A novel clip-assisted method for endoscopic removal of an impacted toothpick from the colon

Mota, Felipe Ferreira da; Lisboa, Thalles V.; Costa, Breno Xaia Martins da; Queiroz, Fábio Lopes de; Mansur, Eliane Sander; Paiva, Rodrigo de Almeida; Neto, Paulo Rocha França

doi:10.1055/s-0042-110998

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…Rectosigmoid junction is one of the most common areas in which FBs may perforate the gut. The perforation of the sigmoid colon occurs in < 1% of cases [ 4 , 5 ]. In case of perforation of the colon laparoscopic colorectal surgery [ 6 ] or other modern endoscopic techniques, e.g.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic removal of an impacted wooden toothpick in the wall of the sigmoid colon.

Zakościelny

Zgodziński

Wallner

et al. 2018

Videosurgery and Other Miniinvasive Techniques

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Most ingested foreign bodies usually pass through the gastrointestinal tract without any complications. Sharp foreign bodies such as a wooden toothpick may cause severe complications, leading to an acute abdomen. They may also cause mild, non-specific gastrointestinal symptoms without significant findings. We describe a case of a 60-year-old man initially diagnosed with a foreign body impacted into the wall of the rectosigmoid junction upon screening colonoscopy. Incidentally, ingestion of the wooden toothpick 6 months before admission and the presence of recurrent fever and lower abdominal pain were confirmed in the patient’s history. Our video case study demonstrates the successful endoscopic removal of the wooden toothpick impacted into the colon wall.

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Section: Introductionmentioning

confidence: 99%

Endoscopic removal of an impacted wooden toothpick in the wall of the sigmoid colon.

Zakościelny

Zgodziński

Wallner

et al. 2018

Videosurgery and Other Miniinvasive Techniques

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“…[17][18][19] Some authors described a case of removing a toothpick blocked in the intestinal wall removed by inserting a clip on it, which was covered by the electrocoagulation loop. 10 In the presented case the bone was an accidental finding. It was not possible to determine the moment of ingestion, but it seems that the issue of time was the occurrence of perforation with the development of complications requiring surgical treatment.…”

Section: Resultsmentioning

confidence: 67%

“…7,8 Staining usually occurs in places of natural folds or strictures, such as the pylorus, Treitz ligament, ileocecal valve, rectal-esophageal bend. [9][10][11] Stalling of the foreign body in a divertic sigmoid colon usually leads to inflammation, perforation of the wall, formation of a limited abscess or diffuse peritonitis. In our case report, there were no perforation of the sigmoid colon, limited abscess and diffuse peritonitis.…”

Section: Resultsmentioning

confidence: 99%

A chicken bone stuck in a divertic sigmoid colon, accidentally detected during a colonoscopy

Lasocki¹,

Kowalczyk

Dyśko³

et al. 2020

Pol. Ann. Med.

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Introduction: The swallowing of foreign bodies is a common clinical disorder. Aim: The aim of this study is to present the case of a swallowed foreign body and discuss the possible endoscopic approaches. Case study: We present a case of a 56-year-old woman who had a stuck chicken bone in a divertic sigmoid colon. In CT the presence of the bone in the sigmoid colon with edema and thickening of a wall around the foreign body was confirmed. The bone was removed in a hospital setting during colonoscopy with the use of ‘rat teeth’ forceps without complications. Results and discussion: Swallowed foreign bodies are usually excreted from the gastrointestinal tract without any complications, however, sometimes they can lead to serious clinical problems such as obstruction, perforation or bleeding. Most stapled foreign bodies in a large intestine can be removed endoscopically without complications. About 5% of patients require surgical treatment. Conclusions: The bone removal performed in the hospital setting ensured the possibility of appropriate procedure in case of complications, such as intestinal perforation or bleeding. The endoscopic bone removal prevented the development of complications requiring surgical treatment.

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“…En una búsqueda sistemática referente a PI por IM, se encontraron 131 artículos que aportaron 157 casos, cuyas características principales se resumen en la Tabla I y la Figura 3 (Ragazzi et al;Sarmast et al;Lovece et al;Nic´iforovic et al, 2014;Steinbach et al;Zeng et al, 2014;Zouros et al;Zelones et al, 2015;da Mota et al, 2016;Birindelli et al, 2016;Çapkınoglu et al, 2017;Kumar et al, 2017;Sarici et al, 2017;Turaihi et al, 2017;Lai et al, 2018;Lin et al, 2018;Depoorter et al, 2019;Lim et al;Ossola & Galafassi, 2019).…”

Section: Discussionunclassified

Resultados del Tratamiento Quirúrgico de la Perforación Intestinal Causada por Ingestión de Mondadientes. Aportación de 3 Casos

Manterola

2020

Int. J. Morphol.

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RESUMEN: La ingestión de mondadientes (IM) constituye un evento poco frecuente (se han publicado alrededor de 157 casos a nivel mundial), pero puede causar perforaciones intestinales (PI), con peritonitis, sepsis e incluso muerte. Este hecho, determina la necesidad de intervenir quirúrgicamente a la mayoría de estos pacientes. El objetivo de este manuscrito fue informar resultados del tratamiento quirúrgico de 3 casos de PI por IM. Caso 1: hombre de 52 años, con perforación duodenal y de la vesícula biliar. Caso 2: Mujer de 54 años con perforación cecal. Caso 3: hombre de 72 años, con perforación de colon izquierdo y lesión esplénica. Todos fueron hospitalizados por dolor abdominal y fiebre. En dos casos el diagnóstico se verificó por tomografía y en uno por ecotomografía. Los tres casos fueron intervenidos quirúrgicamente a través de laparotomía. Intervenciones: Caso 1: se realizó colecistectomía y sutura duodenal. Caso 2: se realizó hemicolectomía derecha e ileotransverso anastomosis. Caso 3: se realizó hemicolectomía izquierda y esplenectomía. En todos los casos se encontró el mondadientes. Todos los pacientes evolucionaron de forma satisfactoria, sin complicaciones postoperatorias. La IPD es una emergencia quirúrgica. Las PI son comunes y la peritonitis asociada es frecuente. El pronóstico depende de un diagnóstico precoz y un tratamiento oportuno.

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A novel clip-assisted method for endoscopic removal of an impacted toothpick from the colon

Cited by 3 publications

References 2 publications

Endoscopic removal of an impacted wooden toothpick in the wall of the sigmoid colon.

Endoscopic removal of an impacted wooden toothpick in the wall of the sigmoid colon.

A chicken bone stuck in a divertic sigmoid colon, accidentally detected during a colonoscopy

Resultados del Tratamiento Quirúrgico de la Perforación Intestinal Causada por Ingestión de Mondadientes. Aportación de 3 Casos

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