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The problem of the open safety pin
The Annals of Otology, Rhinology, and Laryngology
|September 1, 1975
Summary
Open safety pins in the stomach require intervention in some cases. Flexible fiberesophagoscopes with new grasping forceps offer a secure method for removing these foreign bodies, advancing endoscopic procedures.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Foreign bodies in the gastrointestinal tract, particularly open safety pins, pose significant diagnostic and therapeutic challenges.
- While most esophageal foreign bodies require intervention, 80-90% of gastric foreign bodies pass uneventfully.
Observation:
- Open safety pins lodged in the stomach or esophagus present a challenge to surgical judgment.
- Flexible fiberesophagoscopy was utilized to remove three open safety pins from the stomachs of two patients requiring intervention due to symptoms and perforation risk.
Findings:
- Microbiopsy forceps successfully retrieved open pins, but a newly developed grasping forceps for fiberesophagoscopy provides a more secure hold.
- Flexible endoscopic equipment represents an important advance in managing open safety pins in the stomach.
Implications:
- This advancement in flexible endoscopy offers a safer and more effective alternative for managing gastric foreign bodies like open safety pins.
- Flexible endoscopic removal minimizes the need for surgical intervention in select cases, improving patient outcomes.