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]
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]
Entire Body System
- 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]
Gastrointestinal
- Vomiting
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]
wheezing Once beyond esophagus, objects typically pass but with increased risk of complications: bowel obstruction, perforation, erosion to adjacent organs - abdominal pain, nausea/vomiting, fever, hematochezia, melena common obstruction locations: [medbullets.com]
- Abdominal Pain
[…] on swallowing, reduced oral intake, abdominal pain or vomiting If evidence of coughing, choking, respiratory distress then consider inhalation. [rch.org.au]
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]
- 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]
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]
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]
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]
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]
- 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 [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]
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]
It is not intended as medical advice for individual conditions or treatments. [drugs.com]
The treatment for an item in the body usually involves removing the object. The ease or difficulty of this process depends on where in the body the object is. [healthline.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]
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]
What can I do to prevent another foreign body ingestion? Cut your food into small pieces. Chew your food well before you swallow. Make sure dentures or other dental fixtures are secure. You may need to go to the dentist to have dental work repaired. [drugs.com]