Bodies In Gastrointestinal Tract Research Articles

Endoscopic retrieval of oesophageal foreign body in a dachshund

Four-year-old male Dachshund dog was presented to Madras Veterinary College and Teaching Hospital with the history of gradual weight loss and chronic vomiting for more than twenty days. Previously the dog was treated in several places with anti-emetics, proton pump inhibitors, H2 blockers, fluid therapy and antibiotics but there was no improvement. On clinical examination the dog was severely dehydrated, increased skin tenting time and increased capillary refill time. Hematobiochemical assessment revealed mild hypoproteinemia and hypoalbuminemia. Radiographic examination of thorax and abdomen revealed no radio-opaque foreign body in the gastrointestinal tract and ultrasound examination also confirmed the same. Contrast radiographic examination revealed absence of megaesophagus and foreign body in gastrointestinal tract. Hence upper gastrointestinal endoscopy was performed and which revealed presence of plastic thread twine along the esophagus from the level of pharynx to cardia and the foreign body was retrieved using endoscopic forceps. Further the animal was treated with fluid therapy along with other supportive therapy. The dog was shown the clinical improvement after third day.

Linear foreign body in the small intestine of a Persian cat-a case report

Foreign body in gastrointestinal tract is a common problem in small animal practice, especially in domestic cats. A case report of recurrent ingested thread as a linear foreign body with the thread held back by the tongue and stuck causing further complications is presented in this case report. Interestingly, the radiographic results did not indicate the paisley shaped gas pattern which is characteristic of a linear foreign body. The final diagnosis was made by exploratory laparotomy which confirmed the presence of several threads in the small intestine. Therefore, this complex case was diagnosed based on history, clinical signs and results of radiography and confirmed by exploratory laparotomy. This is the first ever published case report of successful clinical management of a linear foreign body in UAE according to the authors’ knowledge.

Colonic contained perforation of unknown etiology treated conservatively in a 34 year old female patient: a case report

A colon perforation is defined as a disruption in the continuity of the gastrointestinal wall. A contained perforation is a situation where the perforation is self-limited, usually by adhesion to other structures in the abdominal cavity. Many conditions can cause perforation, including cancer, diverticular disease, or iatrogenic perforation such as during an endoscopy procedure. Less commonly, the cause may be inflammatory bowel disease or the presence of a foreign body in gastrointestinal tract. Furthermore, there are also publications describing situations of spontaneous rupture of the intestinal wall, i.e. spontaneous perforations. This group includes spontaneous perforation caused by fecal stones and idiopathic perforation. In this article we present a case report of a 34 year old woman with perforation of the large intestine without any apparent cause. We discuss the differential diagnosis of patients with conservatively treated perforation with unknown colonoscopy result.

FOREIGN BODIES OF THE UPPER DEPARTMENTS OF THE GASTROINTESTINAL TRACT

In recent years, the number of patients with foreign bodies in the gastrointestinal tract who need hospital treatment has increased significantly. However, in some cases there are complications that lead to death or require complex reconstructive surgery.
 Objective: to improve the results of treatment of patients with gastrointestinal foreign bodies by improving treatment tactics.
 Materials and methods: the object of the study were 223 patients who sought help in the “Regional Clinical Hospital” Kharkiv in the period from 2016 to 2021. Particular attention was paid to aggressive foreign bodies (alkaline batteries, wedged in the esophagus). projects and more).
 Results: foreign bodies were removed in the shortest possible time by esophagogastroduodenoscopy.
 Conclusions:
 1. Dynamic monitoring of a swallowed foreign body without its endoscopic removal is recommended when patients have no clinical symptoms and the foreign body is blunt, inert and small, is there is a guarantee of its safe involuntary discharge.
 
 Flexible endoscopy — the best diagnostic and therapeutic method for foreign bodies in the upper gastrointestinal tract, with a success rate of 95%
 Emergency, within 2 hours of admission, endoscopic intervention is recommended for foreign bodies that have caused complete obstruction of the esophagus, as well as for acute foreign bodies and batteries located in the esophagus.

