Gastroscopic Removal of a Phytobezoar

McKechnie, John C.

doi:10.1016/s0016-5085(72)80123-9

Cited by 71 publications

(35 citation statements)

References 11 publications

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“…Since the first report on the removal of foreign bodies with a flexible endoscope in 1972 [18], there has been increasing use of this method, thanks to several advantages such as avoiding the need for general anesthesia in the majority of adults, reducing the costs of the procedure, technical facility, excellent visualization, the ability to remove FBs even from the duodenum, incidental diagnosis of other diseases, and a low rate of morbidity [19]. It has clearly become the diagnostic and therapeutic method of choice in true upper GI FBs in both the pediatric and adult population.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract in South China: A Retrospective Study of 561 Cases

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract in South China: A Retrospective Study of 561 Cases

et al. 2009

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“…The most typical compositions of bezoars include hair (as seen in trichophagia), vegetable fibers, or, interestingly, persimmon fruit. Bezoars are uncommon and estimated to occur in about 0.4% of the general population [5]. At least 80% of ingested foreign objects are passed spontaneously through the gastrointestinal tract without complication [3].…”

Section: Discussionmentioning

confidence: 99%

Rare Appendicitis-Like Syndrome: The Case of the Obstructing Broccoli

Jones

Narh-Martey

Patel

et al. 2014

Case Reports in Medicine

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The diagnosis of acute appendicitis can be somewhat obscure in a patient that presents with right lower quadrant abdominal pain. The advancement and ease of imaging have made CT scanning readily available in the emergency department. Management can be challenging when the patient has a high likelihood of appendicitis based on clinical suspicion and negative CT scan. The purpose of this case report is to demonstrate how an obstructing bezoar caused an appendicitis-like syndrome in a patient with negative CT scan and clinical diagnosis of acute appendicitis. This case report will discuss the appendicitis-like syndrome of an obstructing bezoar and an approach at management.

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“…The first endoscopic removal of an esophageal foreign body was reported in 1972 by McKechnie [1]. Since then, the uses of both rigid and flexible endoscopy have gained increasing popularity and have been deemed safe and effective [2].…”

Section: Discussionmentioning

confidence: 99%

The Man Who Swallowed a Table Knife: A Case Report

et al. 2010

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A 31-year-old male presented with acute foreign-body ingestion. He reported swallowing a table knife 2 h prior to his arrival. He had a history of post-traumatic stress disorder and multiple prior foreign-body ingestions requiring endoscopic and surgical extraction. Previous ingestions included pens and a mechanical pencil. He appeared in no acute distress. His physical exam was unremarkable other than for multiple well-healed abdominal incisions. A rectal exam was performed, and the patient's stool found to be heme-occult negative.Chest X-ray (Figs 1 and 2) revealed a metallic knife at the gastroesophageal junction with the handle oriented inferiorly. Emergent esophagogastroduodenoscopy was performed under general anesthesia with overtube insertion. A table knife was identified in the mid-esophagus. It was grasped with a snare and then drawn into the overtube. The scope and overtube were then carefully withdrawn. The snare slipped off the knife, leaving the knife partially in the proximal esophagus and posterior pharynx. The anesthetists removed the knife with a laryngoscope and McGill forceps. After removal of the knife, the endoscope was reintroduced for careful examination. There was minimal trauma to the esophagus in the location where the knife was removed. There was no active bleeding at any time throughout the procedure. Post-extraction, the table knife was measured to be 21 cm in length.

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Gastroscopic Removal of a Phytobezoar

Cited by 71 publications

References 11 publications

Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract in South China: A Retrospective Study of 561 Cases

Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract in South China: A Retrospective Study of 561 Cases

Rare Appendicitis-Like Syndrome: The Case of the Obstructing Broccoli

The Man Who Swallowed a Table Knife: A Case Report

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