scholarly journals Foreign Bodies Ingestion

2021 ◽  
Author(s):  
Leen Jamel Doya ◽  
Ali Ibrahim
Keyword(s):  
United States ◽  
Foreign Body ◽  
Surgical Management ◽  
Foreign Bodies ◽  
Pediatric Population ◽  
The United States ◽  
X Rays ◽  
Management Options ◽  
Pass Through

Foreign body ingestion is a common problem among children especially under psychological stress. More than 110.000 ingested foreign bodies were reported in the United States, of which more than 85% occurred in the pediatric population. Ingested foreign bodies usually pass through the alimentary tract without any problem. However, they can occasionally be trapped and require endoscopic or surgical management. In the asymptomatic patient, a series of abdominal X-rays are recommended to follow up on the progress of the foreign body. When a foreign body becomes immobile in the distal bowels a high suspicion that the foreign body has become trapped must be considered and surgical management is recommended with or without signs of inflammation. Here we describe the cases scenarios of foreign bodies trapped in the gastrointestinal tract and the management options.

scholarly journals Dental Impaction in the Cecum: Case Report and Review of Gastrointestinal Foreign Body Impactions

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Mouhanna Abu Ghanimeh ◽  
Omar Abughanimeh ◽  
Sakher Albadarin ◽  
Osama Kaddourah ◽  
John H. Helzberg
Keyword(s):  
United States ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Conservative Treatment ◽  
Foreign Bodies ◽  
Adult Population ◽  
The United States ◽  
Common Site ◽  
Dental Plate

Approximately 20% of the adult population in the United States wears dentures. Foreign body ingestions, including dentures, are not uncommon. Although the majority of all ingested foreign bodies pass spontaneously through the gastrointestinal tract, impaction may occur, especially with physiologic constrictions, angulations, or stenosis. The esophagus is the most common site of impaction, whereas colonic impaction is extremely uncommon. We present a case of an 84-year-old male who was referred to the gastroenterology clinic for denture impaction, which lasted for two weeks. The patient had already failed to pass the denture following conservative treatment with laxatives, and repeated abdominal imaging showed the dental plate in the cecum. Colonoscopy was performed three weeks after the ingestion of his dentures, and tripod forceps were used to dislodge the end of the dental plate and ultimately remove it. The patient was asymptomatic for the entire period.

scholarly journals An unusual cause of appendectomy in a child (a sharp pin trapped in the appendix): a case report

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Leen Jamel Doya ◽  
Nabila Salhab ◽  
Hanin Ahmed Mansour ◽  
Mohammad Ahmad Almahmod Alkhalil
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Alimentary Tract ◽  
Foreign Bodies ◽  
Abdominal Ultrasound ◽  
X Rays ◽  
Metallic Foreign Body ◽  
Pass Through

ABSTRACT Foreign bodies’ (FBs) ingestion is a common problem among children and the psychologically deranged. Ingested FBs usually pass through the alimentary tract without any incident. They can rarely be placed in the appendix and may cause problems. Here we report a case of an appendectomy with no signs of inflammation indicated for a sharp metallic foreign body trapped in the appendix of a 13-year-old Syrian girl. The diagnosis was made through serially abdominal X-rays and abdominal ultrasound.

scholarly journals Ventriculotomy for the removal of a foreign body in a common myna (Acridotheres tristis): a case report

2014 ◽  
Vol 59 (No. 6) ◽  
pp. 319-323 ◽  
Author(s):  
M. Champour ◽  
N. Ojrati
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Oral Route ◽  
Surgical Removal ◽  
X Rays ◽  
Common Myna ◽  
History Of ◽  
Acridotheres Tristis ◽  
Made In

A seven-month old common myna with a history of ingesting a wire was transferred to the Iranmehr companion animal clinic in Mashhad, Iran. The bird’s symptoms included anorexia, retching, intermittent vomiting, a lack of vocalisation, fluffing, and nervousness lasting for two days. X-rays confirmed a radiopaque foreign body in the proventriculus. Initial attempts to remove the wire thorough the oral route were futile; however, surgical removal using ventriculotomy (ventral midline celiotomy) under general anaesthesia proved successful. Slight haemorrhaging occurred when the incision was made in the caudal aspect of the ventriculus, but overall, the procedure was performed with no serious complications. A follow-up after three month revealed no complications. Despite the negative views associated with this technique, our study shows that ventriculotomy can be recommended for the removal of ventricular and proventricular foreign bodies, at least in this species.  

