Bodies In Digestive Tract Research Articles

IMAGING CHARACTERISTICS AND PREDICTIVE FACTORS OF COMPLICATED GASTROINTESTINAL FOREIGN BODIES IN COMPUTED TOMOGRAPHY

Background: Gastrointestinal foreign body is a frequently encountered problem in daily practice at the Emergency Department. The majority of gastrointestinal foreign bodies will pass spontaneously, but in several cases, severe or even fatal complications can happen. X-rays, endoscopy, and computed tomography are the most common imaging modalities to diagnose gastrointestinal foreign bodies. Method: In our study, twenty-five patients who were diagnosed by CT and treated for gastrointestinal foreign bodies were reviewed retrospectively. The predictive risk factors for complications after foreign body ingestion or insertion were analyzed by multivariate logistic regression, including age, sex, type of gastrointestinal foreign body, and imaging characteristics in CT (location, size, thickening and enhancing bowel wall, fat infiltration, collection, and free gas). Results: All foreign bodies were sharp-pointed, and the average length was 30.56 ± 10.03 mm (11-54 mm). Bones accounted for 64% of cases, toothpicks followed with 16%. The most common location for foreign bodies in digestive tract was the small intestine, followed by the stomach, esophagus, and colon. Thickening and enhancing bowel wall, fat infiltration were both seen in most cases of 84%. Transmural foreign bodies accounted for 56% and perforation, abscess were more frequent complications with 64%, and 16% of cases, respectively. Multivariate analysis showed that size (p < 0.014) and type (p < 0.035) were significant independent risk factors associated with the development of complications in patients with gastrointestinal foreign bodies. Conclusion: CT plays a crucial role in the detection and diagnosis of gastrointestinal foreign bodies and its complications. In patients with gastrointestinal foreign bodies, the risk of complications was increased with bone type and larger size of foreign bodies.

Clinical Research Progress of Foreign Bodies in Digestive Tract

Foreign body of digestive tract refers to the noninherent substances retained in the digestive tract caused by various reasons. Foreign body incarceration is one of the clinical emergencies, occurs at all ages, whose incidence is second only to gastrointestinal bleeding, accounting for about 4% of emergency endoscopic diagnosis and treatment. If not treated timely, foreign body incarceration may cause gastrointestinal erosion, ulcer, bleeding, perforation, obstruction and aortic rupture which is life-threatening. According to the characteristics of patients, dietetical characteristic, types of gastrointestinal foreign bodies, retention time of foreign bodies, incarcerated sites, clinical manifestations, complications, treatment methods, average length of stay and expenses, we explore the research progress of gastrointestinal foreign bodies to improve the level of diagnosis and treatment, as well as increase the cure rate and reduce complications. This review aims to summarize the clinical diagnosis and treatment methods of gastrointestinal foreign bodies for clinicians and strengthen readers' understanding of gastrointestinal foreign bodies.

Endoscopy treatment on gastrointestinal tract foreign body in children

As a common disease in pediatric outpatient and emergency departments, foreign bodies in digestive tract of children can occur in all ages.Foreign bodies in digestive tract is swallowed accidently or deliberately, which can neither be digested nor be absorbed in gastrointestinal tract.Early and timely diagnosis of foreign bodies in digestive tract which failed to pass spontaneously through the gastrointestinal tract or caused gastrointestinal tissue damage should be fully assessed and perfect auxiliary examination.Emergency endoscopic treatment with high success rate, less complications and quick recovery of organ function has become the best treatment for foreign bodies in digestive tract and is worth for extensive application in the clinic. Key words: Children; Foreign body; Endoscopy

A foreign body (a fish bone) in the esophagus translocating into soft tissues of the neck – a case report

Background: Patients with foreign bodies in upper digestive tract not infrequently trigger many diagnostic and treatment challenges, especially when foreign bodies translocate and are lodged outside the esophagus. Case report: We present a case of a foreign body in esophagus 56-years old woman who had developed persistent sensation of an obstacle in her throat after eating fish (Atlantic cod). She has initially dismissed her symptoms and refused medical treatment. Subsequently, a neck CT done one week later showed a 20-milimeter long fish bone in the soft tissues on the left side of her neck (between pharynx and vertebral column). Few attempts of endoscopic removal were unsuccessful. Despite antibiotic prophylaxis and due to the fish bone translocation into soft tissues of the neck and its location close to a common carotid artery and an internal jugular vein a decision was made to remove it from the external approach. The foreign body was successfully removed without any esophageal damages. Conclusions: Foreign bodies in digestive tract may result in many life-threatening complications. The fundamental management is based on the endoscopic removal of a foreign body and the antibiotic prophylaxis. In case of foreign bodies lodged in soft tissues open surgery is recommended. Key words: foreign body in the esophagus; fish bone; paraesophageal abscess ; treatment

Analysis of 5 cases of intestinal obstruction caused by foreign body in digestive tract

