Predictive factors for complications associated with penetrated fish bones outside the upper gastrointestinal tract

Chen, Qingguo; Chu, Hanqi; Tong, Ting; Tao, Yanling; Zhou, Liangqiang; Jin, Chen; Liu, Yun; Peng, Lingli

doi:10.1007/s00405-018-5242-7

Cited by 6 publications

(5 citation statements)

References 18 publications

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“…known diagnostic and treatment modality for suspected FB ingestion since it reduces the need for surgery and makes it possible to diagnose other diseases at the same time [6,7].…”

Section: Case Presentationmentioning

confidence: 99%

“…Swallowed sharp foreign objects cause 15–35% of intestinal perforations and should be removed, especially if found in the esophagus or stomach [ 5 ]. Endoscopy is a well-known diagnostic and treatment modality for suspected FB ingestion since it reduces the need for surgery and makes it possible to diagnose other diseases at the same time [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Accidental Sewing Pin Ingestion by a Tailor: A Case Report and Literature Review

Stojkovic,

Bjelakovic,

Stojkovic Lalosevic

et al. 2023

Medicina

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Foreign body ingestion is a frequently encountered emergency in healthcare institutions. It mostly affects pediatric populations, although it can also affect adults with developmental delays, those with psychiatric diseases, drug abusers, and prisoners. Endoscopy is a diagnostic and treatment method for suspected foreign body ingestion. In this article, we discuss a 45-year-old tailor who swallowed a sewing pin while at work. The abdominal X-ray showed a needle-shaped metal shadow in the stomach region. During an upper endoscopy, it was discovered that a sewing pin with a sharp edge was stuck in the pylorus. The sewing pin was extracted endoscopically, and the patient was discharged the same day in good condition. Since the estimated risk of complications of foreign body ingestion in the adult population is about 35%, and the most common complications include impaction, laceration, bleeding, or perforation of the gastrointestinal wall, endoscopic or surgical removal is necessary. This also emphasizes the importance of a careful endoscopic evaluation of some at-risk occupations for foreign body ingestion with or without gastrointestinal complaints.

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“…known diagnostic and treatment modality for suspected FB ingestion since it reduces the need for surgery and makes it possible to diagnose other diseases at the same time [6,7].…”

Section: Case Presentationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Accidental Sewing Pin Ingestion by a Tailor: A Case Report and Literature Review

Stojkovic,

Bjelakovic,

Stojkovic Lalosevic

et al. 2023

Medicina

View full text Add to dashboard Cite

show abstract

“…The majority of ingested FBs (80-90%) pass through the GI tract spontaneously andonly 10-20% require endoscopic intervention and <1% need surgery (6)(7)(8)(9). Endoscopy has become the preferred choice to remove FBs not only because it avoids the need for surgery, but because it uses conveniently accessible technical devices and advanced visualization, may simultaneously diagnosis Original Article other diseases, and is cost efficient in comparison to other methods (10)(11)(12). However, FBs may not be discovered in every procedure (13,14) and the detection rate may be as low as 75%.…”

Section: Introductionmentioning

confidence: 99%

“…According to a previous study (18), an average of 1,500 people died from FBs ingestion each year in the United States. Moreover, most researchers agree that the types, sizes, and the duration of impaction were considered as risk factors linked with complications (12,19,20). This retrospective study aimed to identify factors correlated to the presence of FBs as well as complications associated with their presence and removal, such that timely and appropriate treatments may be applied for patients with FB ingestion.…”

Section: Introductionmentioning

confidence: 99%

The removal of foreign body ingestion in the upper gastrointestinal tract: a retrospective study of 1,182 adult cases

Wang¹,

Su²,

Chen³

et al. 2021

Ann Transl Med

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Background: Foreign body (FB) ingestion in the gastrointestinal tract is a common and urgent problem observed in children and adults. However, there may be difficulty locating FBs and complications associated with their removal. This study aimed to identify risk factors and complications correlated to the presence and removal of FBs.Methods: This 5-year retrospective study enrolled 1,311 patients between June 2014 and April 2019.Demographic and endoscopic data were collected, containing age, gender, types and location of FBs, duration of FB ingestion, accessory devices, endoscopic methods, and complications. Logistic regression analysis was applied to evaluate the predictive risk factors.Results: Among 1,131 patients, FBs were found in 90.16% of cases. A major predictor for the presence of FB was a presentation of less than 24 hours (h). The types of FBs were jujube pits (36.72%) and fish bones (22.00%), and over 80% of the FBs were discovered in the esophagus. Complications were found in 239 cases (20.22%), of which hemorrhage (162/239, 67.78%) was the most frequent. Age ≥60, duration ≥24 h, and FBs ingested in the esophagus were considered as risk factors for developing complications. Conclusions:In conclusion, the longer duration, age ≥60, and impaction in the esophagus were risk factors for developing complications following the ingestion of FBs. These factors should be considered when developing assessment and treatment plans in the management of FB ingestion.

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“…[ 1 ] Rarely, the sharp and irregularly shaped fish bones can pierce through the mucosa to migrate into the surrounding soft tissue, leading to unprecedented morbidity. [ 2 ] Such extraluminal migrated foreign bodies often mandate a transcervical approach for extraction, which imparts higher surgical morbidity than that of the endoscopic approach. [ 2 3 ] In order to overcome these shortcomings, we used a minimally invasive transcervical approach to retrieve a retropharyngeal fish bone, the details of which have been narrated in this case report.…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive approach for retrieval of retropharyngeal foreign body

Devaraja

Pillai

Pujary

2021

Journal of Minimal Access Surgery

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Ingested fish bone at times can migrate extraluminally into the surrounding soft tissue, leading to complications. Conventionally, these migrated fish bones are retrieved by open procedures, which could add to the morbidity. We successfully retrieved one such foreign body by a minimally invasive transcervical approach in a 64-year-old female patient. The method offered an easy identification of the foreign body with minimal soft-tissue dissection, which ultimately aided in the early post-operative recovery. This is the first report of a minimally invasive approach to explore the retropharyngeal space, and we propose the technique even for sampling retropharyngeal lymph node.

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Predictive factors for complications associated with penetrated fish bones outside the upper gastrointestinal tract

Cited by 6 publications

References 18 publications

Accidental Sewing Pin Ingestion by a Tailor: A Case Report and Literature Review

Accidental Sewing Pin Ingestion by a Tailor: A Case Report and Literature Review

The removal of foreign body ingestion in the upper gastrointestinal tract: a retrospective study of 1,182 adult cases

Minimally invasive approach for retrieval of retropharyngeal foreign body

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