Journal ArticleDOI
Foreign Body Ingestions in the Emergency Department: Case Reports and Review of Treatment
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TLDR
No patient had a poor clinical outcome as a result of the ingestion, indicating that diagnostic radiographs and invasive procedures may not always be necessary.Abstract:
We report a series of alleged ingestions of razor blades and other metal objects by prisoners presenting to an inner city Emergency Department. Fourteen claims of ingestions of razor blades or other metal objects involving eight prisoners occurred in a 5-week period. The motives behind the ingestions varied. Auditory hallucination was the most common reason given for the ingestions. Other motives included efforts to leave prison, depression, and accidental razor blade swallowing. Attempts were made in all patients to verify ingestions by radiograph. Some ingestions could not be confirmed by radiograph and were considered to be factitious. Only 1 of the 14 incidents resulted in hospital admission. All others were either treated in the Emergency Department or the patient was returned to jail with no treatment. No patient had a poor clinical outcome as a result of the ingestion, indicating that diagnostic radiographs and invasive procedures may not always be necessary. A review of treatment of foreign body ingestions is given as well as a summary of the treatment and outcome of these cases.read more
Citations
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Journal ArticleDOI
Management of ingested foreign bodies and food impactions
Steven O. Ikenberry,Terry L. Jue,Michelle A. Anderson,Vasundhara Appalaneni,Subhas Banerjee,Tamir Ben-Menachem,G. Anton Decker,Robert D. Fanelli,Laurel Fisher,Norio Fukami,M. Edwyn Harrison,Rajeev Jain,Khalid Khan,Mary L. Krinsky,John T. Maple,Ravi Sharaf,Laura Strohmeyer,Jason A. Dominitz +17 more
TL;DR: This guideline is intended to be an educational device to provide information that may assist endoscopists in providing care to patients and is not a rule and should not be construed as establishing a legal standard of care.
Journal ArticleDOI
Guideline for the management of ingested foreign bodies.
Glenn M. Eisen,Todd H. Baron,Jason A. Dominitz,Douglas O. Faigel,Jay L. Goldstein,John F. Johanson,J. Shawn Mallery,Hareth M. Raddawi,John J. Vargo,J. Patrick Waring,Robert D. Fanelli,Jo Wheeler-Harbough +11 more
TL;DR: This is one of a series of statements discussing the utilization of gastrointestinal endoscopy in common clinical situations where little or no data exist from well-designed prospective trials, emphasis is given to results from large series and reports from recognized experts.
Journal ArticleDOI
Endoscopic management of foreign bodies in the upper-GI tract: experience with 1088 cases in China.
TL;DR: Wang et al. as discussed by the authors reported their experience and outcome in the management of ingestion of foreign bodies in Chinese patients, including food boluses, coins, fish bones, dental prostheses, or chicken bones.
Journal ArticleDOI
Factors predictive of risk for complications in patients with oesophageal foreign bodies
Sang Hun Sung,Seong Woo Jeon,Hyuk Su Son,Sung Kook Kim,Min Kyu Jung,Chang Min Cho,Won Young Tak,Young Oh Kweon +7 more
TL;DR: In patients with oesophageal foreign bodies, the risk of complications was increased with a longer duration of impaction, bone type, and larger size.
Journal ArticleDOI
Endoscopic management of suspected esophageal foreign body in adults
W.-T. Wu,C.-T. Chiu,C.-T. Chiu,C.-J. Kuo,Chih-Hung Lin,Yu-De Chu,Y.-K. Tsou,Ming-Yao Su,Ming-Yao Su +8 more
TL;DR: Endoscopic intervention within 24 hours from the time of ingestion should be considered early in adults, because delaying intervention may produce more symptomatic esophageal ulcerations with odynophagia.
References
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Journal ArticleDOI
1988 annual report of the American Association of Poison Control Centers National Data Collection System.
Journal ArticleDOI
Management of foreign body ingestion
TL;DR: The experience suggests that endoscopic removal of foreign bodies is curative for objects located in the crico-pharynx or upper esophagus.
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1991 annual report of the American Association of Poison Control Centers National Data Collection System.
Journal ArticleDOI
Gastrointestinal foreign bodies
TL;DR: The distal large bowel was the area most commonly involved, not the ileocecal region as in the reviews published a number of years ago, and roentgenographic studies were found helpful in the preoperative diagnosis.