Upper gastrointestinal foreign bodies in adults: A systematic review

Wang, Xinyue; Zhao, Jie; Yang, Jiao; Wang, Xinglei; Jiang, Duyin

doi:10.1016/j.ajem.2021.07.048

Cited by 18 publications

(25 citation statements)

References 57 publications

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“…Upper gastrointestinal (GI) bleeding is a severe acute disease associated with four main causes, namely, esophageal variceal bleeding, peptic ulcer (PU) bleeding, gastric cancer bleeding and acute erosive hemorrhagic gastritis, and prompt diagnosis and treatment are mandatory [ 1 , 2 ]. In adults, a fish bone is the most common food-related foreign body [ 3 , 4 ]. A fish bone can unfortunately pierce the left subclavian artery (LSA) and cause a pseudoaneurysm in rare cases, resulting in an LSA esophageal fistula [ 3 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

An extremely dangerous case of acute massive upper gastrointestinal bleeding: a case report

Chen

Tuo

et al. 2022

BMC Gastroenterol

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Background Upper gastrointestinal (GI) bleeding is a severe acute disease of gastroenterology department. Fish bone is the most common food-related foreign body. However, fish bone piercing the esophagus, causing the mediastinal abscess that corroded the left subclavian artery, resulting delayed but high-risk massive upper gastrointestinal bleeding is very rare. Case presentation We report a 54-year-old man who was diagnosed with delayed but high-risk massive upper GI bleeding that was the result of a fish bone piercing the esophagus, causing a mediastinal abscess that corroded the left subclavian artery. He was saved effectively by early and timely multidisciplinary collaboration. Conclusion A fish bone-caused mediastinal abscess that corrodes the left subclavian artery and induces delayed but high-risk massive upper GI bleeding is very rare. In addition to routine consideration of upper GI bleeding, medical history, endoscopy and CT are helpful for achieving a diagnosis. Importantly, early and timely multidisciplinary collaboration can effectively save critically ill patients.

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Section: Introductionmentioning

confidence: 99%

An extremely dangerous case of acute massive upper gastrointestinal bleeding: a case report

Chen

Tuo

et al. 2022

BMC Gastroenterol

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“…Ingestion of foreign bodies can occur either accidentally or deliberately. It has been estimated that while up to 80% of ingested foreign bodies pass through the gastrointestinal tract spontaneously, 10%-20% necessitate endoscopic removal and less than 1% need surgical treatment [1] . Complications can occur in up to 5% of patients [1] and include laceration, perforation, bleeding, migration, obstruction, fistulization and abscess formation.…”

Section: Introductionmentioning

confidence: 99%

“…It has been estimated that while up to 80% of ingested foreign bodies pass through the gastrointestinal tract spontaneously, 10%-20% necessitate endoscopic removal and less than 1% need surgical treatment [1] . Complications can occur in up to 5% of patients [1] and include laceration, perforation, bleeding, migration, obstruction, fistulization and abscess formation. Foreign bodies migrating from the gastrointestinal tract to the liver are rare and when reported, they usually consist of fish or chicken bones, needles and toothpicks [2] .…”

Section: Introductionmentioning

confidence: 99%

A pen in the liver

Barrie

Lobo

2022

Radiology Case Reports

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“…The esophagus is the most common location in the gastrointestinal (GI) tract for FB obstructions and accounts for 57% to 75% of all impactions [ 5 , 6 ]. The cervical esophagus appears to be especially susceptible to FB impaction, possibly because the narrowest point of the GI tract is the cricopharyngeal sphincter, which is approximately 14 mm in diameter [ 7 , 8 ]. Esophageal impaction of FB requires prompt diagnosis and treatment because improper management may result in additional severe complications to patients.…”

Section: Introductionmentioning

confidence: 99%

“…Of utmost importance is to determine the nature and precise location of the FB, the time passed since it was swallowed, and the likelihood of associated complications such as complete obstruction or perforation [ 7 ]. Patients who manifest clinical evidence of a rapidly worsening esophageal occlusion or who have ingested a sharp or pointed object require an emergent treatment due to the steeply increased risk of complications and exitus [ 8 ]. Although over 80% of FBs can pass through the GI tract spontaneously without intervention, 10–20% of FBs need to be removed by endoscopy and less than 1% have to be treated surgically [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Dental Prosthesis in Esophagus: A Right Cervicotomic Approach

Zanchetta

Monti

Latham

et al. 2022

Life

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Foreign body ingestion in the upper digestive tract is a relatively common emergency. Less than 1% have to be treated surgically. We report the case of a 68-year-old man who ingested a dental prosthesis, probably during a seizure, and thus unknowingly, and presented two days later to the emergency department complaining of a mild dysphagia. A chest radiograph showed the presence of a removable dental prosthesis in the upper esophageal tract. The patient was brought to the operating room where a multidisciplinary equipe was assembled. Two attempts of retrieval with a flexible and a rigid endoscope failed because the removable dental prosthesis was stuck in the right pyriform sinus. Therefore, the surgeon performed an uncommon right cervicotomy and retrieved the foreign body through a right-side esophagotomy. The surgical approach depends on the nature and location of the foreign body. Urgent treatment is required whenever the patient develops dyspnea or dysphagia because of the high risk of inhalation and asphyxia. Removal of any esophageal foreign body has to be performed within 12–24 h. Repeated attempts to retrieve large dental prosthesis using an endoscope may result in esophageal perforation therefore when such risk of complication is too high, a surgical approach becomes inevitable. In our opinion, surgery remains the extrema ratio after a failed endoscopic retrieval attempt but can be lifesaving despite high risk of complications.

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Upper gastrointestinal foreign bodies in adults: A systematic review

Cited by 18 publications

References 57 publications

An extremely dangerous case of acute massive upper gastrointestinal bleeding: a case report

An extremely dangerous case of acute massive upper gastrointestinal bleeding: a case report

A pen in the liver

Dental Prosthesis in Esophagus: A Right Cervicotomic Approach

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