Upper GI foreign body

Conway, William G.; Sugawa, Choichi; Ono, Hiromi; Lucas, Charles E.

doi:10.1007/s00464-006-9004-z

Cited by 71 publications

(14 citation statements)

References 10 publications

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“…However, foreign objects longer than 10 cm, such as a toothbrush, cannot negotiate the duodenal C-loop due to its fixed retroperitoneal position [2]. In such cases, these objects should be removed as soon as possible to avoid pressure necrosis and gastric perforation [2, 3, 4, 5]. Removal of long foreign bodies from the stomach is influenced by the patient's clinical condition and technical abilities of the endoscopist [2, 3, 4, 5].…”

Section: Discussionmentioning

confidence: 99%

“…Foreign bodies longer than 10 cm, such as a toothbrush, cannot negotiate the duodenal C-loop due to its fixed retroperitoneal position [2]. These objects should be endoscopically removed as soon as possible to avoid pressure necrosis and gastrointestinal perforation [5, 6, 7]. If endoscopic removal fails or there is evidence of obstruction or perforation, laparoscopic gastrotomy should be performed [8].…”

Section: Introductionmentioning

confidence: 99%

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Successful Endoscopic Removal of a Swallowed Toothbrush: Case Report

Tonkić

Bogdanović²,

Grandić

2011

Case Rep Gastroenterol

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Most ingested foreign bodies will pass uneventfully through the gastrointestinal tract. Nevertheless, long and rigid foreign bodies are associated with an increased risk of gastrointestinal impaction, perforation and bleeding. Moreover, there has been no case of spontaneous passage of a toothbrush reported. Therefore, the prompt removal of such ingested foreign objects is recommended before complications develop. This case report describes a case of an 18-year-old woman who accidentally swallowed her toothbrush. The toothbrush was successfully removed via flexible endoscopy using a polypectomy snare. A swallowed toothbrush is a special clinical challenge. Early endoscopic retrieval of the toothbrush is critical for reducing morbidity and mortality. In cases when endoscopic removal fails, a laparoscopic surgical approach may be an alternative.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Successful Endoscopic Removal of a Swallowed Toothbrush: Case Report

Tonkić

Bogdanović²,

Grandić

2011

Case Rep Gastroenterol

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“…In addition, for sharp objects, use of a condom-type hood or overtube is recommended. It is critical to remember that the sharp end should be a trailing point, as this will significantly reduce the risk of perforation [48]. …”

Section: Endoscopic Management and Surgical Interventionmentioning

confidence: 99%

Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature

Bekkerman

Sachdev

Andrade³

et al. 2016

Gastroenterology Research and Practice

109

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Foreign body ingestion is a common diagnosis that presents in emergency departments throughout the world. Distinct foreign bodies predispose to particular locations of impaction in the gastrointestinal tract, commonly meat boluses in the esophagus above a preexisting esophageal stricture or ring in adults and coins in children. Several other groups are at high risk of foreign body impaction, mentally handicapped individuals or those with psychiatric illness, abusers of drugs or alcohol, and the geriatric population. Patients with foreign body ingestion typically present with odynophagia, dysphagia, sensation of having an object stuck, chest pain, and nausea/vomiting. The majority of foreign bodies pass through the digestive system spontaneously without causing any harm, symptoms, or necessitating any further intervention. A well-documented clinical history and thorough physical exam is critical in making the diagnosis, if additional modalities are needed, a CT scan and diagnostic endoscopy are generally the preferred modalities. Various tools can be used to remove foreign bodies, and endoscopic treatment is safe and effective if performed by a skilled endoscopist.

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“…In this patient’s case, the size and endurance of the material led the endoscopist to choose lithotripsy. In some cases, such as that related by Conway et al, 3 bezoar removal is impossible without shattering it. For that reason, a mechanical lithotriptor was used to make removal feasible.…”

mentioning

confidence: 99%