scholarly journals The presence of a foreign body in the digestive tract - case reports and literature review

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Daniel Houser ◽  
Mark Johnston
Keyword(s):  
Digestive Tract ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Case Reports ◽  
Biologically Active ◽  
Gi Tract ◽  
Razor Blade ◽  
Pass Through ◽  
Different Levels ◽  
Swallowed Foreign Bodies

The presence of foreign bodies in the digestive tract usually occurs in pediatric, adolescent and psychiatric patients. Current Protocols focus mainly on pediatricians and adults.We present some cases mainly of feminine age. Most swallowed foreign bodies will harmlessly pass through the GI tract, but some will lead to health problems if they become lodged (too big to pass, such as a spoon, or small objects like a pill that adheres to a moist surface); traumatize the mucosa (sharp or pointed object, like a razor blade or pin), or cause burn-like illness (biologically active, such as a button battery or a medication patch) may cause problems.which during X-Ray abdominal exfoliation show varying objects in the digestive tract at different levels. The following examinations highlighted the most accurate localization.Asymptomatic clinical data continued to deteriorate, despite imaging evidence. This article discusses the challenges involved in the management of foreign troops in the digestive tract and the re-evaluation of literature

scholarly journals Unusual foreign body in the upper digestive tract: case report

2018 ◽  
Vol 4 (3) ◽  
pp. 850
Author(s):  
Snigdha Elaprolu ◽  
Gowri Sankar Marimuthu ◽  
Raghul Sekar ◽  
Sunil Kumar Saxena
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Unusual Foreign Body ◽  
Upper Digestive Tract ◽  
Entire Gastrointestinal Tract

<p class="abstract">Unusual foreign bodies in the digestive tract are common in psychiatric patients and children requiring screening of the entire gastrointestinal tract. We here report two cases of unusual ingested blunt foreign body in the upper digestive tract managed differently.</p>

scholarly journals The Fakir Child: Clinical Observation or Invasive Treatment?

2020 ◽  
Vol 12 (3) ◽  
pp. 103-107
Author(s):  
Antonio Gatto ◽  
Serenella Angelici ◽  
Claudia Di Pangrazio ◽  
Lorenzo Nanni ◽  
Danilo Buonsenso ◽  
...  
Keyword(s):  
Emergency Department ◽  
Foreign Bodies ◽  
Case Reports ◽  
Pediatric Population ◽  
Case Series ◽  
Expectant Management ◽  
X Rays ◽  
Gi Tract ◽  
Invasive Treatment ◽  
Foreign Objects

Accidental swallowing of foreign bodies is a common problem among the pediatric population (6 months to 3 years), especially if the foreign body (FB) presents a sharp end that could potentially lead to perforation of the gastrointestinal (GI) tract, resulting in infection and complications. We report the case of a 2-year-old, admitted to the Emergency Department of our hospital after ingesting two FBs classifiable as sharp objects, specifically two metal nails, both approximately 4-cm long, which had been swallowed in one go, as reported by the parents. The patient had been previously admitted to another hospital in the same region, where the Emergency Department (ED) doctors took an X-ray to confirm the ingestion. The foreign bodies ingestion was thus confirmed, and they were, according to their report, located in the GI tract over the stomach. The patient has been monitored through all of his stay in the hospital and the progression of the foreign bodies has been documented with serial X-rays. Since neither clinical nor radiological signs of perforation were present, putting the FBs in the small bowel, a non-operative expectant management was followed. After 4 days of admission, the patient had passed one of the two FBS and later on the second one, without any complication. Thereafter the patient was discharged. The management of sharp gastrointestinal foreign objects ingestion is still debated, and the data of the current literature are poor. A number of case reports and small case series describe successful conservative management for the majority of ingested sharp objects. According to the literature data, our report confirms that the ingestion of sharp objects and relatively big objects in a baby can be successfully non-operatively managed, even despite the age of the patient and though the FBs are multiple.

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 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.

scholarly journals Overview on Gastrointestinal Foreign Bodies in Children

2021 ◽  
pp. 49-58
Author(s):  
Ahmed Abdelsamie Fadl ◽  
Asma Awad M. Alhazmi ◽  
Tariq Mohammed Alyami ◽  
Najla jaber Alkhaldi ◽  
Abdulshaheed Salman Alhamdan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Foreign Body ◽  
Psychiatric Illness ◽  
Foreign Bodies ◽  
Food Bolus ◽  
Pass Through ◽  
Food Bolus Impaction ◽  
Bolus Impaction ◽  
Gastrointestinal Foreign Bodies ◽  
Swallowed Foreign Bodies

Introduction: Greatest percentage of the upper gastro intestinal accidently swallowed foreign bodies in adults are related to food bolus impaction with meat. Most patients who swallow a true foreign body typically are younger, however young children were recorded to accidently swallow other objects rather than food poluses. Males are more often recorded, and often have significant psychiatric illness and/or drug abuse. Foreign body (FB) ingestion is a very common problem in children. FB may pass through gastrointestinal (GI) system silently without any indication, or it may need an intervention to prevent complications. The diagnosis, decision for involvement and management may have some difficulties, and it’s usually decided according to the case, especially in cases with protracted lodgment. Complications caused by lodgment of ingested GI FBs varies according to many factors and are associated with important morbidity and mortality in children. Objectives: to show an overview of gastrointestinal foreign bodies in children, its epidemiology, risk factors, hazards and management.

scholarly journals Problem of Foreign Body in GI Tract

2011 ◽  
Vol 11 ◽  
pp. 2147-2149
Author(s):  
Yahya Daneshbod ◽  
Abdolrasoul Talei ◽  
Shahrzad Negahban ◽  
Hossein Soleimanpour ◽  
Azita Aledavoud ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Daily Practice ◽  
Gi Tract ◽  
Major Operation ◽  
Ingested Foreign Body ◽  
Pass Through ◽  
Gastrointestinal Neoplasm