Multiple gastrointestinal magnetic foreign bodies in children

Objective: To introduce the analysis of the clinical picture, treatment strategy and complications among children having multiple foreign magnetic bodies (FB).Methods: Retrospective analysis of the treatment of 796 children from 2013 to September 2021 having stomach and intestine FB. Comprehensive study included plan radiography of the abdomen, fiberoptic gastroduodenoscopy, etc.Results: Magnets were detected in 33 (4.15%) out of 796 cases. 9 patients swallowed multiple foreign magnetic bodies (FB) within time interval. The parts fixed in different parts of gastrointestinal tract (GIT) and required surgical removal. All patients had multiple perforations of different GIT parts. It required suturing gut wall, bowel resection applying gastrointestinal anasto mosis and celiogrhaphy, resection applying anastomosis and by leaving the programmed laparostomy. Every patient recovered. Algorithm of supervision of children having FB GIT.Conclusions: Multiple foreign magnetic bodies of GIT among children in the current moment are the most dangerous foreign objects accompanied with big amount of complications. They are observed among children of any age and gender and require complicated and long surgical interventions. Multiple foreign magnetic bodies of GIT can be suspected in case of severe surgical pathology along with the lack of passage of radiopaque FB in GIT. Urgent surgical intervention is required in case of detecting it.

Unusual Foreign Bodies in Gastrointestinal Tract – A Case Series

Foreign body ingestion is one of the commonest presenting complaints in emergency department throughout the world. Majority of foreign bodies will be expelled spontaneously or can be removed endoscopically but only a few require emergency surgical removal.Majority of foreign body ingestions are encountered in pediatric age group elderly and individuals with psychiatric illness being the next common group. We present here three cases of foreign body ingestion in unusual circumstances.

ПОСЛЕДСТВИЯ ПРОГЛАТЫВАНИЯ ДЕТЬМИ ИНОРОДНЫХ ТЕЛ В ФОРМЕ МАГНИТНЫХ ШАРИКОВ

The authors draw attention to dangerous children's toys – magnetic balls (MB). When MB is swallowed in the gastrointestinal tract (GIT), they can connect with each other in chains or are attracted to each other through the intestinal wall, forming necrosis and perforation of hollow organs at the junction. The authors cite four clinical cases of patients aged 2 to 8 years with varying degrees of severity of pathology caused by magnetic foreign bodies in GIT, from spontaneous discharge of foreign bodies during vomiting to multiple perforations of GIT.

Clinical report and analysis of 24 cases of multiple magnetic beads foreign body in gastrointestinal tract of children.

This study aimed to analyze the data of 24 cases of multiple perforation or obstruction of the digestive tract caused by accidental ingestion of magnetic beads, to improve the understanding of its harmfulness to children and explore the best treatment. In total, 24 cases were collected and retrospectively analyzed. These patients were divided into two groups: perforation group and non-perforation group. The medical history, number of magnetic beads, white blood cell (WBC) count, and C-reactive protein (CRP) were analyzed. There was no significant difference in age, gender, medical history, number of magnetic beads, and WBC count between the perforation group and non-perforation group, but there was a significant difference in CRP. After the diagnosis, 70% of the cases underwent laparotomy and perforation repair. All cases recovered smoothly after the operation, and no complications occurred during the follow-up. This study offers diagnosis and treatment methods for the perforation or obstruction of the digestive tract caused by accidental ingestion of magnetic beads and raises the awareness regarding the harmfulness of the presence of foreign bodies in the digestive tract.

