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Related Experiment Videos

Gastrointestinal foreign bodies

D E McCanse, A Kurchin, J R Hinshaw

    American Journal of Surgery
    |September 1, 1981
    PubMed
    Summary

    Foreign body ingestion in 26 patients over 20 years revealed most were asymptomatic. Distal large bowel involvement and localized peritonitis were common, with roentgenography aiding preoperative diagnosis.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Foreign body ingestion is a common cause of gastrointestinal distress, particularly in pediatric populations.
    • This study reviews 26 cases of foreign body ingestion admitted over a 20-year period to understand current trends and outcomes.

    Observation:

    • Ten patients ingested metallic foreign bodies, with most cases being asymptomatic and requiring observation.
    • Surgical intervention was necessary for 16 patients, with the distal large bowel being the most frequently affected site.
    • Localized peritonitis was a common sign, irrespective of whether the foreign body was blunt or pointed.

    Findings:

    • Contrary to previous literature, the ileocecal region was not the primary site of involvement; the distal large bowel was more commonly affected.
    • Bowel perforations were attributed to slow pressure necrosis caused by both blunt and pointed foreign bodies.
    • Roentgenographic studies proved valuable in preoperative diagnosis, a finding that contrasts with earlier research.

    Implications:

    • Understanding the shift in common anatomical locations for foreign body complications is crucial for accurate diagnosis and management.
    • The utility of roentgenography in preoperative assessment highlights its importance in modern clinical practice for foreign body ingestion.
    • This study underscores the need for continued vigilance and updated diagnostic approaches for foreign body ingestion, especially concerning pediatric patients.

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