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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
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[A step-up approach for dealing with rectal foreign bodies].
Julia van Steenhoven1,2, Pieter van der Sluis3, Paul H P Davids1
1Diakonessenhuis, afd. Heelkunde, Utrecht.
Nederlands Tijdschrift Voor Geneeskunde
|September 14, 2018
Summary
Retained rectal foreign bodies are an increasing concern, lacking established medical protocols. This study proposes a stepwise management algorithm for these complex cases to prevent serious complications.
Area of Science:
- Gastroenterology
- Emergency Medicine
- Surgical Procedures
Background:
- Retained rectal foreign bodies (RRFBs) are increasingly common in emergency departments.
- Existing medical literature lacks standardized management protocols for RRFBs.
- The variety of objects necessitates careful diagnostic and therapeutic approaches.
Observation:
- Three male patients (ages 29, 57, and 59) presented to the emergency department with inserted rectal foreign bodies.
- These cases highlight the diagnostic and therapeutic challenges posed by RRFBs.
- The incidence of RRFBs appears to be rising.
Findings:
- A stepwise approach is proposed for managing patients with RRFBs.
- This algorithm aims to guide clinicians through the diagnostic and treatment process.
- The proposed method seeks to minimize complications.
Implications:
- Standardized algorithms are crucial for effectively managing RRFBs.
- Implementing such protocols can prevent severe complications like perforation and peritonitis.
- This approach can improve patient outcomes and streamline emergency care for RRFBs.
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