Picking up the tab: Gastrointestinal bleeding due to an embedded bread bag clip

Rai, Mandip; Woo, Matthew; Bechara, Robert

doi:10.1111/den.13245

Cited by 5 publications

(4 citation statements)

References 2 publications

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“…Endoscopic foreign body retrieval is an established treatment for accidental ingestion . Although forceps are most frequently used, grasping may be difficult depending on the type and shape of the foreign body.…”

Section: Brief Explanationmentioning

confidence: 99%

Endoscopic retrieval of a button battery using the tip of a magnetic tube

Morita

Yagi

Terai

2019

Digestive Endoscopy

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Section: Brief Explanationmentioning

confidence: 99%

Endoscopic retrieval of a button battery using the tip of a magnetic tube

Morita

Yagi

Terai

2019

Digestive Endoscopy

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“…The European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) both recommend emergency for symptomatic and asymptomatic children (< 2 hours) ,Endoscope removes the BB embedded in the esophagus [11,12] . Endoscopic foreign body forceps removal is an established method for the treatment of esophageal foreign body [13,14] . For intragastric BBs, food debris may make positioning di cult.…”

Section: Introductionmentioning

confidence: 99%

A novel magnetic retrieval system for button battery in upper gastrointestinal

Wang¹,

Shan³

et al. 2022

Preprint

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BACKGROUND: Endoscope can removes the button battery embedded in the esophagus，recommend emergency for symptomatic and asymptomatic children (< 2 hours) , For intragastric button batteries(BB), food debris may make positioning difficult. The smooth disc-shaped button battery allows foreign body forceps to grasp the battery Easy to slip off.Reasons for the delay include limited access to endoscopists, referral to tertiary care institutions, or delayed anesthesia due to gastric tamponade may all cause complications,In view of the extremely short effective treatment time window of the button battery in the upper gastrointestinal tract , this study designed a simple, fast and effective magnetic retrieval system for the button battery of the upper digestive tract. Method: A set of magnetic retrieval system(MRS) for removing the upper digestive tract button battery was designed, including the magnetic retrieval device and the external guide magnet. We verified its feasibility by finite element analysis (FEA) simulation and removed button batteries with MRS in Beagle model. Result: The button battery in the esophagus were all retrieved, No operation-related complications occurred. the retrieval time in the magnet group and endoscopic group was 92.91±82.47 s and 327.64±270.63 s respectively,P=0.012. 4 shifts happened in the endoscopic group during operation, 3 button batteries slipped off the forceps in the endoscopic group,resistance when retrieved was 2.1±1.02 N. The button battery in the stomach was all retrieved , the median time for magnetic aggregation using a guide magnet is 87s (70-135s), the median retrieved time was 21s (19-35s), and the resistance during the retrieved was 1.98N (1.67-2.4N). Conclusion: we designed a novel magnetic retrieval system in this study. The MRS has a short magnetic retrieval time, is safe,cheapness and easy to operate, We suggest that the MRS could be used for the retrieval of BB during children ingestion button batteries.

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“…All perforations required laparotomy and bowel resection apart from 3 cases; a thoracotomy for oesophageal perforation and two patients were directly palliated 9–20 . While the case numbers are few, the associated significant morbidity has led to recommendations to immediately remove the clips if accessible endoscopically; with several cases documenting successful retrieval 10,21–29 …”

mentioning

confidence: 99%

“…[9][10][11][12][13][14][15][16][17][18][19][20] While the case numbers are few, the associated significant morbidity has led to recommendations to immediately remove the clips if accessible endoscopically; with several cases documenting successful retrieval. 10,[21][22][23][24][25][26][27][28][29] Of the people who ingest these clips, a surprisingly large proportion (20%) consists of healthy adult males who allegedly ate their meals too quickly. 9,12,14,17,22,25,26,30,31 That being said, the vast majority of cases are either elderly, edentulous, intoxicated, visually or cognitively impared.…”

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confidence: 99%

Replacing plastic bread clips with cardboard will prevent bowel perforation

Andersen

Yuide

2022

ANZ Journal of Surgery

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Plastic bread clips cause significant morbidity and mortality if accidentally ingested. A review of all existing case reports published in medical literature was conducted in PubMed, MedLine and Google Scholar. Key words included but was not limited to; clip, tag, tab, closure, kwik lok, bread, bag, ingestion, bowel, obstruction, perforation, plastic and foreign body. References of all the articles were sought out to ensure completeness. Fifty-six cases between 1975 and 2020 were analysed to understand the complications and the characteristics of the bread clip that caused these. About 28% of case reports described bowel perforation, with 61% of these occurring in the small bowel. Plastic bread clips are firm in nature, long lasting, and are shaped to grasp onto bowel, thus leading to these complications. Commercially available alternatives are introduced in order to encourage replacing plastic bread clips worldwide.

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Picking up the tab: Gastrointestinal bleeding due to an embedded bread bag clip

Abstract: https://onlinelibrary.wiley.com/page/journal/14431661/den13245-sup-0001-vids1.htm a video of this article

Cited by 5 publications

References 2 publications

Endoscopic retrieval of a button battery using the tip of a magnetic tube

Endoscopic retrieval of a button battery using the tip of a magnetic tube

A novel magnetic retrieval system for button battery in upper gastrointestinal

Replacing plastic bread clips with cardboard will prevent bowel perforation

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