Tracheobronchial Foreign Bodies in Children: Back to the Bronchoscope and a Balloon

PEDIATRICS ◽  
1980 ◽  
Vol 66 (2) ◽  
pp. 321-323 ◽  
Author(s):  
Ann M. Kosloske
Keyword(s):  
United States ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Standard Treatment ◽  
The United States ◽  
Postural Drainage ◽  
Continued Use

Aspiration of a foreign body, a common pediatric accident, causes about 400 deaths per year in children under 4 years of age in the United States.1 Bronchoscopic extraction of the foreign body was the only standard treatment until 1972, when Burrington and Cotton2 introduced a controversial alternative. These authors reported that 80% of children treated by inhalation of a bronchodilator, followed by postural drainage and percussion, spontaneously coughed out the foreign body without need for bronchoscopy. They advocated continued use of the technique of inhalation-postural drainage for as long as four days before resorting to bronchoscopy for extraction of the foreign body.3

scholarly journals Novel Approach to Endoscopic Foreign Body Retrieval From the Gastric Body

2021 ◽  
Vol 9 ◽  
pp. 232470962110406
Author(s):  
Jason Cohen ◽  
Samson Ferm ◽  
David Schwarzbaum ◽  
Steven Tsistrakis ◽  
Syed Hussain ◽  
...  
Keyword(s):  
United States ◽  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Surgical Intervention ◽  
The United States ◽  
Gastric Body ◽  
Common Occurrence ◽  
Novel Approach ◽  
Pass Through ◽  
Endoscopic Scissors

Foreign body (FB) ingestion is a common occurrence in the United States with a reported incidence of 120 per 1 million people, accounting for up to 1500 fatalities annually. The majority of FB ingestions will pass through the gastrointestinal tract spontaneously, while in 10% to 20% of patients, intervention will be necessary. A variety of endoscopic devices can be utilized to facilitate FB removal from the gastrointestinal tract, including snares, retrieval nets, and grasping forceps. We report the case of a 58-year-old female who required utilization of endoscopic scissors for FB removal in the setting of multiple failed attempts with traditional methods. This case highlights a novel approach to gastric FB removal utilizing endoscopic scissor forceps, which should be considered in select cases to further improve the efficacy of endoscopic FB removal and reduce the need for surgical intervention.

scholarly journals Natural History and Evolution of Anti-Interferon-γ Autoantibody-Associated Immunodeficiency Syndrome in Thailand and the United States

2019 ◽  
Vol 71 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Gloria H Hong ◽  
Ana M Ortega-Villa ◽  
Sally Hunsberger ◽  
Ploenchan Chetchotisakd ◽  
Siriluck Anunnatsiri ◽  
...  
Keyword(s):  
United States ◽  
Natural History ◽  
The United States ◽  
Interferon Γ ◽  
Mycobacterium Abscessus ◽  
Annual Data ◽  
Persistent Infections ◽  
Ifn Γ ◽  
Immunodeficiency Syndrome

