Year 2017 / Volume 109 / Number 2
Digestive Diseases Image
Endoscopic removal of multiple sharp gastro-duodenal foreign bodies

144-145

Samuel Costa, Raquel Gonçalves, Carla Rolanda,

Abstract
A 45 years old female,with bipolar disorder,was brought to the Emergency Department with abdominal pain. The patient was hemodynamically stable,with no signs of respiratory distress. On abdominal examination she had pain in the upper quadrants,without peritoneal irritation. The successful endoscopic removal decreases if delayed approach, beyond 12 h, and sharp objects. Moreover in case of sharp objects, even if already into the stomach or duodenum, they should be retrieved endoscopically if it can be accomplished safely, because the risk of a complication during its natural exteriorization is as high as 35%. Extreme caution is required as it is easy to injure the wall of the gastrointestinal tract, in order to that one method involves using an overtube to protect the esophagus and another technique fashioning a protective hood. Instead we were able to remove all the needles without complication using the method described above. Lately we found in literature a similar description although using a sheath - a good option to obviate any risk for the endoscope.
Share Button
New comment
Comments
No comments for this article
References
1 - Hong KH, Kim YJ, Kim JH, et al. Risk factors for complications associated with upper gastrointestinal foreign bodies. World J Gastroenterol 2015; 21: 8125-31.
2 - ASGE Standards of Practice Committee, Ikenberry SO, Jue TL, Anderson MA et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011;73:1085-91.
3 - Enjoji A1, Nagata Y, Furuichi A, et al. Successful removal from the duodenum of swallowed sewing needles using devised endoscopic forceps. Endoscopy 2004;36:193.
Related articles

Letter

Intestinal pneumatosis as a manifestation of systemic sclerosis

DOI: 10.17235/reed.2023.9428/2022

Letter

A rare endoscopic finding: primary esophageal melanoma

DOI: 10.17235/reed.2022.9244/2022

Digestive Diseases Image

Kaposi’s sarcoma with atypical gastrointestinal involvement

DOI: 10.17235/reed.2021.8275/2021

Digestive Diseases Image

Abdominal cocoon sign: an unusual cause of intestinal obstruction

DOI: 10.17235/reed.2021.8057/2021

Digestive Diseases Image

Secondary gastroduodenal plasmacytoma in a patient with multiple myeloma

DOI: 10.17235/reed.2019.5923/2018

Digestive Diseases Image

Granular cell tumor of cecum

Citation tools
Costa S, Gonçalves R, Rolanda C. Endoscopic removal of multiple sharp gastro-duodenal foreign bodies . 4164/2015


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 833 visits.
This article has been downloaded 88 times.
Publication history

Received: 15/12/2015

Accepted: 07/02/2016

Published: 31/01/2017

Article revision time: 50 days

Article editing time: 413 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology