Intestinal perforation secondary to ingested foreign bodies: a single-center experience with 38 cases

Lin, Xiaokun; Wu, Dazhou; Lin, Xiangmin; Zheng, Na

doi:10.1007/s00383-017-4075-6

Cited by 12 publications

(14 citation statements)

References 16 publications

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“…Besides, among Muslims, the risk of accidentally swallowing needles is more common in veiled women and we report two cases in this study. Foreign bodies' perforations of the gastro intestinal tract have been reported in all segments, although it tends to occur at angulating regions (7,16). The terminal ileum is the most common region where perforations occur (6), this observation corroborate with our ndings.…”

Section: Discussionsupporting

confidence: 90%

Gastrointestinal Perforation by Ingested Foreign Bodies: Experience at A Surgical Department in Tunisia

Mejri

Trigui

saad

et al. 2021

Preprint

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Background Management of gastrointestinal perforation by ingested foreign bodies remains a topical subject following technological progress. This work aims to analyze, the epidemiological features, the management in a Tunisian surgical department and to access the most realistic and beneficial management of gastrointestinal perforation by ingested foreign bodies in a low-income country, where there is a paucity of information regarding this subject Methods This is a retrospective review of 24 patients with gastrointestinal perforation by ingested foreign bodies treated in the General Surgery department of Jendouba Hospital in Tunisia from January 2010 to December 2019. Results 24 patients with gastrointestinal tract perforation by an ingested foreign body were managed at our surgical ward. The mean age of patients was 56.58 years with extreme ranging 25-72 years with a male to female ratio 2/1. Three patients (12.5%) had psychiatric disorder, one had myasthenia (4.1%), two patients were alcoholics (8.33%), three patients were toothless (12.5%) and two (8.33%) patients were veiled. According to ASA classification, 6 (25%) patients were ASA I, 15 (62.5%) patients ASA II, 3 (12.5%) ASA III. The mean duration of symptoms was 2.16 days and ranges from 1 to 7 days. All patients (100%) presented to the emergency department with acute abdominal pain. Sixteen patients (66.66%) had a fever, twelve (50%) had vomiting and four (16.66%) had a sub-occlusive syndrome. All patients had performed abdominal x-ray. The foreign bodies were objectified in only six cases (25%). CT scan was performed in 16 (66.66%) patients and the location of ingested foreign bodies was obtained in 9 patients preoperatively (37.5%) and in 4 patients (16.66%) after proofreading. All the 24 patients underwent surgery and they were operated during their initial hospital stay. The most common site of perforation was the terminal ileum (62,5%) followed by the duodenum (12, 5%). Enterectomy was the procedure of choice in 20 patients (16 underwent an enterostomy and 4 patients underwent an enteroanastomosis) and four patients had a simple suture. The foreign body was found in all patients. Two patients developed postoperative complications: one case of intraabdominal abscess and one patient had a wound dehiscence . The median length of hospital stay following surgery was 4.08 days (range 2-7 days). The mortality rate was 4.16 %. All patients managed with enterostomy, had their stoma closed after 3-5 months. Conclusion Open Surgery still remains a management with satisfactory morbidity, mortality and length of hospital stay. However, we estimate that for low/middle-income countries, investing in laparoscopy, for these cases, would be more realistic and more beneficial allowing improving more the outcomes. For this fact, promoting radiologic diagnosis is highly recommended in order to increase prospective identification of the foreign body location and perforation site, allowing a safe laparoscopic approach.

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Section: Discussionsupporting

confidence: 90%

Gastrointestinal Perforation by Ingested Foreign Bodies: Experience at A Surgical Department in Tunisia

Mejri

Trigui

saad

et al. 2021

Preprint

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“…Nuts and seeds are found to be the objects most frequently ingested by children, particularly those younger than 3 years of age. Intestinal perforation is typically caused by ingested FBs that are sharp and elongated, such as nuts, fish bone and toothpicks, which can easily pierce the intestine . Moreover, multiple ingested magnets can lead to ischemia and necrosis of the bowel wall .…”