Abstract Background The natural history of anti-interferon-γ (IFN-γ) autoantibody-associated immunodeficiency syndrome is not well understood. Methods Data of 74 patients with anti-IFN-γ autoantibodies at Srinagarind Hospital, Thailand, were collected annually (median follow-up duration, 7.5 years). Annual data for 19 patients and initial data for 4 patients with anti-IFN-γ autoantibodies at the US National Institutes of Health were collected (median follow-up duration, 4.5 years). Anti-IFN-γ autoantibody levels were measured in plasma samples. Results Ninety-one percent of US patients were of Southeast Asian descent; there was a stronger female predominance (91%) in US than Thai (64%) patients. Mycobacterium abscessus (34%) and Mycobacterium avium complex (83%) were the most common nontuberculous mycobacteria in Thailand and the United States, respectively. Skin infections were more common in Thailand (P = .001), whereas bone (P < .0001), lung (P = .002), and central nervous system (P = .03) infections were more common in the United States. Twenty-four percent of Thai patients died, most from infections. None of the 19 US patients with follow-up data died. Anti-IFN-γ autoantibody levels decreased over time in Thailand (P < .001) and the United States (P = .017), with either cyclophosphamide (P = .01) or rituximab therapy (P = .001). Conclusions Patients with anti-IFN-γ autoantibodies in Thailand and the United States had distinct demographic and clinical features. While titers generally decreased with time, anti-IFN-γ autoantibody disease had a chronic clinical course with persistent infections and death. Close long-term surveillance for new infections is recommended.

scholarly journals SAT0172 UTILIZATION OF HYDROXYCHLOROQUINE AND CORTICOSTEROIDS AMONG LUPUS PATIENTS WITH INCIDENT END-STAGE RENAL DISEASE (ESRD) ONSET: A LONGITUDINAL STUDY USING USRDS REGISTRY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1027.2-1027
Author(s):  
A. R. Broder ◽  
W. Mowrey ◽  
A. Valle ◽  
B. Goilav ◽  
K. Yoshida ◽  
...  
Keyword(s):  
United States ◽  
Lupus Nephritis ◽  
Renal Disease ◽  
International Classification Of Diseases ◽  
The United States ◽  
Diagnostic Code ◽  
Prescribing Practices ◽  
Part D ◽  
Stage Renal Disease

Background:The development of ESRD due to lupus nephritis is one of the most common and serious complications of SLE. Mortality among SLE ESRD patients is 4-fold higher compared to lupus nephritis patients with preserved renal function1Mortality in SLE ESRD is also twice as high compared with non-SLE ESRD, even though SLE patients develop ESRD at a significantly younger age. In the absence of ESRD specific guidelines, medication utilization in SLE ESRD is unknown.Objectives:The objective of this study was to investigate the real-world current US-wide patterns of medication prescribing among lupus nephritis patients with new onset ESRD enrolled in the United States Renal Disease Systems (USRDS) registry. We specifically focused on HCQ and corticosteroids (CS) as the most used medications to treat SLE.Methods:Inclusion: USRDS patients 18 years and above with SLE as a primary cause of ESRD (International Classification of Diseases, 9thRevision (ICD9) diagnostic code 710.0, previously validated2). who developed ESRD between January 1st, 2006 and July 31, 2011 (to ensure at least 6 months of follow-up in the USRDS). Patients had to be enrolled in Medicare Part D (to capture pharmacy claims). The last follow-up date was defined as either the last date of continuous part D coverage or the end of the study period, Dec 31, 2013.Results:Of the 2579 patients included, 1708 (66%) were HCQ- at baseline, and 871 (34%) were HCQ+ at baseline. HCQ+ patients at baseline had a slightly lower duration of follow-up compared to HCQ- patients at baseline, median (IQR) of 2.32 (1.33, 3.97) years and 2.55 (1.44, 4.25) years, respectively, p= 0.02. During follow-up period, only 778 (30%) continued HCQ either intermittently or continuously to the last follow-up date, 1306 (51%) were never prescribed HCQ after baseline, and 495 (19%) discontinued HCQ before the last follow-up date. Of the 1801 patients who were either never prescribed or discontinued HCQ early after ESRD onset, 713 (40%) were prescribed CS to the end of the follow-up period: 55% were receiving a low dose <10mg/daily, and 43 were receiving moderate dose (10-20mg daily)Conclusion:HCQ may be underprescribed and CS may be overprescribed in SLE ESRD. Changing the current prescribing practices may improve outcomes in SLE ESRDReferences:[1]Yap DY et al., NDT 2012.[2]Broder A et al., AC&R 2016.Acknowledgments :The data reported here have been supplied by the United States Renal Data System (USRDS). The interpretation and reporting of these data are the responsibility of the author(s) and in no way should be seen as an official policy or interpretation of the U.S. government.Funding: :NIH/NIAMS K23 AR068441 (A Broder), NIH/NIAMS R01 AR 057327 and K24 AR 066109 (KH Costenbader)Disclosure of Interests: :Anna R. Broder: None declared, Wenzhu Mowrey: None declared, Anna Valle: None declared, Beatrice Goilav: None declared, Kazuki Yoshida: None declared, Karen Costenbader Grant/research support from: Merck, Consultant of: Astra-Zeneca

