Fiberendoscopic removal of a gastric foreign body with overtube technique

Spurling, Timothy J.; Zaloga, Gary P.; Richter, Joel E.

doi:10.1016/s0016-5107(83)72591-5

Cited by 32 publications

(17 citation statements)

References 5 publications

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“…Furthermore, only FBs of fixed diameter and form which fit within such small devices can be removed. Flexible homemade [5,7,12] or commercial [4,9] overtubes approximately 60-80 cm in length are preferable and widely utilized. However, overtubes may be uncomfortable for the patients, and their internal diameter is about 11-15 mm [4,7,9,12].…”

Section: Discussionmentioning

confidence: 99%

“…Flexible homemade [5,7,12] or commercial [4,9] overtubes approximately 60-80 cm in length are preferable and widely utilized. However, overtubes may be uncomfortable for the patients, and their internal diameter is about 11-15 mm [4,7,9,12]. Thus a number of sharp-pointed FBs such as forks, razor blades, and curved dentures cannot enter in the lumen; however, tubes larger than 15 mm are poorly tolerated.…”

Section: Discussionmentioning

confidence: 99%

“…Thus several techniques for safe endoscopic retrieval have been proposed [1,[3][4][5][6][7][9][10][11][12], most of which can, however, only be utilized for the extraction of FBs of fixed size and form. We report here our experience with a simple endoscopic device for the safe retrieval of dangerous gastroesophageal FBs.…”

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confidence: 99%

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Endoscopic protector hood for safe removal of sharp-pointed gastroesophageal foreign bodies

et al. 1992

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Endoscopic removal of sharp and pointed foreign bodies in the upper gastrointestinal tract still poses technical difficulties. Overtubes may be uncomfortable to the patients and only objects fitting within a lumen of about 11-15 mm can be removed. We present here our preliminary experience with a commercially available new endoscopic end protector hood having the unique characteristic of maintaining its bell portion inverted during the progression of the scope through the gut and flipping back to its original shape during withdrawal through the lower esophageal sphincter. This prevents exposure of the esophageal and pharyngeal wall to injuries from the edges of the foreign body. We used this device to remove nine large sharp or pointed gastroesophageal foreign bodies in six consecutive patients in whom conventional techniques were considered unsafe or not technically feasible owing to the size and shape of the objects. In all cases, removal was successful and easily performed without bowel damage. We believe that this device enhances the safe removal of a wide variety of potentially dangerous gastroesophageal foreign bodies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Endoscopic protector hood for safe removal of sharp-pointed gastroesophageal foreign bodies

et al. 1992

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“…The problems of aspiration and perforation can be averted by use of protective techniques during foreign body removal. 28 The risks of endoscopic removal of objects are the inherent risks associated with endoscopy in addition to the dangers of extracting the object. A 1974 survey of 211,410 upper endoscopic examinations revealed an overall complication rate of 1.32/ 1000.…”

Section: Treatmentmentioning

confidence: 99%

Revisiting Swallowed Troubles: Intestinal Complications Caused by Two Magnets--A Case Report, Review and Proposed Revision to the Algorithm for the Management of Foreign Body Ingestion

Vijaysadan

Pérez²,

Kuo³

2006

The Journal of the American Board of Family Medicine

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Accidental ingestion of foreign bodies and its management is a common problem seen more in the pediatric population than in adults. A review of the literature suggests that endoscopic removal of foreign bodies is curative for objects located in the cricopharynx or upper esophagus. Foreign bodies passed into the stomach can usually be observed for development of symptoms, because 80% of them would be spontaneously passed.However, ingestion of metallic foreign bodies involving coins or button-type batteries may require an aggressive approach. A few cases of intestinal obstruction due to magnet ingestion have been reported in Japan, China, and Korea where magnets are used for treatment in traditional medicine.1-5 When more than one magnet is ingested they can be attracted to each other through the intestinal wall, causing necrosis and intestinal perforation or fistula, so they should be removed while they are still accessible with endoscope.We report a case for the first time in the United States of intestinal obstruction and fistula formation due to ingestion of more than one magnet. We feel that early endoscopic removal of magnets or a magnet along with a magnetic foreign body is safe and should be the choice of management. The author proposes an algorithm for management of foreign body ingestion focusing on early retrieval of magnetic foreign bodies. CaseAn 11-year old boy presented with a three-week history of nausea, vomiting, and burning epigastric pain. He had been treated for Streptococcus A pharyngitis by his pediatrician and had been seen in the emergency department previously with a negative work-up. At admission, vital signs were stable but the patient was visibly uncomfortable, lying on his left side with bilateral lower extremities flexed. Physical examination revealed abdominal tenderness with light palpation and decreased bowel sounds in the right and left lower quadrants. Leukocyte count was 13,900/mm 3 , hemoglobin and hematocrit were slightly elevated, and all other laboratory findings were within normal limits. Radiograph and CT scan of abdomen and pelvis confirmed the presence of two foreign bodies in the pelvis with bowel obstruction (Figures 1 and 2). After multiple rounds of questioning, the patient revealed that he had swallowed two magnets from a toy approximately 1 month before. A surgical consult was called that resulted in an exploratory laparotomy. Operative report of our patient describes fistulae formation at ileoileal level involving a "U" turn region of ileum and proximal jejunum and distal ileum that fistulized through the mesentery of terminal ileum. The procedure involved division, debridement to healthy bowel and closure of jejunoileal fistula, enterotomy for foreign body removal, and reinforcement at ileoileal fistula after division. The specimens were examined by the pathologist and confirmed to be consistent with fis-

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“…However, extreme caution is required when the foreign body is sharp, as it is easy to injure the wall of the gastrointestinal tract. One method involves using an overtube to protect the esophagus during repeated insertion and withdrawal of the endoscope [1,2]. Another technique involves fashioning a protective hood for the endoscope using variety of devices, such as soft latex protector hoods [3,4].…”

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confidence: 99%

Successful Removal from the Duodenum of Swallowed Sewing Needles Using Devised Endoscopic Forceps

Enjoji

Nagata²,

Furuichi³

et al. 2004

Endoscopy

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Fiberendoscopic removal of a gastric foreign body with overtube technique

Cited by 32 publications

References 5 publications

Endoscopic protector hood for safe removal of sharp-pointed gastroesophageal foreign bodies

Endoscopic protector hood for safe removal of sharp-pointed gastroesophageal foreign bodies

Revisiting Swallowed Troubles: Intestinal Complications Caused by Two Magnets--A Case Report, Review and Proposed Revision to the Algorithm for the Management of Foreign Body Ingestion

Successful Removal from the Duodenum of Swallowed Sewing Needles Using Devised Endoscopic Forceps

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