Section: Discussionmentioning

confidence: 99%

“…However, despite the severity of this type of injury, the availability of high‐quality evidence on FB injuries is lacking . Furthermore, most studies are concerned with FB aspiration and ingestion, and few studies have investigated FBs in the genitourinary tract, which are rare in pre‐schoolers. To improve the clinical management of children with FB injuries and reduce the risk of complications, we reviewed a series of 78 paediatric patients with FB injuries who were treated surgically at our institution over the last 10 years.…”

mentioning

confidence: 99%

Injuries due to foreign body ingestion and insertion in children: 10 years of experience at a single institution

Shao

Shen

Hong

et al. 2019

J Paediatrics Child Health

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Aim: Foreign body (FB) injuries represent a severe public health problem during childhood. The aim of this study was to report our experience with patients with injuries due to FB ingestion and insertion who were treated surgically at our institution. Methods: A total of 78 paediatric patients who were hospitalised for FB injuries were retrospectively reviewed. Results: The series was composed of 27 males and 51 females, with a median age of 3.6 years. The cases included 35 cases of FB ingestion and 43 cases of FB insertion, including 40 cases with a vaginal insertion, 2 cases with a rectal insertion and 1 case with a urethra insertion. Intestinal perforation (n = 26) was a more common complication than intestinal obstruction (n = 9) in patients who had ingested a FB. The main clinical symptom was persistent vaginal discharge, followed by vaginal bleeding for patients with a vaginal FB insertion. Exploratory laparotomy was performed on 36 patients, while a laparoscopic approach was employed in 1 patient. Forty patients underwent hysteroscopy and one patient underwent cystotomy to remove the FB. All FBs were successfully removed. Of the 78 FBs recovered, 26 were food objects, while non-food objects were found in 52 patients. All patients recovered well, except one patient with an intestinal obstruction from adhesions that occurred approximately 1 month after discharge. Conclusions: Early recognition of FB injuries and appropriate management can significantly reduce complications. Surgical removal of a FB can be safe and effective, and relatively better outcomes can be achieved.What is already known on this topic 1 Foreign body (FB) injuries represent a severe public health problem during childhood. 2 Some FB injuries have an unclear history and non-specific clinical presentation, resulting in a delay in diagnosis.

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“…Após a passagem da junção esofagogástrica, os pontos mais comuns de impactação e perfuração de objetos se relacionam às angulações anatômicas e demais estreitamentos. Dessa forma, é comum observar CEs perfurando o íleo terminal, transição retossigmoide, divertículos e estenoses (SPITZ, 1971;GOH et al, 2006;LIN et al, 2017). Bem como, estreitamentos por distorções anatômicas causados por herniações do TGI favorecendo a impactação de CE, seguida de ulceração e perfuração visceral (TAY et al, 20131).…”

Section: Discussionunclassified

A Influência Do Ph No Processo De Cicatrização De Feridas

Farias¹,

Oliveira²,

Pires³

et al. 2021

Medicina: Aspectos Epidemiológicos, Clínicos E Estratégicos De Tratamento 4

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Direitos para esta edição cedidos à Atena Editora pelos autores. Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição-Não-Comercial-NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0).O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais. Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação com base em critérios de neutralidade e imparcialidade acadêmica.A Atena Editora é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação, evitando plágio, dados ou resultados fraudulentos e impedindo que interesses financeiros comprometam os padrões éticos da publicação. Situações suspeitas de má conduta científica serão investigadas sob o mais alto padrão de rigor acadêmico e ético.

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Intestinal perforation secondary to ingested foreign bodies: a single-center experience with 38 cases

Abstract: Clinical performance of intestinal perforation secondary to FBs in children is atypical. Most perforations occur in the small intestine. Primary perforation repair is safe and effective, and better outcomes can be achieved.

Cited by 12 publications

References 16 publications

Gastrointestinal Perforation by Ingested Foreign Bodies: Experience at A Surgical Department in Tunisia

Gastrointestinal Perforation by Ingested Foreign Bodies: Experience at A Surgical Department in Tunisia

Injuries due to foreign body ingestion and insertion in children: 10 years of experience at a single institution

A Influência Do Ph No Processo De Cicatrização De Feridas

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