Fluoroscopy-Guided Endoscopic Removal of Foreign Bodies

Kim, Junhwan; Ahn, Ji Yong; So, Seol; Lee, Mingee; Oh, Kyunghwan; Jung, Hwoon Yong

doi:10.5946/ce.2016.085

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…During the process of removal, the complete removal of the toothpick should be confirmed, if the toothpick is not completely removed or the toothpick failed to be removed by endoscopy, then the patient should proceed to surgery. [ 9 – 11 ] In the published literature, the surgical approach is predominantly via laparotomy, and the fraction by laparoscopic surgery is less than 10%. [ 12 ] In general, laparoscopic surgery possesses the following potential advantages: [ 9 , 13 ] (1) smaller incisions, better cosmesis, less pain, and faster recovery.…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal perforation secondary to accidental ingestion of toothpicks

Yang

Wu²,

Xiong³

et al. 2017

Medicine

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Rationale:Toothpicks are widely used as a tooth cleaning tool after meals in China. Most of the Chinese toothpicks are made of wood or bamboo with a hard texture and sharp ends. This characteristic has proven to be potentially dangerous when toothpicks are accidentally ingested, as they can cause damage and perforation of the digestive tract and other subsequent complications.Patient concerns:The main clinical complaints of 5 patients in this study were mainly acute or chronic abdominal pain, duration from 2 days to 2 months, 1 case with vomiting, 1 case with fever.Diagnoses:Four cases were initially diagnosed by computed tomography (CT) scan; However, the first case was misdiagnosed as appendicitis so the patient did not undertake a preoperative CT scan and it was diagnosed by laparoscopy.Interventions:All the cases were treated by laparoscopy and the toothpicks were removed successfully.Outcomes:Toothpick-caused digestive perforation was confirmed by laparoscopy in all this 5 cases, the perforation sites were 2 cases at the antrum of stomach, 1 case at the third part of duodenum, 1 case at the ileocecal junction and 1 case at the sigmoid colon. 4 cases had perforation repair . Operative time :48-67 min. Intraoperative bleeding: 25-80 ml. 1 patient had a secondary liver injury. No postoperative complications occurred in all cases. The length of hospital stay was between 4-25 days.Lessons:Our case series study suggests that laparoscopy is a safe and feasible surgical procedure for definitive management of digestive tract perforation by toothpick ingestion. We also suggest all the people should have healthy life behaviors and use the toothpicks correctly.

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Section: Discussionmentioning

confidence: 99%

Gastrointestinal perforation secondary to accidental ingestion of toothpicks

Yang

Wu²,

Xiong³

et al. 2017

Medicine

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“…A few studies have reported emergent and safe endoscopic removal of foreign bodies using fluoroscopic guidance. 12 This is an unusual case report of successful removal of an embedded foreign body using fluoroscopy-guided endoscopy without any complications. We strongly recommend using EGD under fluoroscopy if the X-ray impermeable material cannot be seen through the endoscope or if it cannot be localized to the site of the material.…”

Section: Conflict Of Interestmentioning

confidence: 88%

Endoscopic Removal of an Embedded Foreign Body Using Fluoroscopy

Lee

Kwon

2022

Korean J Helicobacter Up Gastrointest Res

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Cases of foreign body ingestion are frequently seen in gastroenterology. However, it is not common for the foreign body to be located in the submucosa, which obscures it from view, even during endoscopy. A 74-year-old woman visited the emergency room 10 days after swallowing an implant screw during an implant procedure at a dental clinic. Abdominal CT revealed a 14-mm-long radio-opaque screw in the posterior wall of the proximal body of the stomach. On endoscopy, the screw was not observed in the stomach; however, fluoroscopic examination revealed that it was located under the mucosa of the posterior wall of the proximal body of the stomach. The screw was grasped using alligator forceps and retrieved. There was no evidence of perforation on chest radiography. Herein, we present a case wherein a foreign body embedded under the mucosa was removed. (Korean J Helicobacter Up Gastrointest Res 2022 Aug 10. [Epub ahead of print])

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“…These complications usually occur when patients swallow large or sharp-pointed objects. 3,4 However, the same complications can also occur after ingesting magnetic foreign bodies.…”

Section: Introductionmentioning

confidence: 99%

A Gastric Magnetic Foreign Body Incidentally Detected Several Years after Ingestion

Joo,

Lee,

Hong

et al. 2023

Korean J Gastroenterol

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Foreign body ingestion is commonly seen in children. However, occasionally it may also be seen among adults and is often associated with intellectual disability, psychiatric disorders, and alcoholism. Ingestion of a magnetic foreign body may cause complications such as gastrointestinal tract perforation, wherein emergency endoscopic removal of the foreign body is generally required. Here, we report a rare case of a 59-year-old male with an intellectual disability and psychiatric disorder in whom metallic objects in the stomach cavity were accidentally discovered during abdominal CT. Esophagogastroduodenoscopy revealed several metallic objects attached to two magnets, which had been ingested several years before and had remained in the stomach cavity. The magnets and metallic objects were safely removed endoscopically using rat-tooth forceps without complications.

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Fluoroscopy-Guided Endoscopic Removal of Foreign Bodies

Cited by 4 publications

References 7 publications

Gastrointestinal perforation secondary to accidental ingestion of toothpicks

Gastrointestinal perforation secondary to accidental ingestion of toothpicks

Endoscopic Removal of an Embedded Foreign Body Using Fluoroscopy

A Gastric Magnetic Foreign Body Incidentally Detected Several Years after Ingestion

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