Edit concept Question Editor Create issue ticket

Foreign Body in the Stomach

Gastric Foreign Body


Presentation

  • These foreign bodies present a unique challenge for the endoscopist as they tend to T-bone at the gastro-oesophageal junction, making it technically very difficult to remove. We present a case of a young woman ingesting a spoon.[ncbi.nlm.nih.gov]
  • Patients with a history of pyloromyotomy for pyloric stenosis may present special problems for the passage of foreign bodies reaching the stomach and may be more likely to require surgical intervention.[ncbi.nlm.nih.gov]
  • All three patients presented with clinical features of liver abscess without history of foreign body ingestion. All recovered with surgical treatment.[ncbi.nlm.nih.gov]
  • Lam PY, Marks MK, Fink AM, et al. (2001) Delayed presentation of an ingested foreign body causing gastric perforation. J Paediatr Child Health 37:303–304 CrossRef Google Scholar 13.[link.springer.com]
  • This site is presented for educational and general informational purposes only. It does not purport to offer medical advice for any specific medical condition or individual patient.[endoatlas.com]
Weight Loss
  • Weight loss is due to the pain and to the blockage of the endotracheal tube into the pylorus; thus reducing the intake of nutrients.[omicsonline.org]
  • Weight loss may occur in chronic cases. Diagnosis : history, signs, radiography or gastroscopy. Treatment : not all gastric foreign bodies require removal. Prognosis : generally very good.[vetstream.com]
  • Esophageal Foreign Body Symptoms • Dysphagia • Food refusal, weight loss • Drooling, gagging • Emesis, hematemesis • Foreign body sensation • Chest pain, sore throat • Stridor, cough • Unexplained fever 15.[slideshare.net]
  • 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]
Camping
  • (717) 238-1896 West Shore Endoscopy Center 423 N. 21st Street Camp Hill, PA 17011 Suite 102 Tel: (717) 975-2430 Fax: (717) 730-2158 Infusion Center 423 N. 21st Street Camp Hill, PA 17011 Tel: (717) 975-2430[gicare.com]
Inguinal Hernia
  • Salaman R, Foster M (1993) Ingested foreign body presenting as an irreducible inguinal hernia in a baby. J Pediatr Surg 28:262–263 Google Scholar 9. Kizilcan F, Dilmen U (1995) Intussusception following ingestion of broken glass.[link.springer.com]
Vomiting
  • Two weeks ago the situation deteriorated as he suffered from repeated greenish vomiting occurring after meals; his pain increased in intensity and wasn’t relieved by medications anymore; but passage of flatus and stools was normal [ 1 - 6 ].[omicsonline.org]
  • Acute vomiting: Associated with pyloric obstruction. Dehydration, metabolic alkalosis Acid base imbalance. Chronic vomiting: Associated with chronic irritation. Secondary hypertrophic gastritis Stomach: chronic hypertrophic gastritis.[vetstream.com]
  • Your child will most commonly present with vomiting green (bilious) material. If this happens, your child will need to be seen.[eapsa.org]
Abdominal Pain
  • The patient claimed that he began to suffer from abdominal pain about 1 year ago but he used to take pain reliever medications and antiemetic to get well.[omicsonline.org]
  • You do not want to eat because of abdominal pain or vomiting. You are drooling or hoarse. You have questions or concerns about your condition or care. Care Agreement You have the right to help plan your care.[drugs.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.[msdmanuals.com]
  • The child/parents should be instructed to seek medical advice or return to ED if the following symptoms occur: Breathing problems Abdominal pain Fever Vomiting Unable to tolerate food and drink Interventions Objects seen or impacted in the oropharynx[rch.org.au]
  • What to do: Ask about symptoms and examine the patient, looking for signs of airway obstruction (coughing, wheezing) or bowel obstruction or perforation (vomiting, melena, abdominal pain, abnormal bowel sounds).[ncemi.org]
Nausea
  • Gastric Foreign Body 25 year-old man presenting with nausea and abdominal discomfort, who had ingested dozens of interlocked safety pins. Left: 77 year-old woman with dementia, undergoing endoscopy for insertion of a feeding gastrostomy tube.[endoatlas.com]
  • […] recurrent aspiration pneumonia, respiratory distress, stridor, tachypnea, vomiting, wheezing Once beyond esophagus, objects typically pass but with increased risk of complications: bowel obstruction, perforation, erosion to adjacent organs - abdominal pain, nausea[medbullets.com]
  • You have severe abdominal pain, nausea, or vomiting. Your vomit or saliva is bloody. Your bowel movements are black or bloody. When should I contact my healthcare provider? You do not find the object in your bowel movement within 2 or 3 days.[drugs.com]
  • Symptoms include abdominal pain, hematochezia, nausea, vomiting, hematemesis, or fever. Still, up to 40% of patients with foreign bodies are asymptomatic, regardless of location (1).[hawaii.edu]
  • When a FB has passed into the stomach and there are no symptoms which demand immediate removal, discharge the patient with instructions to return for reevaluation in seven days (or sooner if he develops nausea, vomiting, abdominal pain, rectal pain, or[ncemi.org]
Abdominal Distension
  • 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]
  • Bowel obstruction by a foreign body may cause abdominal distension, pain, and tenderness.[aafp.org]
Recurrent Vomiting
  • 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]