Unusual Presentation of An Unusual Foreign Body in Gastrointestinal Tract of a 6-Year-Old Boy

Foreign body ingestion may do not have any sign and symptoms and cause no complication [1]. In some cases, it can cause gastrointestinal bleeding, perforation or obstruction [1]. Many of foreign bodies can pass through gastrointestinal tract without any signs, symptoms and complications [2]. Foreign body is more common in male population and male to female ratio is reported nearly 1.5/1 in some investigations [3]. In this case presentation we will explain signs and symptoms of a 6-year-old boy who had swallowed a telescopic antenna when it was closed and it produced abdominal pain after opening in gastrointestinal tract due to peristaltic movement. Abdominal pain had been introduced in forward bending position. At the time of operation, we found a metal telescopic antenna in the duodenum which was removed by duodenotomy.

The Combination Therapy of Dissolution Using Carbonated Liquid and Endoscopic Procedure for Bezoars: Pragmatical and Clinical Review.

Bezoars are relatively rare foreign bodies of gastrointestinal tract and often cause ileus and ulcerative lesions in the stomach and subsequent bleeding and perforation due to their size and stiffness. Therefore, the removal of bezoars is essential and recent development of devices, the endoscopic removal procedure, is often applied. However, due to their stiffness, simple endoscopic removal failed in not a few cases, and surgical removal has also been used. Recently, the efficacy of a combination therapy of endoscopic procedure and dissolution using carbonated liquid has been reported. To develop the safe and effective removal procedure, we carefully reviewed a total of 55 reported cases in this study including our 3 additional cases, successfully treated with dissolution with endoscopic fragmentation. In summary, the data showed the efficiency in the combination therapy, treating the larger size of bezoar and reducing the length of hospital stay. To the best of our knowledge, this is the largest pragmatical and clinical review for the combination therapy of dissolution and endoscopic treatment for bezoars. This review should help physicians to manage bezoars more efficiently.

A rare Case Report of Sigmoid Colon Perforation Due to Accidental Swallowing of Partial Denture.

Perforation peritonitis is an important cause of generalized peritonitis and pneumoperitoneum. Large bowel perforation due to swallowed artificial denture is extremely rare. Foreign body can be ingested accidentally or in a suicidal attempt. However, ingested foreign body causing sigmoid colon perforation is extremely rare. Complications caused by ingestion of foreign body in gastrointestinal tract include obstruction, perforation, bleeding, or impaction at the sites of physiological narrowing or acute angulation in gastrointestinal tract. We hereby report a case of sigmoid colon perforation due to swallowed partial denture.

Clinical Analysis of Foreign Bodies in Gastrointestinal Tract in Children

Foreign body ingestion is a common problem among paediatric populations. Most of the ingested foreign bodies spontaneously pass through the gastrointestinal tract, but approximately less then 10% of them remain without being discharged, and trigger complications. Therefore, proper evaluation and treatment according to the situation is required. In this study, clinical progress and complications were analyzed according to the clinical features and treatment in children who ingested foreign bodies. Among pediatric patients under 18 who were admitted to Chonnam National University Hospital after ingesting foreign bodies between January 2008 to June 2012, only the patients who had their foreign body in the gastrointestinal tract were included in this study. Based on medical records, age, type of foreign body, time spent till admission, and whether the endoscopy was done or not, complication were researched retrospectively. According to symptoms and plain abdomen X-ray findings, treatment was chosen and conducted among endoscopy, observation and emergency operation. Among 273 patients, 9 (3.3%) of them had surgical removal. Seven (2.6%) of them had an emergency operation on the day of admission, and the rest 2 (0.7%) had operation during observation. Removal through initial endoscopic approach was tried in 157 (57.5%) patients. Eleven (70.8%) of them had their foreign body removed at the initial trial, and 5 (4.9%) of them at the second trial. Among 109, who were on observation status, 9 (8.3%) of them needed endoscopic removal, and 2 (1.8%) of them suffered from surgical removal. It is thought to be better to approach slowly considering the type, size and symptoms in foreign body ingestion of pediatric patients, rather than immediate and invasive removal.

