Foreign Body Ingestions in the Emergency Department: Case Reports and Review of Treatment

Blaho, Kari; Merigian, Kevin S.; Winbery, Stephen; Park, Lynda J.; Cockrell, Mike

doi:10.1016/s0736-4679(97)00229-1

Cited by 93 publications

(79 citation statements)

References 11 publications

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“…We had to remove the foreign body by surgery. In previous studies, long items such as forks or spoons, longer than 6-10 cm, have been unable to pass through the duodenal sweep [5,6] . A Medline search indicated that other swallowed spoons have been found only in the esophagus and stomach.…”

Section: Discussionmentioning

confidence: 92%

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Travel of a mis-swallowed long spoon to the jejunum

Song

Guo²,

Wu³

2009

WJG

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Foreign-body ingestion is a relatively common presentation at emergency departments, but long metallic spoon swallowing is an infrequent occurrence. Unlike most cases of foreign-body ingestion, there have been no reported cases of long foreign bodies reaching the jejunum. We report a rare case of a coffee spoon that was swallowed accidentally and passed through the pylorus and duodenal loop and reached the jejunum, with no complications.

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Section: Discussionmentioning

confidence: 92%

“…However, 10%-20% require nonoperative intervention, and ≤ 1% require surgery [3,5,6] . Foreign bodies may cause serious complications such as impaction, obstruction, or perforation of the digestive or respiratory tracts.…”

Section: Discussionmentioning

confidence: 99%

Travel of a mis-swallowed long spoon to the jejunum

Song

Guo²,

Wu³

2009

WJG

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“…In adults it can be accidental ingestion of an ill-fitting partial denture, under alcohol intoxication or in a patient with psychiatric illness or mental retardation. 12,13 The common age group in children where FB ingestion is common is between 6 months and 6 years. Patients can present with foreign body sensation, drooling, respiratory distress due to tracheal compression, vomiting and dysphagia, depending on the location and nature of foreign body.…”

Section: Discussionmentioning

confidence: 99%

Foreign bodies in the oesophagus - surgery for failed endoscopic retrieval

2016

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“…However, in adults, IFB was found to be intentional in the majority of cases, with patients having underlying psychiatric disorders or imprisoned status. 3,[9][10][11] The type of IFB was associated with the patient's age, social status, and dietary habits. Children often ingested coins and toys during play, while adults usually consumed food materials that were difficult to swallow.…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis and Proper Management of the Patients Visited ER Due to Ingested Foreign Body: Single Center Experience

Park

Choi

et al. 2014

J Minim Invasive Surg

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Purpose:The conventional treatm ent for ingested foreign bodies (IFB) is rem oval, w hich is successful in m ost cases. How ever, it can be associated w ith severe com plications, such as gastrointestinal tract perforation, and require em ergency surgery. The aim of this study is to analyze clinical data relating to IFB and to develop a proper m anagem ent plan to reduce the incidence of severe com plications.Methods: Betw een Septem ber 2001 and Septem ber 2009, 117 patients visited the em ergency room com plaining of IFB. Am ong these patients, 29 w ere diagnosed w ith bezoar and were excluded from the study. Medical data for the rem aining 88 patients w as review ed retrospectively. For statistical analysis, the foreign bodies (FB) w ere classified into three subgroups according to their shape (round, sharp, and am orphous).Results: The m edian age of patients w ith IFB w as seven years, and the m ale-to-fem ale ratio was 1.3:1. Many of these patients w ere preschool children under the age of seven w ho had accidentally sw allow ed FB (56 cases, 63.6% ). The m ost com m on sym ptom presented am ong the patients was FB sensation (18 cases, 21% ). The results of subgroup analysis show ed no significant relation betw een the shape of the FB and the treatm ent m odality. Spontaneous passage w as observed in 21 cases (23.9% ). O therw ise, endoscopic rem oval was perform ed successfully in 61.4% of cases, and 13 patients required em ergency operations (14.8% ). Conclusion:Early diagnosis and a prom pt approach are significant in the successful treatm ent of IFB. Endoscopic or surgical procedures are som etim es required, particularly in cases w here com plications are suspected.

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Foreign Body Ingestions in the Emergency Department: Case Reports and Review of Treatment

Cited by 93 publications

References 11 publications

Travel of a mis-swallowed long spoon to the jejunum

Travel of a mis-swallowed long spoon to the jejunum

Foreign bodies in the oesophagus - surgery for failed endoscopic retrieval

Clinical Analysis and Proper Management of the Patients Visited ER Due to Ingested Foreign Body: Single Center Experience

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