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

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.

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

Case Reports in Gastrointestinal Medicine ◽

10.1155/2020/8881702 ◽

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.

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A study on radio opaque foreign body in digestive tract of children

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20180503 ◽

2018 ◽

Vol 4 (2) ◽

pp. 352

Author(s):

Bharathi Mohan M. ◽

Satish Kumar P. ◽

Vikram V. J. ◽

Kiruthiga M.

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Gastroesophageal Junction ◽

Button Battery ◽

Ingested Foreign Body ◽

Pseudo Aneurysm ◽

Pass Through ◽

Sharp Foreign Body ◽

Rigid Oesophagoscopy ◽

Safety Pin

Background: An estimated 40 percent of foreign body ingestions in children are not witnessed, and in many cases, the child never develops symptoms. Sharp foreign body, button battery must be carefully removed and followed up for any complications. Foreign bodies that have passed the gastroesophageal junction should be assured that the foreign body will probably pass through the GI tract. Methods: A retrospective analysis of the records of the children below 12 years with foreign body ingestions were analysed and the radio-opaque foreign body were included in the study period between March 2012 to March 2015. The x-ray were analysed, type of foreign body, treatment and complications were noted. Results: There were 45 children included in the study who had ingested foreign body and on radiological evaluation radio opaque foreign body was found. The coin topped the list with 30, button battery- 7 numbers, safety pin- 5 numbers. In 2 children who ingested button battery suffered cricopharyngeal stricture, which was treated with serial dilatation with bougies, while one child with open safety pin ingestion, developed pseudo- aneurysm of arch of aorta and one ear stud developed stridor with sub glottic stenosis. Conclusions: The radio opaque foreign though is easy to visualise, but in some case it can dangerous complications. Rigid oesophagoscopy and prompt removal of foreign body is the treatment of choice.

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

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa094 ◽

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.

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Repetitive Sharps Ingestion and Challenges with Retrieval and Prevention

European Journal of Case Reports in Internal Medicine ◽

10.12890/2020_001824 ◽

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.

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Ingested Foreign Bodies: Do We Need a Specific Approach When Treating Inmates?

The American Surgeon ◽

10.1177/000313481408000220 ◽

2014 ◽

Vol 80 (2) ◽

pp. 131-137 ◽

Cited By ~ 4

Author(s):

Yolanda Ribas ◽

David Ruiz-Luna ◽

Marina Garrido ◽

Josep Bargalló ◽

Francesc Campillo

Keyword(s):

Surgical Treatment ◽

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Medical Decision ◽

Foreign Body Ingestion ◽

Endoscopic Removal ◽

Radiographic Findings ◽

Asymptomatic Patients ◽

Final Treatment

The management of foreign bodies in the gastrointestinal tract is not standardized. Foreign body ingestions in prisoners are always intentional and inmates can be manipulative, which makes medical decision even more difficult. Our objective is to propose a decisional algorithm for management of foreign body ingestion in prisoners. We reviewed the records of 198 admissions for foreign body ingestion for a 10-year period. Type and number of ingested foreign bodies, radiographic findings, outcome as well as the management method including conservative, endoscopic removal, or surgical treatment were analyzed. Most cases were managed conservatively (87.6%). Endoscopy of the upper gastrointestinal tract was performed in 37 cases with a success rate of 46 per cent. In 9.3 per cent of cases, the final treatment was endoscopic. Only five patients required surgical treatment, being emergent just in one case. We advocate conservative treatment for asymptomatic patients with foreign body ingestion. Endoscopic removal is proposed for pointed objects or objects bigger than 2.5 cm located in the stomach. Objects longer than 6 to 8 cm located in the stomach should be removed by endoscopy or laparoscopy. Patients with objects in the small bowel or colon should be treated conservatively unless there are complications or they fail to progress.

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Getting a Better Grip: A Novel Modification to the Dual Snare Technique for Removing Long Esophageal Foreign Bodies

The American Surgeon ◽

10.1177/0003134820919728 ◽

2020 ◽

Vol 86 (5) ◽

pp. 541-543

Author(s):

Joshua Judge ◽

Anh Le ◽

Jacek Wecowski

Keyword(s):

Foreign Body ◽

General Surgery ◽

Foreign Bodies ◽

Gastroesophageal Junction ◽

Foreign Body Ingestion ◽

Emergency Setting ◽

Endoscopic Removal ◽

Esophageal Foreign Body ◽

Common Indication ◽

Esophageal Foreign Bodies

Foreign body ingestion is a common indication for general surgery consultation in the emergency setting. We report a case of large esophageal foreign body ingestion involving a metallic butter knife lodged at the gastroesophageal junction that required endoscopic removal. Furthermore, we report a novel modification to the dual snare technique of retrieval incorporating a snare placed through a nasogastric tube to facilitate introduction and manipulation of the second snare.

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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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Unsuspected Foreign Bodies of the Aerodigestive Tract

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348947808700409 ◽

1978 ◽

Vol 87 (4) ◽

pp. 515-518 ◽

Cited By ~ 9

Author(s):

William Banks ◽

William P. Potsic

Keyword(s):

Foreign Body ◽

Early Diagnosis ◽

Chart Review ◽

Foreign Bodies ◽

Failure To Thrive ◽

Late Complications ◽

Aerodigestive Tract ◽

Endoscopic Removal ◽

Children's Hospital ◽

Prolonged Duration

The well-known tendency for children to place loose objects in their months not infrequently leads to the entrapment of foreign bodies in the aerodigestive tract. With prompt and adequate removal few complications occur. However, when the foreign body goes undetected or is neglected the patient may develop dysphagia, pneumonia, failure to thrive, lung or mediastinal abscesses, bronchopulmonary or bronchoesophageal fistulas, or erosion of major vessels. Fifteen cases of retained foreign bodies were identified in a chart review between 1971 and 1977 at the Children's Hospital of Philadelphia, calling attention to the problems of aerodigestive foreign bodies of prolonged duration. Early and late complications are discussed and early diagnosis and endoscopic removal emphasized.

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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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Gastric perforation secondary to ingestion of a plastic bag

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2016.0036 ◽

2016 ◽

Vol 98 (2) ◽

pp. e29-e30 ◽

Cited By ~ 1

Author(s):

YM Goh ◽

IM Shapey ◽

K Riyad

Keyword(s):

Clinical Practice ◽

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Gastric Perforation ◽

Foreign Body Ingestion ◽

Pathophysiological Process ◽

Common Presentation ◽

Plastic Bag ◽

Pass Through

Foreign body ingestion is a common presentation in clinical practice, seen predominantly in children. Most foreign bodies pass through the gastrointestinal tract without any additional morbidity. We present a case of gastric perforation secondary to the ingestion of a small plastic bag. We discuss the likely pathophysiological process underlying perforation secondary to plastic bag ingestion, which is most commonly associated with the concealment of narcotics.

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