Child abuse: Multiple foreign bodies in gastrointestinal tract

The incidents of foreign body ingestion in infants and children are usually viewed as accidents, but these events may be a form of child abuse. We are reporting a case of child abuse who presented with multiple foreign bodies in the gastrointestinal tract. Physicians are required to report abuse when they have reason to believe or to suspect that it occurred. The purpose of reporting is not punishment of the perpetrator – it is the protection of the child. It is certainly in the best interest of the child, because child abuse is a recurrent and usually escalating problem that exposes the child to substantial risk.

Rapunzel syndrome

Introduction. Trichobezoars are foreign bodies in gastrointestinal tract, composed of hair. They occur mainly in children and adolescents suffering from trichotillophagia. They commonly occur in the stomach, but as they enlarge over time, they can extend through the pylorus into distal parts of the small intestine resembling a tail. This rare form of trichobezoar is named Rapunzel syndrome. Case report. We presented a 19-year-old female patient, who suffered from trichotillomania and trichotillophagia, which led to trichobezoar formation. Intra-abdominal tumour was suspected after initial clinical examination. Abdominal echosonography, endoscopy and abdominal computed tomography (CT scan) in the pre-operational period revealed trichobezoar formation. The patient was operated on and subjected to further psychiatric treatment. Conclusion. Trichobezoar should be differentially diagnostically taken into consideration in younger women with abdominal pain, nausea, vomiting, palpable abdominal mass and psychiatric disorders. Most trichobezoar cases require surgical treatment, whereas the patients need long-term psychiatric treatment and monitoring.

Clinical Analysis of Esophageal Foreign Body in Jeju

Purpose: The esophageal foreign body results from ingestion of various materials and some foreign bodies such as fish bone can make severe complications such as esophageal perforation and acute mediastinitis. The purposes of this study were to investigate the clinical characterisitcs of esophageal foreign body in Jeju and to analyze the complicated cases by esophageal foreign body.Methods: A total 32 patients who were treated for foreign body in gastrointestinal tract at Cheju National University Hospital from May 2003 to October 2006 were reviewed retrospectively. The review about clinical informations included patient's age, sex, chief complains, presentation time from symptom, duration of admission, endoscopic treatment, and complications. The length and type of foreign body also were reviewed. Complicated group and non-complicated group were compared in aspect of probability of complications in esophageal foreign body.Results: Male was 65.6% and pediatric under 15 years old was 40.6%. The mean age was 35.53±25.98 years old and the mean presentation time from symptom was 27.98±53.95 hours. Dysphagia and foreign body sense was major chief complain in adults and most pediatric had no symptom. Most foreign body were located in esophagus and the mean size of foreign body was 2.34±1.06 cm. The most common foreign body was fish bone and 35.7% among fish bone injuries had complication such as esophageal perforation and acute mediastinitis. Compared with non-complicated group, complicated group was older and had longer presentation time from symptom and more chest pain as chief complains significantly.Conclusion: The most esophageal foreign body in Jeju was fish bone, that made more complications than the other areas. Older patient with esophageal fish bone who presented later and had chest pain could be supposed to have complications by fish bone.

Foreign Bodies in Gastrointestinal Tract

To the Editor:— I should like to commend Dr. Edward B. Benedict et al., for their article Corsage Pin in Stomach (JAMA175:48, Jan. 7, 1961), calling attention to the fact that long, sharp foreign bodies in most cases pass through the gastrointestinal tract without difficuly. It has been my experience that this opinion is not held by some of our colleagues in general surgery. I have heard them say on several occasions, Why take chances when the danger may be quickly eliminated by a minor surgical procedure. Those of us who have had a chance to observe these foreign-body cases have seen many sharp objects pass without difficulty, the longest, in my case, being a 4-in. nut pick. I should like to emphasize their article by making note of an experience which I observed. A common pin was removed from the stomach of a 2-year-old by the general