Presentation
This retrospective review aimed to investigate data gathered on the presentation and management of foreign body ingestions in children presented to ED. [jksem.org]
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]
Presentation H/o foreign body ingestion. Patient Data Age: 5 years Gender: Female X-ray Radiograph within 1 hr of foreign body ingestion. Loading images... Two rounded metal densites are noted overlying stomach gas shadow in AP and lateral views. [radiopaedia.org]
Confirm each diagnosis by consulting a section, organized by symptoms, that presents the full range of differential diagnoses and treatment options for each specific condition. [books.google.com]
A 2-year-old, spayed female basset hound was presented on an emergent basis with a 7-day history of intermittent vomiting, lethargy, and a 1-day history of painful abdomen. [cliniciansbrief.com]
Entire Body System
-
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]
Gastrointestinal
-
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]
Patients may develop abdominal pain and tenderness, nausea, vomiting, fever, hematochezia, or melena. [aafp.org]
Symptoms suggestive of obstruction include abdominal pain, distension, vomiting and constipation. [intechopen.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]
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]
Further investigations/workup Radiological assessment is the key to further evaluation following a thorough history and clinical examination. [intechopen.com]
Treatment
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]
One hundred and thirty four patients (62.3%) were managed expectantly and received no other treatment. [jksem.org]
Acute abdomen: Treatment. Heeren V, Edwards L, Mazzaferro E. Compend Contin Educ Pract Vet 26:366-373, 2004. 7. Gastrointestinal obstruction. MacPhail C. Clin Tech Small Anim Pract 17:178-183, 2002. [cliniciansbrief.com]
Prognosis
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
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]
Epidemiology
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
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
Furthermore, he has undertaken research studies on prevention and treatment of functional gastrointestinal disease, Helicobacter pylori infectionand gastrointestinal cancer. Dr. [books.google.com]
Although the manufacturer states that owners should be present during chewing of the product to prevent gulping or rapid ingestion, realistically this is often not possible. Some manufacturers claim that the products are 100% digestible. [cliniciansbrief.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]
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]