Published In/Presented At Sreedhar, A., Kim, P., Shah, S., Macfarlan, J., & Shah, H. (2017). Sa1207 A Retrospective Analysis of Upper Gastrointestinal Foreign Body Ingestion Among Adults: Initial Presentation, Diagnosis, Intervention and Outcome. [scholarlyworks.lvhn.org]

This retrospective review aimed to investigate data gathered on the presentation and management of foreign body ingestions in children presented to ED. [jksem.org]

Drooling and an inability to swallow may be present. Airway compromise may occur if large objects are trapped. A delayed presentation with infection or perforation may occur with objects that become stuck at this level. [patient.info]

The present case highlights the clinical presentation, importance of psychiatric treatment and relevant literature. Introduction Chronically ingested foreign bodies are usually asymptomatic. [ispub.com]

Nearly all (98%) presented within 24 hours of accidental FB ingestion and all of the FBs were removed successfully without any complication. [ajol.info]

• Fever

  Patients may develop abdominal pain and tenderness, nausea, vomiting, fever, hematochezia, or melena. [aafp.org]

  Vague symptoms, such as abdominal distension and discomfort, fever, recurrent vomiting, passing rectal blood/melaena and/or other symptoms of acute or subacute intestinal obstruction, may be present. [patient.info]

  Children with chronic esophageal foreign bodies may also present with poor feeding, irritability, fever, or stridor. [emedicine.medscape.com]

  What to call the doctor for: After discharge from surgery, problems that may indicate infection such as fevers, wound redness and discharge should be addressed If there is a lot vomiting, pain not getting better with pain medications, problems stooling [eapsa.org]

• Abdominal Pain

  Most likely, movement of the foreign matter within the intestinal tract caused partial obstruction and intermittent signs of vomiting and abdominal pain before complete obstruction occurred. 3-7 The size and color of the gastric foreign body suggested [cliniciansbrief.com]

  Perforation of the stomach or intestines manifests with symptoms and signs of peritonitis such as abdominal pain, guarding, and rebound tenderness. Obstruction of the intestine causes abdominal pain, distention, and/or vomiting. [merckmanuals.com]

  […] to the emergency department due to increased pain, abdominal distension and melanogenic evacuations, high gastrointestinal endoscopy was performed, which reported duodenal ulcer, was managed with proton pump inhibitor; However, the patient persisted [go.gale.com]

  If perforation occurs in the stomach or intestines, fever and abdominal pain and tenderness may develop. Bowel obstruction by a foreign body may cause abdominal distension, pain, and tenderness. [aafp.org]

• Gagging

  A 2 year old previously healthy male is brought to the emergency department by his mother with a chief complaint of gagging. The patient was playing alone when his mother found him gagging and coughing. [hawaii.edu]

  Esophageal Foreign Body Symptoms Stomach/Lower GI Foreign Body Symptoms Dysphagia Abdominal distention Food refusal, weight loss Pain Drooling, gagging Vomiting Emesis, hematemesis Hematochezia Foreign body sensation Unexplained fever Chest pain, sore [learn.pediatrics.ubc.ca]

  […] esophageal sphincter, pylorus, and ileocecal valve. 1, 2, 4 View/Print Table TABLE 1 Symptoms of Esophageal Foreign Bodies Blood in saliva Coughing Drooling Dysphagia/odynophagia Failure to thrive Fever Food refusal Foreign body sensation in throat Gagging [aafp.org]

  Even with anesthesia and sedation, you may gag or experience pain. Your physician may need to adjust the levels of sedative and anesthetic. Ultrasound may be used to guide the foreign body removal procedure. [radiologyinfo.org]

  These include choking, gagging, drooling, coughing, wheezing, dysphagia, dyspnea, dysphonia, fever, hematochezia, or neck, chest, or abdominal pain. [emedicine.medscape.com]

• Intestinal Perforation

  Esophageal abrasion, laceration and bleeding, complete esophageal obstruction, caustic injury, severe esophageal stricture, laryngeal edema, recurrent aspiration pneumonia, loss of weight, intestinal perforation, constipation and intestinal obstruction [link.springer.com]

  Multiple intestinal perforations due to ingestion of magnetized pieces of a toy. [ghrnet.org]

  Suspicion of intestinal perforation. Evidence of active bleeding. Clear history of ingestion of a button battery. [patient.info]

• Acute Abdomen

  Acute abdomen: Evaluation and emergency treatment. Mann FA. In Bonagura JD (ed): Kirk's Current Veterinary Therapy XIII-Philadelphia: WB Saunders, 2002. 4. Triage and approach to the acute abdomen. Mazzaferro EM. [cliniciansbrief.com]

  Discussion Acute abdomen is a common surgical presentation in a patient of trauma. [ispub.com]

• Intestinal Disease

  He obtained his postdoctoral research fellowship at the Mucosal Immunology Laboratory of University of California, San Diego.Dr.Yang is an active member of the Korean Association for the Study of Intestinal Diseases (KASID) and serves as president of [books.google.com]

• Chest Pain

  Esophageal Foreign Body Symptoms Stomach/Lower GI Foreign Body Symptoms Dysphagia Abdominal distention Food refusal, weight loss Pain Drooling, gagging Vomiting Emesis, hematemesis Hematochezia Foreign body sensation Unexplained fever Chest pain, sore [learn.pediatrics.ubc.ca]