Most foreign bodies pass through the gastrointestinal tract uneventful. We report of a case of inadvertently ingested foreign body, which by endoscopy simulated a polyp and on biopsy reported as cancer, so the patient underwent an unnecessary major operation. This report emphasizes the importance of resemblance of foreign bodies with gastrointestinal neoplasm, and endoscopists, surgeons and pathologists should consider this entity in their daily practice.

scholarly journals Foreign body ingestion in children

2019 ◽  
Vol 98 (9) ◽  
pp. 370-374
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Outpatient Setting ◽  
University Hospital ◽  
Surgical Removal ◽  
Tract Perforation ◽  
The Mean ◽  
The University ◽  
Swallowed Foreign Bodies

Introduction: Evaluation of results of the group of paediatric patients treated for swallowed foreign bodies in the digestive tract. Methods: Retrospective analysis of patients treated for foreign bodies in the digestive tract, managed at the University Hospital of Hradec Králové between 2011–2018. Results: 365 patients (182 boys, 183 girls) with a foreign body in the digestive tract have been evaluated. The mean age was 2.4 years. Most of the children were treated as outpatients (280 children, 76.7%) and only 85 children (23.3%) were hospitalized. The most commonly swallowed frequent bodies included coins (26%) and batteries (14.5%); sharp objects occurred in 5.2%. Unusual foreign bodies were noticed, too. We can mention for example a pen or a plant nutrition product. In 302 cases (82.7%) the foreign bodies passed easily per vias naturales. Endoscopy was necessary in 63 cases (17.2%) – in 51 children the object had to be removed from the oesophagus and in 12 children the object had to be removed from the stomach. None of the swallowed bodies caused complications such as digestive tract perforation or bowel obstruction. No patient in the group was indicated for laparotomy to remove the foreign body. Conclusion: Foreign bodies entrapped in the oesophagus have to be removed endoscopically. In most cases, foreign bodies in the stomach require only observation in the outpatient setting because they leave the stomach easily, without complications, per vias naturales. If a battery remains at the same place of the digestive tract for more than 24 hours, endoscopic removal is indicated at our department. In addition, endoscopy is done in cases of swallowed multiple magnets or bodies that are too large and remain in stomach for several weeks or months. Surgical removal of foreign bodies should be reserved only for complicated cases.

scholarly journals Sewing needle in the small omentum after ingestion of unknown date

2015 ◽  
Vol 62 (2) ◽  
pp. 57-60
Author(s):  
Miroslav Knezevic ◽  
Ljubomir Djurasic
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Abdominal Cavity ◽  
Gi Tract ◽  
State Of Emergency ◽  
Digestive Tube ◽  
Sewing Needle ◽  
Clinical Center ◽  
Tube Migration

Sewing needle inside of the abdominal cavity after ingestion, is described in a minority of cases, according to reviewed literature. Swallowed foreign body is more common in children, persons deprived of their liberty and psychiatric patients. It frequently passes asymptomatic by elimination from the digestive tract. The patient J.P. 75 years old from Bar, hospitalized at the department because of metallic foreign bodie - sewing needle in the abdominal cavity. X-ray native abdominal, MDCT of the abdomen and EGDS in consultation with gastroenterologist from Clinical Center in Podgorica, is made outpatient. After treatment the patient was operated on 19th November, 2013 by the classic laparotomy and after the expected recovery, without complications discharged. Foreign body in the omentum can arrive from the digestive tube migration and penetration through the abdominal wall. In some organs of the abdominal cavity, such as the liver can come through bloodstream. Perforation of the GI tract occurs in less than 1% of cases, mainly through the digestive tube runs without problems in about a week. The migration of a sewing needle through the stomach can cause a state of emergency abdominal or can go through asymptomatic. Treatment is traditionally classical laparotomy, while today there are more works that favor the laparoscopic method. The rarity of surgical practice that has been treated laparotomy and removing foreign bodies. Today, more and more works where the extraction of foreign bodies from the abdominal cavity is made by the laparoscopic method.

scholarly journals Spontaneous Expulsion of Ingested Foreign Bodies: Case Series and Review of Literature

2017 ◽  
Vol 1 (1) ◽  
pp. 78-82
Author(s):  
A.K. Yadav ◽  
R.S. Shrestha ◽  
R. Sharma ◽  
B. Khadka ◽  
L. Awale ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Illicit Drugs ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Case Series ◽  
The Elderly ◽  
Health Sciences ◽  
Drug Abusers ◽  
Pass Through

Foreign body ingestion is a commonly seen event in emergencies, usually in children, psychiatric patients, chronic alcoholics, drug abusers and the elderly patients with poor fitting dentures as well as the mentally challenged individuals. While ingestion of foreign bodies into Gastrointestinal Tract (GIT) may be accidental (especially in children), or experimental (anal insertion by adults), it may be purely intentional as in smugglers of illicit drugs, jewels and other valuables so as to evade detection by the security. About, 90% of ingested foreign bodies pass through the gastrointestinal tract without complications, 1020% necessitate endoscopic removal, while only 1% of them will finally need surgical intervention. In clinical practice we often face the dilemma of choosing the appropriate treatment modality. We present five cases treated in the emergency ward of B P Koirala Institute of Health Sciences, Dharan, Nepal, emphasizing in a "waiting and close observation" policy. Among these cases, all expelled the foreign body spontaneously in their stool without any complications.Birat Journal of Health Sciences 2016 1(1): 78-82

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