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Replacing plastic bread clips with cardboard will prevent bowel perforation
Lalita Maria Andersen1, Peter Yuide2
1Mater Adults Hospital, Raymond Terrace, South Brisbane, Queensland, 4101, Australia.
Accidental ingestion of plastic bread clips can lead to serious health issues like bowel perforation. This review highlights the dangers of these common plastic objects and suggests safer alternatives to prevent harm.
Area of Science:
- Gastroenterology
- Medical Device Safety
Background:
- Plastic bread clips are common household items.
- Accidental ingestion poses a significant risk of morbidity and mortality.
Purpose of the Study:
- To review and analyze case reports of plastic bread clip ingestion.
- To understand the complications and characteristics of bread clips causing harm.
Main Methods:
- Systematic review of medical literature (PubMed, MedLine, Google Scholar).
- Analysis of 56 case reports from 1975 to 2020.
- Keywords included: clip, tag, tab, closure, kwik lok, bread, bag, ingestion, bowel, obstruction, perforation, plastic, foreign body.
Main Results:
- Plastic bread clips are firm, durable, and designed to grip, increasing risk.
- 28% of ingested cases resulted in bowel perforation.
- 61% of perforations occurred in the small bowel.
Conclusions:
- Plastic bread clips present a notable risk for gastrointestinal injury, including perforation.
- Safer, commercially available alternatives should be considered to replace plastic bread clips.
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