal of a foreign body in the small intestine, gastroduodenoscopy may be used for small intestinal foreign body removal. Case Presentation We describe here the case of a 21-month-old child in whom a 5-cm, sharp-pointed nail in the midjejunum was removed successfully by a gastroduodenoscopy. This case highlights the difficulties in the removal of a sharp foreign body in a pediatric patient and the use of push enteroscopy. Conclusion Gastroduodenoscopy can be used for the removal of a foreign body in the small intestine in pediatric population in a resource-limited setup by performing push enteroscopy.

scholarly journals Ingestion of razor blades, a rare event: a case report in a psychiatric patient

2020 ◽  
Vol 2020 (5) ◽  
Author(s):  
Jhony Alejandro Delgado Salazar ◽  
Natalia Carolina Naveda Pacheco ◽  
Paola Alexandra Palacios Jaramillo ◽  
Santiago Danilo Garzón Yépez ◽  
Victor Rafael Medina Loza ◽  
...  
Keyword(s):  
Foreign Body ◽  
Psychiatric Patient ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Rare Event ◽  
Rare Condition ◽  
Foreign Body Ingestion ◽  
Medical Attention ◽  
Close Monitoring ◽  
Sharp Foreign Body

Abstract Foreign body ingestion is a common condition in clinical practice, thankfully most of the cases do not require any surgery as most foreign bodies can pass through the bowel without injuring it. Treatment depends on the size and kind of foreign bodies. When complications arise, patients may require urgent medical attention. Self-harm by sharp foreign body ingestion is a rare event that must always be promptly treated and should always be prevented. Psychiatric patients and inmates are the most affected population. A high index of suspicion is required to treat this rare condition, which may be preventable if there is adequate mental and medical therapy along with close monitoring and family support. We present the case of a 31-year-old psychiatric patient. After prompt treatment, two razor blades were surgically removed from her intestines. She fully recovered and is doing well on follow-up controls.

scholarly journals Self-Inflicted Male Bladder Foreign Body: Its Endoscopic Removal Using a Rigid Cystoscope and a Suprapubic Forceps

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Mohammad Kazem Moslemi ◽  
Mohamad Sorani
Keyword(s):  
Foreign Body ◽  
Literature Review ◽  
Foreign Bodies ◽  
Illicit Drug ◽  
Drug Abuser ◽  
Invasive Technique ◽  
Endoscopic Removal ◽  
Suprapubic Cystostomy ◽  
Case Presentation ◽  
Electrical Wire

Introduction. Herein we present an interesting technique for the removal of bladder foreign body (BFB) in which a combination of endoscopic and suprapubic cystostomy was used.Case Presentation. The patient was a case of illicit drug abuser who self-introduced an electrical wire into his bladder. After its failed cystoscopic removal, the foreign body was removed suprapubically without open bladder surgery.Discussions. Bladder foreign bodies are not uncommon. Based on the literature review, mainly open surgeries were used for their treatment. Using of our less invasive technique is a good way for escaping from open cystostomy.Conclusion. Endoscopic removal of the bladder foreign bodies is possible without any need for open bladder surgery.

scholarly journals Endoscopic Removal of a Duodenal-Perforating Leg of Glasses with Dormia Basket

2016 ◽  
Vol 10 (3) ◽  
pp. 679-684 ◽  
Author(s):  
Li Wang ◽  
Wei Wen ◽  
Jiamiao Huang ◽  
Weijie Hu ◽  
Renrong Zhou ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Duodenal Perforation ◽  
Test Results ◽  
Endoscopic Removal ◽  
Gi Tract ◽  
Tract Perforation ◽  
Laboratory Test Results ◽  
Ingested Foreign Body ◽  
Pass Through

Ingestion of foreign bodies is common in clinical practice. Most ingested foreign bodies will pass through the gastrointestinal (GI) tract without any problems. While GI tract injury due to the ingested foreign body such as a toothpick, a fishbone, a date pit, or a chicken bone, is common, duodenal perforation is rare. In this report, our experience with this rare entity is shared. We present a 38-year-old male patient with GI tract perforation in the bulbus of the duodenum due to a leg of glasses. The patient was admitted to our hospital with severe abdominal pain. Right upper quadrant tenderness was detected at physical examination, and leukocytosis on the laboratory test results. Plain X-ray and computerized tomography showed an ingested foreign body in the bulbus of the duodenum. A leg of glasses perforating the duodenum was removed with endoscopy. The patient was managed nonoperatively, and discharged without any complications on the eighth day after endoscopy. Endoscopic removal and nonoperative management may be feasible in carefully selected patients with duodenal-perforating foreign bodies.

Tu1281 Risk Factor for Complications Associated With Endoscopic Removal of Ingested Foreign Body in Upper GI Tract

2013 ◽  
Vol 77 (5) ◽  
pp. AB485
Author(s):  
Jae Hee Cho ◽  
Song Wook Chun ◽  
Ja Sung Choi ◽  
Jin Yi Choi ◽  
Beo Deul Kang ◽  
...  
Keyword(s):  
Risk Factor ◽  
Foreign Body ◽  
Endoscopic Removal ◽  
Gi Tract ◽  
Upper Gi ◽  
Ingested Foreign Body ◽  
Upper Gi Tract

Foreign Body Ingestion

2017 ◽  
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.

scholarly journals Repetitive Sharps Ingestion and Challenges with Retrieval and Prevention

2020 ◽  
Author(s):  
Subash Ghimire ◽  
Kriti Suwal ◽  
Tsujung Yang ◽  
Hafiz Khan ◽  
Matthew Lincoln
Keyword(s):  
Borderline Personality Disorder ◽  
Foreign Body ◽  
High Risk ◽  
Personality Disorder ◽  
Foreign Bodies ◽  
Borderline Personality ◽  
Urgent Care ◽  
Foreign Body Ingestion ◽  
Sharp Foreign Body

Introduction: Recurrent deliberate sharp foreign body ingestion is associated with frequent hospitalizations and a high risk of complications, including perforation and peritonitis. These patients require urgent care. In addition, removal of foreign bodies can be challenging. Case Description:We describe the case of a patient with borderline personality disorder who was admitted multiple times with sharps ingestion and presented challenges with her care. Conclusion: Our case highlights the cause of recurrent sharps ingestion and provides recommendations on the retrieval of sharp foreign bodies and prevention.

Sign in / Sign up

Export Citation Format

Share Document