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A Case Series of Ingested Open Safety Pin Removal Using a Proposed Endoscopic Removal Technique Algorithm
1Department of Pediatric Gastroenterology, University of Health Sciences, Yuksek Ihtisas Teaching Hospital, Bursa, Turkey.
Pediatric Gastroenterology, Hepatology & Nutrition
|September 27, 2019
Summary
Ingested safety pins in children are often found in the esophagus and stomach. Endoscopic removal is effective and recommended as soon as possible to prevent complications.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Procedures
- Foreign Body Ingestion
Background:
- Ingestion of safety pins is a significant concern in pediatric populations.
- It can lead to serious health issues, including morbidity and mortality.
Purpose of the Study:
- To provide practical management strategies for ingested safety pins in children.
- To introduce a novel algorithm for handling such cases.
Main Methods:
- Retrospective analysis of 20 pediatric cases with ingested safety pins over four years.
- Endoscopic examination to locate and remove foreign bodies.
Main Results:
- Safety pins were located in the esophagus, stomach, and duodenum in most cases.
- Endoscopic removal was successful in 75% of cases; no surgical intervention was required.
- No major complications like perforation or death occurred, with minor erosions being the only issue.
Conclusions:
- Endoscopic removal of ingested safety pins is a safe and effective procedure.
- Early endoscopic intervention for safety pin ingestion, particularly in the esophagus and stomach, is crucial.
- Prompt endoscopic procedures minimize risks and improve patient outcomes.
