Foreign Body Ingestion: Review and Suggested Guidelines for Management

Henderson, Cynthia T.; Engel, J; Schlesinger, Paul K.

doi:10.1055/s-2007-1018238

Cited by 143 publications

(88 citation statements)

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“…In our state scarfpin (Turban pin) ingestion was common among adolescent girls. "Turban pin aspiration" syndrome was defined in a case by Ucan et al 6 and in adolescent girls by Kaptanoglu et al 7 In our study, females outnumbered males comprising 83.74% of all patients who have ingested foreign bodies. Most of patients were in age group of 6-15 years.…”

Section: Discussionsupporting

confidence: 46%

Accidental ingestion of hairpins in adolescent Muslim girls while doing or undoing the headscarf

et al. 2015

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Section: Discussionsupporting

confidence: 46%

Accidental ingestion of hairpins in adolescent Muslim girls while doing or undoing the headscarf

et al. 2015

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“…About 80%-93% of ingested foreign bodies entering the stomach will be passed through the gastrointestinal tract uneventfully [2] . However, if the ingested foreign bodies are long, narrow, sharp such as toothpicks, the incidence of perforation could be as high as 15%-35% [3] .…”

Section: Discussionmentioning

confidence: 99%

Toothpick impaction with sigmoid colon pseudodiverticulum formation successfully treated with colonoscopy

Chung

Chung²,

Moon³

et al. 2008

WJG

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Foreign bodies in the colon are encountered with i n c re a s in g fre q uency, but only sporadic reports concerning their management have appeared in the literature. While most ingested foreign bodies usually pass through the gastrointestinal tract uneventfully, sharp foreign bodies such as toothpicks infrequently cause intestinal perforation and may even result in death. We report our experience with a patient with a sigmoid colon pseudodiverticulum formation, a complication of accidental ingestion of a toothpick that was diagnosed and successfully managed colonoscopically.

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“…Once the foreign body passes the esophagogastric junction into the stomach, it will usually pass through the pylorus 10 ; however, surgical removal is indicated if the foreign body has sharp points or if it remains in one location for more than 4 to 5 days especially in the presence of symptoms. A decision should be based on the nature of the foreign body in those cases, as to whether a corrosive or toxic metal in ingested.…”

Section: Risk Factorsmentioning

confidence: 99%

“…10 The algorithm took into account the size of the ingested foreign body and existence of chronic intestinal disease. We suggest a modification be made to the algorithm to account for magnetic objects (Figure 3).…”

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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Foreign Body Ingestion: Review and Suggested Guidelines for Management

Cited by 143 publications

References 0 publications

Accidental ingestion of hairpins in adolescent Muslim girls while doing or undoing the headscarf

Accidental ingestion of hairpins in adolescent Muslim girls while doing or undoing the headscarf

Toothpick impaction with sigmoid colon pseudodiverticulum formation successfully treated with colonoscopy

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

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