目的 提高生物球消化道异物引起小儿肠梗阻的认识。 方法 回顾分析5例消化道异物生物球导致肠梗阻患儿的临床表现、治疗过程和转归。 结果 4例患儿有感染中毒性休克，1例伴发回肠穿孔，2例伴发抽搐，1例伴发重度营养不良、电解质紊乱，1例伴发多脏器功能衰竭、中毒性脑病、肺部感染。1例因发现较早手术治疗效果好。5例患儿均经手术治疗，1例术中发现生物球异物在距回盲部100 cm处回肠伴发回肠穿孔，1例距Tris韧带90 cm(距回盲部2 m)处回肠，2例距回盲部50 cm处回肠，1例距回盲部30 cm处。2例行异物取出肠切除肠吻合术，3例行异物取出、肠管纵切横缝术。5例患儿均恢复良好，1例住院7 d出院，2例住院10 d出院，1例住院12 d出院，1例住院40 d痊愈出院。 结论 生物球引起肠梗阻往往病史不明确，易延误诊治，使患儿病情加重，早期诊断困难，临床表现严重，所以应提高对此种情况的重视，早期发现早期手术治疗。

Unusual foreign body in the upper digestive tract: case report

<p class="abstract">Unusual foreign bodies in the digestive tract are common in psychiatric patients and children requiring screening of the entire gastrointestinal tract. We here report two cases of unusual ingested blunt foreign body in the upper digestive tract managed differently.</p>

A clinical study on paediatric aero digestive foreign body in emergency department

<p class="abstract"><strong>Background:</strong> Foreign body ingestion and aspiration is a common clinical condition among the paediatric population. The management of the aero digestive foreign body requires clinical acumen, coupled with the radiological diagnosis and the necessary infrastructure for their management, it demands skill and expertise for removal of a foreign body.</p><p class="abstract"><strong>Methods:</strong> A retrospective study was carried in the department of Otorhinolaryngology, between December 2016- May 2017, at Institute of Child Health and Hospital for Children, Madras Medical College. 68 cases were analysis of the nature of the foreign body was done. All the patients reported to the emergency department and the ENT surgeon opinion sought with aim of maintaining airway. Clinical assessment, with history, radiographs were obtained to ascertain level and nature of the foreign body and prompt removal by oesophagoscopy/bronchoscopy/direct laryngoscopy under general anaesthesia. </p><p class="abstract"><strong>Results:</strong> The study of 68 children who reported with history /suspicion of foreign body ingestion/aspiration. There were 32 boys and 36 females, 37 cases of foreign body ingestion and 31 cases of foreign body aspiration. The most common foreign body in digestive tract was coin in 26 cases and peanut in the airway.</p><p class="abstract"><strong>Conclusions:</strong> Foreign bodies in aero digestive tract in paediatric age group, is a common problem encountered by the otorhinolaryngologist. Careful assessment, clinical evaluation, radiological investigations with effective management in emergency department prompt removal of the foreign body in the aero digestive tract will lead to reduced mortality and morbidity.</p>

A study on radio opaque foreign body in digestive tract of children

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">An estimated 40 percent of foreign body ingestions in children are not witnessed, and in many cases, the child never develops symptoms. Sharp foreign body, button battery must be carefully removed and followed up for any complications. Foreign bodies that have passed the gastroesophageal junction should be assured that the foreign body will probably pass through the GI tract. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A retrospective analysis of the records of the children below 12 years with foreign body ingestions were analysed and the radio-opaque foreign body were included in the study period between March 2012 to March 2015. The x-ray were analysed, type of foreign body, treatment and complications were noted. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">There were 45 children included in the study who had ingested foreign body and on radiological evaluation radio opaque foreign body was found. The coin topped the list with 30, button battery- 7 numbers, safety pin- 5 numbers. In 2 children who ingested button battery suffered cricopharyngeal stricture, which was treated with serial dilatation with bougies, while one child with open safety pin ingestion, developed pseudo- aneurysm of arch of aorta and one ear stud developed stridor with sub glottic stenosis. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The radio opaque foreign though is easy to visualise, but in some case it can dangerous complications. Rigid oesophagoscopy and prompt removal of foreign body is the treatment of choice.</span></p>

Foreign bodies in digestive tract of children: A tertiary care hospital experience

Introduction: Foreign bodies in the digestive tract are an important cause of morbidity and mortality in paediatric age group and pose diagnostic and therapeutic challenges We performed this study to evaluate our experience of foreign bodies of digestive tract in children over a five year period in a tertiary referral center. Patients and Method: A retrospective study was conducted over a 5-year period between April 2009 and March 2013. All patients who were managed for foreign body in digestive tract up to 12 years of age were included and analysis was performed from case record of patients. Results: Total 97 patients with FB in digestive tract were included in the study FB was most commonly lodged in Upper esophagus in 61 patients, middle esophagus in 12 cases lower third of esophagus in 14 cases and beyond gastro-oesophageal junction in 10 cases. The most common clinical presentations were dull pain. Coins were the most common type of foreign body in the esophagus accounting for 71.1% of patients. Plain neck and chest x-rays antero-posterior and lateral view was diagnostic in all cases, with all FB being opaque. Rigid oesophagoscopy and removal under general anesthesia was the main treatment modality performed in 63 (65.8%) and Magill forceps extraction was done in 20 cases. Conclusion: Foreign bodies in digestive tract of children are a common problem with diverse presentation. Disc battery ingestion is prone for complication and expedient removal is required & associated conditions can pose risk for lodgment of foreign bodies.