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Related Experiment Videos

Toothbrush ingestion by bulimics may require laparotomy

D T Wilcox1, H L Karamanoukian, P L Glick

  • 1Department of Surgery, State University of New York at Buffalo, School of Biomedical and Medical Sciences.

Journal of Pediatric Surgery
|December 1, 1994
PubMed
Summary

Two girls with bulimia accidentally swallowed toothbrushes during emesis. Early removal is crucial to prevent complications, with surgery often needed due to the object's shape.

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Area of Science:

  • Gastroenterology
  • Endoscopic Procedures
  • Foreign Body Retrieval

Background:

  • Bulimia nervosa is an eating disorder characterized by recurrent episodes of binge eating and compensatory behaviors.
  • Self-induced vomiting (emesis) is a common compensatory behavior in bulimia nervosa.
  • Accidental ingestion of foreign bodies can occur during attempts to induce emesis.

Observation:

  • Two pediatric patients with bulimia nervosa accidentally ingested toothbrushes while attempting to induce emesis.
  • The ingested toothbrushes presented as a unique foreign body challenge due to their shape and size.

Findings:

  • Endoscopic removal is the preferred method for gastrointestinal foreign bodies.
  • The geometric properties of the toothbrushes (e.g., bristles, handle) complicated endoscopic retrieval.

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  • Surgical intervention was ultimately required for successful removal in these cases.

    • Implications:

    • Healthcare providers should be aware of the risk of foreign body ingestion in patients with bulimia nervosa.
    • Prompt diagnosis and management are essential to prevent complications such as perforation or obstruction.
    • The limitations of endoscopic retrieval for certain foreign bodies necessitate consideration of surgical options.