Workup

  • 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 object[emedicine.medscape.com]

Treatment

  • All recovered with surgical treatment. Successful management relies on prompt recognition and early intervention as deaths have been reported due to missed or delayed diagnosis.[ncbi.nlm.nih.gov]
  • We place a strong emphasis on educating each patient about their digestive disease and treatment. We feel when patients are provided with information, there is a greater likelihood of a good response to treatment.[gicare.com]
  • Surgical intervention should be considered when endoscopic treatment fails; and if the sharp body beyond the duodenum ceases to progress radiographically for 3 consecutive days [ 8 ].[omicsonline.org]
  • 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]
  • Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only.[drugs.com]

Prognosis

  • Prognosis : generally very good. Pathogenesis Predisposing factors General Some dogs are 'stone chewers' or ball chasers and may repeatedly swallow these objects. Greedy dogs with scavenging habits may repeatedly get bone foreign bodies.[vetstream.com]
  • Prognosis On the whole, prognosis is good, especially with appropriate investigation, management and follow-up.[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 • Most complications[slideshare.net]
  • 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 The prognosis of foreign body ingestion or insertion varies according to the nature of the object and its location in the body but is quite good in most cases.[encyclopedia.com]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Pathology Etiology There are many ways in which a foreign body can be introduced into various parts of the human body.[radiopaedia.org]
  • 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]
  • Both of these milestones are important in the etiology of foreign body ingestion. Higher incidence of ingestions and greater age ranges were found in pediatric populations that were psychotic, prisoners, or had histories of suicide attempts. Gender.[ahcmedia.com]

Epidemiology

  • Epidemiology • more than 100,000 cases of foreign body ingestion reported each year in the United States • 80% occur in children, with the majority of the foreign body ingestion being accidental • Most often foreign body ingestion occurs in children between[slideshare.net]
  • Epidemiology The ingestion of foreign bodies is most commonly a problem in young children aged 6 months to 5 years.[patient.info]
  • Epidemiology United States data The incidence of foreign body ingestions in children and adults is unknown. Data are largely anecdotal. One study suggested approximately 1,671 ingested magnet injuries annually.[emedicine.medscape.com]
  • Lodgment of food boluses or foreign bodies occurs at this site usually as the result of the size and shape of the object, or due to an LES malfunction or anomaly, such as a Schatzki’s ring, strictures, webs, or varices. 1,2 Epidemiology of Pediatric Foreign[ahcmedia.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology • about 70% at the upper esophageal sphincter or thoracic inlet • about 15% in the mid- esophagus at the level of the aortic notch • about 15% just above lower esophageal sphincter 10.[slideshare.net]
  • Pathophysiology Asymptomatic: Non-irritant foreign body lying in fundus. May exhibit pica, salivation, polydipsia, polyuria. May lead to hypertrophic gastritis long-term Stomach: chronic hypertrophic gastritis.[vetstream.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]
  • 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]
  • Pathophysiology Foreign bodies may involve the entire upper gastrointestinal (GI) tract. The oropharynx is well innervated, and patients can typically localize oropharyngeal foreign bodies.[emedicine.medscape.com]

Prevention

  • Foreign bodies should be removed within 24 hours to prevent erosive changes. The majority of objects that have passed into the stomach will go through the GI tract.[pedclerk.bsd.uchicago.edu]
  • 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]
  • Prevention Using common sense and following safety precautions are the best ways to prevent foreign objects from entering the body.[encyclopedia.com]
  • Diagnosis This article is available in full to registered subscribers Sign up now to purchase a 30 day trial, or Login Treatment This article is available in full to registered subscribers Sign up now to purchase a 30 day trial, or Login Prevention This[vetstream.com]
  • Since young children are at the highest risk of putting foreign objects in their bodies, prevention involves keeping small objects out of reach.[healthline.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!