scholarly journals THE EPIDEMIOLOGY OF PEDIATRIC MENISCAL ALLOGRAFT TRANSPLANTATION IN THE UNITED STATES

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0004
Author(s):  
Haley E. Smith ◽  
Madeline M. Lyons ◽  
Neeraj M. Patel
Keyword(s):  
United States ◽  
Pediatric Population ◽  
The United States ◽  
National Database ◽  
Control Group ◽  
Meniscal Allograft Transplantation ◽  
Children's Hospitals ◽  
Allograft Transplantation ◽  
Meniscal Allograft ◽  
Children’S Hospitals

Background: Meniscal allograft transplantation (MAT) is an option to slow the progression of degenerative disease in the setting of substantial meniscal deficiency. This may be especially important in children and adolescents, but there is little literature on MAT in this population. Hypothesis/Purpose: The purpose of this study was to evaluate the epidemiology of MAT in the pediatric population, with specific attention to regional and demographic trends. Methods: The Pediatric Health Information System, a national database consisting of 49 children’s hospitals, was queried for all patients undergoing MAT between 2011 and 2018. Demographic information was collected for each subject as well as data regarding previous and subsequent surgeries. The database was also queried for all meniscus surgeries (including repairs and meniscectomies) performed during the study period. Demographic and geographic data from this control group were compared to that of children undergoing MAT. Univariate analysis was followed by purposeful entry multivariate regression to adjust for confounding factors. Results: A total of 27,168 meniscus surgeries were performed in 47 hospitals, with MAT performed 67 times in 17 hospitals. Twelve patients (18%) underwent a subsequent procedure after transplantation. In multivariate analysis, each year of increasing age resulted in 1.1 times higher odds of having undergone MAT rather than repair or meniscectomy (95% CI 1.03-1.1, p=0.002). Patients that underwent transplantation had 2.0 times higher odds of being female (95% CI 1.2-3.3, p=0.01) and 2.0 times higher odds of being commercially insured (95% CI 1.1-3.6, p=0.02). MAT was performed most frequently in the Northeast (4.9/1000 meniscus surgeries) and least often in the South (1.1/1000 meniscus surgeries, p<0.001). Furthermore, transplantation was more likely to be performed in larger cities. The median pediatric population of cities in which MAT was performed was 983,268 (range 157,253-3,138,870) compared to 662,290 (range 4,420-4,311,500) in cities where it was not (p=0.04). Conclusion: In the United States, patients that underwent MAT were older, more likely to be female, and have commercial insurance than those undergoing meniscus repair or meniscectomy. MAT was only done in 17/47 children’s hospitals that perform meniscus surgery and was most frequently performed in the Northeast and in larger cities. These trends highlight the need for further research, especially regarding differences along the lines of sex and insurance status.

scholarly journals Results from the United States CTEPH Registry (US-CTEPH-R): Enrollment Characteristics and 1-Year Follow-up

CHEST Journal ◽  
2021 ◽  
Author(s):  
Kim M. Kerr ◽  
C. Greg Elliott ◽  
Kelly Chin ◽  
Raymond L. Benza ◽  
Richard N. Channick ◽  
...  
Keyword(s):  
United States ◽  
The United States
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