Role of Sonography for Evaluation of Gastrointestinal Foreign Bodies

Hosokawa, Takahiro; Yamada, Yoshitake; Sato, Yumiko; Tanami, Yutaka; Nanbu, Ryosuke; Hagiwara, Shin; Oguma, Eiji

doi:10.7863/ultra.16.01042

Cited by 24 publications

(16 citation statements)

References 21 publications

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“…However, recently, PVG was de-tected in not only pediatric patients with life-threatening conditions, such as ischemia or necrotizing enterocolitis (NEC) [1,8,9], but also in those without life-threatening conditions such as patients who received post-hematologic stem cell transplantation, immunosuppressive therapy, chemotherapy and those with bowel inflammation, food allergies and disease or trauma of the hepatobiliary system [9][10][11][12][13][14][15]. exposure or sedation; additionally, it can be readily and repeatedly performed at the patient's bedside [9,21,22].…”

Section: Introductionmentioning

confidence: 99%

Predictors of prognosis in children with portal venous gas detected by ultrasound

Hosokawa¹,

Yamada²,

Tanami³

et al. 2019

Med Ultrason

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Aims: To evaluate ultrasound findings in order to determine potential predictors of prognosis in pediatric patients with portal venous gas (PVG) detected by ultrasound.Materials and methods: Thirty-nine children were included and divided into two groups: benign PVG (n=24) and life-threatening PVG (n=15; 6 surgical interventions and 9 deaths). Possible predictors, i.e., the location of PVG in the liver, the distribution of intestinal pneumatosis, ascites and free air were compared between the two groups.Results: A significant difference was noted between the two groups in terms of the distribution of intestinal pneumatosis (limited to the large bowel, benign vs life-threatening = 60.9% (14/23):21.4% (3/14), p=0.040), the absence of ascites (benign vs life-threatening = 79.1% (19/24):40.0% (6/15), p=0.019) and patient age (benign vs life-threatening = 52.5±65.3 months vs 19.7±44.0 months, p=0.019). No significant difference was observed in the location of PVG in the liver, the presence of free air, and sex between the two groups.Conclusions: In pediatric patients with PVG, including various ages and underlying diseases, intestinal pneumatosis limited to the large bowel and absence of ascites were predictors of a benign prognosis. However, despite the presence of these predictors, some patients with PVG required surgical intervention, therebysuggesting that the cause of PVG, such as necrotizing enterocolitis, volvulus, or pancreatitis, must be also carefully evaluated.

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Section: Introductionmentioning

confidence: 99%

Predictors of prognosis in children with portal venous gas detected by ultrasound

Hosokawa¹,

Yamada²,

Tanami³

et al. 2019

Med Ultrason

Self Cite

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“…These offer less radiation than CT. Radiography is an accessible service and lateral and anteroposterior views are useful when a radiopaque foreign body cannot be located on oropharyngeal examination or flexible nasendoscopy 10. Sonography has been reported for use in paediatric cases for localisation of gastrointestinal foreign bodies 11. CT however is a useful and arguably superior tool, not only for identification of ingested fish bones12 13 but also for assessment of any complications from ingestion, as demonstrated in this case study.…”

Section: Discussionmentioning

confidence: 76%

A migratory shark bone

Mathew

Myuran²,

Ching

2018

BMJ Case Reports

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Fish bone ingestion is a common presentation in ENT. If not managed correctly, it can cause serious complications for the patient and dilemmas for the clinician. A 49-year-old Sri Lankan woman presented to the emergency department following shark bone ingestion with a 'pricking' sensation in her throat. After initial investigation, the bone migrated through to the sternocleidomastoid muscle. After surgical removal of the shark bone she went on to develop a large neck collection, which required surgical drainage. The careful attention to the patient's history and use of imaging facilitated treatment in this case of fish bone ingestion and management of the sequelae.

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“…Although previous studies have not recommended US for detecting ingested foreign bodies due to lack of sufficient evidence [ 3 4 5 ], several studies have reported its usefulness in assessing foreign bodies located in the GI tract [ 2 6 7 ]. US provides real-time imaging with superior temporal and spatial resolutions compared to plain radiography and CT with the precision of the ingested foreign body localization, particularly in young children with small body habitus.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Nonmigrating Metallic Foreign Bodies in the Abdomen Using Ultrasound: An Alternative Approach Using a Traditional Method

Pak

Lee

Hwang

2022

Pediatr Gastroenterol Hepatol Nutr

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Ingestion of foreign bodies (FBs) is a common phenomenon among young children. Plain radiography is the first step diagnostic modality to detect the radio-opaque FBs. And computed tomography has been recommended by several guidelines as useful modalities for diagnosing ingested FBs. However, there is a risk of radiation exposure, making it burdensome to use in asymptomatic patients. Ultrasound (US) is not a commonly used technique for diagnosing ingested foreign bodies. However, US can provide real-time imaging with good resolutions without radiation exposure in pediatric patients. Herein, we report two pediatric cases of metallic foreign body ingestion that were successfully diagnosed using US for localizing foreign bodies. This study indicates that US may be used as an alternative method for detecting the localization of metallic foreign bodies in the gastrointestinal tract without exposure of radiation, particularly in pediatric patients.

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Role of Sonography for Evaluation of Gastrointestinal Foreign Bodies

Cited by 24 publications

References 21 publications

Predictors of prognosis in children with portal venous gas detected by ultrasound

Predictors of prognosis in children with portal venous gas detected by ultrasound

A migratory shark bone

Diagnosis of Nonmigrating Metallic Foreign Bodies in the Abdomen Using Ultrasound: An Alternative Approach Using a Traditional Method

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