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Foreign body removal through an appendicostomy.

S Mizrahi1, I Eyal, B Shtamler

  • 1Department of General Surgery, Israel Institute of Technology, Faculty of Medicine.

Diseases of the Colon and Rectum
|October 1, 1990
PubMed
Summary
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This study describes a novel appendicostomy technique for removing impacted button cell batteries or small coins from the terminal ileum or right colon. The method proved effective in three pediatric patients, offering a minimally invasive solution.

Area of Science:

  • Pediatric surgery
  • Gastroenterology
  • Minimally invasive procedures

Background:

  • Foreign body ingestion is a common pediatric emergency.
  • Impacted batteries and coins in the ileocecal region pose significant risks.
  • Traditional removal methods can be invasive and complex.

Purpose of the Study:

  • To describe a minimally invasive technique for removing ingested button cell batteries and coins.
  • To evaluate the efficacy of appendicostomy for foreign body retrieval in the right colon and terminal ileum.

Main Methods:

  • A technique involving appendicostomy was utilized for foreign body extraction.
  • The procedure was performed on three patients with impacted ileocecal foreign bodies.

Main Results:

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  • Successful removal of button cell batteries and small coins was achieved in all three patients.
  • The appendicostomy approach was effective and well-tolerated.

Conclusions:

  • Appendicostomy is a viable and effective minimally invasive option for removing certain impacted foreign bodies from the terminal ileum and right colon.
  • This technique offers a safe alternative to more invasive surgical interventions.