Unusual Foreign Bodies in Gastrointestinal Tract: A Three-year Experience in a Tertiary Care Hospital

Authors

  • Varun Dogra Senior Resident, Department of General Surgery, GMC Jammu, Jammu and Kashmir, India
  • Ishfaq Ahmad Gilkar Senior Resident, Department of General Surgery, GMC Srinagar, Jammu and Kashmir, India
  • Javid Ahmad peer Senior Resident, Department of General Surgery, GMC Srinagar, Jammu and Kashmir, India
  • Irfan Ahmad Mir Assistant professor, department of medicine, School of medical sciences and research, Delhi, India.

Keywords:

Foreign body, Endoscopy, Adolescent, Tertiary care, Ingestion

Abstract

Background: Majority of foreign body ingestion occurs in paediatric population with a peak incidence between ages of 6 months and 6 years. In adults, foreign body ingestion occurs more commonly in those with psychiatric disorders, developmental delay, alcohol intoxication, and in incarcerated individuals seeking gains via release to a medical facility. Materials and Methods: This prospective observational study was done in a tertiary care hospital of northern India over a period of three year and included all patients who presented with ingestion or insertion of foreign bodies. Complete history and detailed clinical examination of patients was done. Patients with foreign bodies in their nose or ear with excluded from this study. Result and Discussion: After applying the exclusion criteria, 183 patients were enrolled in this study. Majority of patients were children ranging from 2 years to 15 years of age. Majority of cases of foreign bodies were coins and safety pins followed by other metallic bodies such as Pins, Screws, and nails. The most common site was the Stomach which constituted about 50% of all cases. Most of the patients were managed conservatively with spontaneous expulsion of foreign bodies via stools and were discharged. Conclusion: Our aim in this study is to create an awareness regarding the various hazards related to foreign body ingestion. There is a need to create awareness in the society regarding the issue especially among the younger age group and their caretakers so that incidences of foreign body ingestion can be reduced.

 

References

Pedro Magalhães-Costa, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: an evidence-based review article. GE Port J Gastroenterol. 2016 May-Jun; 23 (3): 142–152.

Busch DB, Starling JR. Rectal foreign bodies: case reports and a comprehensive review of the world's literature. Surgery 1986; 100 (3): 512–9.

Joshua Aiyekomogbon, et al., "Accidental ingestion of padlock presenting with respiratory distress: a Case report and review of literature" International journal of latest research in science and technology, 2014: 3 (5): 40–42.

Shakeel Ahmad Mir, et al. Accidental ingestion of hairpins in adolescent Muslim girls while doing or undoing the headscarf. International Surgery Journal. 2015; 2 (3): 377–80.

Jan Muhammad Memon, et al. Rectal Foreign Bodies. Gomal Journal of Medical Science. 2008:

(1).

Louis Carp. Foreign Bodies in the Intestine. Ann Surg. 1927 Apr; 85 (4): 575–591.

Norichika Yoshie, et al. Unusual rectal foreign bodies: a case report and review of published works. Acute Med Surg. 2014 Jan; 1 (1): 61.

J Opoku-Buabeng. Foreign bodies of the upper digestive tract in Komfo Anokye teaching hospital. 2015: 35 (2): 60–67.

Milton T Smith, et al. foreign bodies. Gastrointestinal Endosc Clin N Am. 2007 Apr; 17 (2): 361–82, vii.

JK Seo. Endoscopic management of gastrointestinal foreign bodies in children. Indian J Pediatr. 1999; 66 (1 Suppl): S75–80.

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Published

2022-02-21

Issue

Vol. 11 No. 1 (2022)

Section

Research Article

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