Laparoscopic retrieval of two intragastric spoons at least seven years after ingestion

Shamim, Adeel Ahmed; Zuberi, Muhammad Maaz; Shariff, Amir Hafeez

doi:10.1016/j.lers.2019.06.002

Cited by 2 publications

(3 citation statements)

References 20 publications

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“…These similar findings are consistent with other gender distribution reports related to FB ingestion a research study showed slightly male predominance. [3,4] It is largely acknowledged that the high prevalence of FB ingestion is identified in children because of their exploratory habits despite involving the gender difference between males and females. [12] The majority of this study's participants were represented from the district where this study setting is located.…”

Section: Discussionmentioning

confidence: 99%

“…[1,3] According to a recent research study, 80%-90% of particles were passed naturally through the GI tract without causing any complications while 10%-20% were removed by endoscopic procedures and there was only 1% required open surgery. [4] Because in some ingested phenomena, a foreign body cannot easily move through the part of the GI tract such as the pylorus, stomach, duodenum, and ileocecal valve. [2,5] The common type of swallowed FBs is radiopaque including coins, screws, tiny magnets, safety pins, nails, plastic buttons, and button batteries though the radiolucent object like food particle impaction is to be considered in the ingested management.…”

Section: Introductionmentioning

confidence: 99%

“…[2,5] The common type of swallowed FBs is radiopaque including coins, screws, tiny magnets, safety pins, nails, plastic buttons, and button batteries though the radiolucent object like food particle impaction is to be considered in the ingested management. [4] The digestive tract FBs are frequently asymptomatic and ingestion likely mimics other conditions such as cough, vomiting, sore throat, and chest discomfort or abdominal pain. [6] The clinical diagnosis of FB ingestion in children is often challenging because children are unable to express the incidents and clinicians should not rely on it.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A non-invasive novel approach for managing digestive tract foreign body ingestion in children

Balasubramaniam

Abeygunasekara

Arunasalam

et al. 2022

KPJ

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Objectives: The phenomenon of foreign body ingestion (FB) is considered a common scenario in children’s tertiary care clinical settings. This study aimed to assess the sociodemographic factors of ingested FB, and its details and find the efficient clinical outcomes of a novel non-invasive interventional approach for removing FB in children. Material and Methods: This was a prospective study of 55 patients in a tertiary care centre, Sri Lanka for 1 year from 2019. The univariate, bivariate analysis, and the Chi-squared test were used to check the relationship between two categorical variables as this study dataset comprises more than 50 observations, where 5% was used as the significance level. Results: This study’s mean age was 5.18 ± 3.1 years and the median 5 years. The higher number of ingested FB was metal (88.5%) among this coin (33.3%) recorded the highest contribution and round shape was 62% whereas the ratio between sharp edge and none sharp edge was 1:4. A greater number of children both males (58.3%) and females (30.6%) were managed spontaneously to pass the FB through stool while vomiting (2.78%) was observed only in males. In comparison, the endoscopy removal cases were female (5.56%) and their mean age was 7.7 years. Conclusion: There are a number of studies that claim that the management of FB ingestion relatively depends on children’s age, developmental stage, the type of the ingested object, and clinical presentation. However, our study contends that the majority of FB ingestion can be moved spontaneously through stool by applying the noninvasive therapeutic approach without causing clinical complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A non-invasive novel approach for managing digestive tract foreign body ingestion in children

Balasubramaniam

Abeygunasekara

Arunasalam

et al. 2022

KPJ

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Swallowed Metallic Spoon Causing Doudeno-Jejunal Junction Perforation in a 13-Year-Old Child: Case Report

Alemu¹,

Bayileyegn²,

Berhane³

2021

IMCRJ

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Background: A child swallowing a long metallic spoon is an extremely rare phenomenon. Foreign bodies longer than 6 cm are unlikely to pass through the gastrointestinal tract spontaneously and require endoscopic or surgical removal in order to avoid associated complications, such as visceral perforations. Case Details: A 13-year-old child presented with accidental swallowing of a metallic spoon 10 days prior to hospital admission. He had history of loss of appetite, epigastric and left upper quadrant abdominal pain and started to have high grade intermittent fever 11 days after swallowing the spoon. A plain abdominal radiograph revealed a metallic spoon in the midabdomen. An exploratory laparotomy revealed an 11 cm long metallic spoon impacted at the duodeno-jejunal junction with walled off perforation and erosion of the mesentery of the colon. The metallic spoon was removed and the perforated site was repaired. The surgery was smooth and the patient recovered fully and was discharged seven days post-operation. Conclusion: A swallowed long metallic spoon is unlikely to pass spontaneously and should be removed as soon as possible in order to avoid associated complications like impaction, perforation and subsequent peritonitis.

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Laparoscopic retrieval of two intragastric spoons at least seven years after ingestion

Cited by 2 publications

References 20 publications

A non-invasive novel approach for managing digestive tract foreign body ingestion in children

A non-invasive novel approach for managing digestive tract foreign body ingestion in children

Swallowed Metallic Spoon Causing Doudeno-Jejunal Junction Perforation in a 13-Year-Old Child: Case Report

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