Case report: endoscopic remotion of a foreing body in the upper digestive tract: scalpel blade
DOI:
https://doi.org/10.11606/issn.1679-9836.v103i2e-208152Keywords:
Endoscopy, Foreign Body Migration, Gastrointestinal Tract, Upper Gastrointestinal TractAbstract
The presence of a foreign body in the upper gastrointestinal tract (GIT) is not unusual, especially in psychiatric patients and kids. The larger number of ingested objects stays in the superior GIT. Complications chance according to the foreign body characteristics and the way they are ingested. However, only 10 to 20% of the cases will need endoscopic approach. The current case is an old patient, previously healthy, subjected to an orthodontic surgery, which resulted in an accidental ingestion of a scalpel blade that stayed in the stomach. He went through a chest X-Ray and upper digestive endoscopy, which was used for diagnosis and treatment. There was not any injury caused by the blade during the transfer to the stomach, neither during the remotion. The procedure went through without any complications and the patient had a full recovery.
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Fung BM, Sweetser S, Wong Kee Song LM, Tabibian JH. Foreign object ingestion and esophageal food impaction: An update and review on endoscopic management. World J Gastrointest Endosc [Internet]. 2019;11(3):174-92. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425280/. Doi:10.4253/wjge.v11.i3.174
Ginger MA, Jain AK. Foreing bodies of the esophagus and gastrointestinal tract in children. In: UpToDate. 2022. https://www.uptodate.com/contents/foreign-bodies-of-the-esophagus-and-gastrointestinal-tract-in-childrens. Doi: 10.4103/ajps.AJPS_148_20
Sugawa C, Ono H, Taleb M, Lucas, CE. Endoscopic management of foreign bodies in the upper gastrointestinal tract. World J Gastrointest Endosc [Internet]. 2014;6(10):475–81. Doi: 10.4253/wjge.v6.i10.475.
Triadafilopoulos, G. Ingested foreign bodies and food impactions in adults. In: UptoDate, 2023. https://www.uptodate.com/contents/ingested-foreign-bodies-and-food-impactions-in-adults . Doi: 10.1097/MPG.
Roura J, Morelló A, Comas J, Ferrán F, Colomé M, Traserra J. Corpos estranhos de esôfago em adultos. ORL J Otorhinolaryngol Relat Spec [Internet]. 1990;52:51-6. Doi: 10.1159/000276103.
Wang X, Su S, Chen Y, Wang Z, Li Y, Hou J, et al. The removal of foreign body ingestion in the upper gastrointestinal tract: a retrospective study of 1,182 adult cases. Ann Transl Med. 2021;9(6):502. Doi:10.21037/atm-21-829
Başer M, Arslantürk H, Kisli E, Arslan M, Oztürk T, Uygan I, Kotan C. Primary aortoduodenal fistula due to a swallowed sewing needle: a rare cause of gastrointestinal bleeding. Ulus Travma Acil Cerrahi Derg. 2007;13(2):154-7. PMID: 17682960.
Pinero Madrona A, Fernández Hernández JA, Carrasco Prats M, et al. Intestinal perforation by foreign bodies. Eur J Surg 2000;166:307. Doi: 10.1080/110241500750009140.
Green SM, Schmidt SP, Rothrock SG. Delayed appendicitis from an ingested foreign body. Am J Emerg Med 1994; 12:53. Doi: 10.1016/0735-6757(94)90199-6
Cross KM, Holland AJ. Gravel gut: small bowel perforation due to a blunt ingested foreign body. Pediatr Emerg Care 2007;23:106. Doi: 10.1097/PEC.0b013e3180302be6
Birk M, Bauerfeind P, Deprez PH, Hafner M, Hartmann D, Hassan C, et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy [Internet]. 2016;48:489-96. Doi: 10.1055/s-0042-100456
ASGE Standards of Practice Committee; Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, Decker GA, Fanelli RD, Fisher LR, Fukami N, Harrison ME, Jain R, Khan KM, Krinsky ML, Maple JT, Sharaf R, Strohmeyer L, Dominitz JA. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011;73(6):1085-91. Doi: 10.1016/j.gie.2010.11.010.
Webb W.A Management of foreign bodies of the upper gastrointestinal tract: update. Gastrointest Endosc. [Internet]. 1995;41:39-51. Doi: 10.1016/0016-5085(88)90632-4
Smith MT, Wong RKH. Esophageal foreign bodies: Types and techniques for removal. Cur Treat Opt Gastroenterol. 2006;9(1):75-84. Doi:10.1007/s11938-006-0026-3
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