  Early signs: When an object is stuck in the esophagus, chest pain may be felt. If the flow of saliva is obstructed, the child may drool. If there are indigestible material in the stomach, vomiting can be a symptom. [eapsa.org]

  pain, dyspnoea and severe odynophagia (pain associated with swallowing), along with signs of pneumonitis/pleural effusion. [patient.info]

  The patient may report a sudden onset of dysphagia while eating, often accompanied by chest pain or odynophagia and an inability to handle secretions. [wjgnet.com]

• Subcutaneous Crepitus

  Signs of GI perforation may include tachycardia, subcutaneous crepitus and peritonitis. A medical consultation is required if systemic toxicity is due to ingestion of foreign objects [ 4 ]. [intechopen.com]

In one study, endoscopy averaged $2700; Foley catheter removal, $660; and bougienage, $614. [51] In another study, the average cost of endoscopy was $6087, whereas that of bougienage was $1884. [52] Negative workup If the workup is negative for a foreign [emedicine.medscape.com]

Further investigations/workup Radiological assessment is the key to further evaluation following a thorough history and clinical examination. [intechopen.com]

Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.com]

On detailed history, the patient was on antidepressant treatment with poor compliance for the last 2 years for major depression and had attempted suicide earlier. [ispub.com]

The locations of the foreign bodies and the period during which they have been present in the thorax and abdomen are important for determining the method and timing of treatment. [keio.pure.elsevier.com]

Pathophysiology: The location of the foreign body ingested is important for determining the appropriate investigations, prognosis and treatment. This is usually categorized anatomically into esophagus and stomach/lower gastrointestinal tract. [learn.pediatrics.ubc.ca]

Prognosis On the whole, prognosis is good, especially with appropriate investigation, management and follow-up. [patient.info]

This review emphasizes etiology, diagnosis, therapy and prognosis of upper GI foreign bodies based on a literature review and personal observations. EPIDEMIOLOGY The types of ingested objects vary with patient age[ 2 - 4, 11 ]. [wjgnet.com]

Except for geriatric patients (>65 years), the tonsils appear to be the most common anatomic site of foreign body impaction, and the stomach and esophagus are also common locations in children younger than 10 years and those older than 65 years. [9] Prognosis [emedicine.medscape.com]

Etiology of esophageal food impactions in children. J Pediatr Gastroenterol Nutr. 2011 Jan. 52(1):43-6. [Medline]. Conway WC, Sugawa C, Ono H, Lucas CE. Upper GI foreign body: an adult urban emergency hospital experience. [emedicine.medscape.com]

This review emphasizes etiology, diagnosis, therapy and prognosis of upper GI foreign bodies based on a literature review and personal observations. EPIDEMIOLOGY The types of ingested objects vary with patient age[ 2 - 4, 11 ]. [wjgnet.com]

His research interests include the epidemiology,genetics, and endoscopic diagnosis of inflammatory bowel disease. [books.google.com]

Epidemiology Most common in children, psychiatric patients and jail inmates IV. History Object swallowed How long ago was the ingestion V. [fpnotebook.com]

Children with a retained or impacted GI foreign body are commonly referred for urgent surgical consultation and should be appropriately treated. [4] Epidemiology Frequency Although exact figures are unavailable, foreign body ingestion is relatively common [emedicine.medscape.com]

Epidemiology The ingestion of foreign bodies is most commonly a problem in young children aged 6 months to 5 years. [patient.info]

Pathophysiology: The location of the foreign body ingested is important for determining the appropriate investigations, prognosis and treatment. This is usually categorized anatomically into esophagus and stomach/lower gastrointestinal tract. [learn.pediatrics.ubc.ca]

Pathophysiology For the sake of simplicity, objects are characterized based on size, shape, and radiolucency. Perhaps the most common regularly shaped smooth foreign body in the GI tract is a coin. See the images below. [emedicine.medscape.com]

Pediatric Gastrointestinal Disease: Pathophysiology, Diagnosis, Management, second edition. 1999, Philadelphia: W.B. Saunders Company, pp. 116-125. 5. Conners GP, Chamberlain JM, Ochsenschlager DW. [hawaii.edu]

[…] safety-pin Sharp irregular objects: partial denture, razor blade Long objects Soft objects: string, cord Hard objects: toothbrush, spoon, screwdriver, ballpoint pen Food bolus impaction Bezoar Objects containing poisons Button battery Narcotic body packet PATHOPHYSIOLOGY [wjgnet.com]

Prevention It is difficult to prevent toddlers from examining things with their mouths. However, basic home-safety measures, such as cupboard catches and vigilance about not leaving objects within children's reach, are helpful. [patient.info]

It incorporates basic science, pathology, diagnosis, management, outcomes, rehabilitation, and prevention – all in one convenient resource – equipping you to overcome your toughest clinical challenges. [books.google.it]

Furthermore, he has undertaken research studies on prevention and treatment of functional gastrointestinal disease, Helicobacter pylori infectionand gastrointestinal cancer. Dr. [books.google.com]

Conclusion: Flexible Endoscopy is a very safe and efficient method of timely diagnosis and removal of ingested FBs in children and adults in trained hands to prevent life threatening complications. [ajol.info]

"Severe esophageal damage due to button battery ingestion: can it be prevented?" (PDF). Pediatr. Surg. Int. 20 (7): 496–501. doi : 10.1007/s00383-004-1223-6. PMID 15221361. External links [ edit ] [en.wikipedia.org]