Extraction of foreign bodies from the upper gastrointestinal tract (а literature review)

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Abstract

Introduction. Swallowing foreign bodies is a common case in children which can cause a large number of complications. The statistics informs that 80% of cases are met in children aged from 6 months to 6 years. Late detection of foreign bodies is associated with a high risk of life-threatening complications. Timely detection and removal of foreign bodies is a relevant problem in modern medicine.

Material and methods. A literature review was made by keywords on the diagnostics and treatment of foreign bodies in the gastrointestinal tract in databases Scholar, Pubmed, Medline, Google.

Results. On analyzing the obtained literature data, the authors describe in details types of the approach to diagnose and remove foreign bodies in the gastrointestinal tract. Two large options were identified: non-endoscopic and endoscopic. Besides, the authors make a review of other unique techniques for removing foreign bodies proposed by various authors.

Conclusions. The obtained and analyzed literature data demonstrate that even the authors who offer different curative options recognize that endoscopy is the most safe and effective one for removing various objects. However, despite the obvious advantages of endoscopy in removing foreign bodies, it should be borne in mind that this technique is possible to apply only under certain conditions: namely, proper equipments and hospital setting, as well as experienced and trained personnel.

About the authors

N. A. Karlova

Pirogov Russian National Research Medical University

Author for correspondence.
Email: nata_karlova@mail.ru

Natalya A. Karlova, MD, department of pediatric surgery

117997, Moscow

Россия

A. S. Zadvernyuk

Filatov Municipal Children Hospital; Pirogov Russian National Research Medical University

Email: fake@neicon.ru

123001, Moscow

117997, Moscow

Россия

A. Yu. Razumovsky

Filatov Municipal Children Hospital; Pirogov Russian National Research Medical University

Email: fake@neicon.ru

123001, Moscow

117997, Moscow

Россия

References

  1. Chen M.K., Beierle E.A. Gastrointestinal foreign bodies. Pediatr Ann. 2001; 30(12): 736-42. https://doi.org/10.3928/0090-4481-20011201-08
  2. Lee J.H. Foreign Body Ingestion in Children. Clin Endosc. 2018; 51(2): 129-36. https://doi.org/10.5946/ce.2018.039
  3. Dahshan A. Management of ingested foreign bodies in children. J Okla State Med Assoc. 2001; 94(6): 183-6.
  4. Smith M.T., Wong R.K. Esophageal foreign bodies: types and techniques for removal. Curr Treat Options Gastroenterol. 2006; 9(1): 75-84. https://doi.org/10.1007/s11938-006-0026-3
  5. Uyemura M.C. Foreign body ingestion in children [published correction appears in Am Fam Physician. 2006 Apr 15; 73(8): 1332. Am Fam Physician. 2005; 72(2): 287-91.
  6. Dereci S., Koca T., Serdaroğlu F., Akçam M. Foreign body ingestion in children. Turk Pediatri Ars. 2015; 50(4): 234-40. Published 2015 Dec 1. https://doi.org/10.5152/TurkPediatriArs.2015.3164
  7. Cheng W., Tam P.K. Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg. 1999; 34(10): 1472-6. https://doi.org/10.1016/s0022-3468(99)90106-9
  8. Hachimi-Idrissi S., Corne L., Vandenplas Y. Management of ingested foreign bodies in childhood: our experience and review of the literature. Eur J Emerg Med. 1998; 5(3): 319-23.
  9. Кучеренко А.Д., Бебия Н.В. Варианты лечебной тактики у пациентов с инородными телами верхних отделов желудочно-кишечного тракта. Вестник Национального медико-хирургического Центра им. Н.И. Пирогова. 2015; 10(3): 24-31. УДК: 616.33/.34:616-008.856.6-08-035
  10. Khorana J., Tantivit Y., Phiuphong C., Pattapong S, Siripan S. Foreign Body Ingestion in Pediatrics: Distribution, Management and Complications. Medicina (Kaunas). 2019; 55(10): 686. Published 2019 Oct 14. https://doi.org/10.3390/medicina55100686
  11. Антонова Е.В., Холостова В.В., Халафов Р.В. Случай длительного нахождения инородных магнитных тел в желудке. Детская хирургия. 2013; (2): 52-3.
  12. Tan D.T.M., Phan Y.C., Leung E. Buried coin in the gastric mucosa. BMJ Case Rep. 2019; 12(1): bcr-2018-227622. Published 2019 Jan 14. https://doi.org/10.1136/bcr-2018-227622
  13. Донской Д.В., Ионов Д.В., Коровин С.А., Воробьев В.В., Соловова В.П., Туманян Г.Т., Соколов Ю.Ю. Классификация и лечебная тактика при инородных телах желудочно-кишечного тракта у детей. Детская хирургия. 2017; 21(3): 127-130.
  14. Барская М.А., Завьялкин В.А., Варламов А.В., Кузьмин А.И., Родионов В.Г., Тимашев И.В., Бусов Н.А., Терехина М.И. Лечебно-диагностическая тактика при инородных телах желудочно-кишечного тракта у детей. Современные проблемы науки и образования. 2018; 2: 34.
  15. Kim J.K., Kim S.S., Kim J., et al. Management of foreign bodies in the gastrointestinal tract: an analysis of 104 cases in children. Endoscopy. 1999; 31(4): 302-4. https://doi.org/10.1055/s-1999-13
  16. Oncel M., Sunam G.S., Elsurer C., Yildiran H. Use of Magill Forceps to Remove Foreign Bodies in Children. Surg J (N Y). 2017; 3(2): e91-5. Published 2017 Jun 19. https://doi.org/10.1055/s-0037-1604102
  17. Conners G.P., Mohseni M. Pediatric Foreign Body Ingestion. In: StatPearls. Treasure Island (FL): StatPearls Publishing; July 18, 2021.
  18. Kramer R.E., Lerner D.G., Lin T., et al. Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr. 2015; 60(4): 562-74. https://doi.org/10.1097/MPG.0000000000000729
  19. Tringali A., Thomson M., Dumonceau J.M., et al. Pediatric gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) Guideline Executive summary. Endoscopy. 2017; 49(1): 83-91. https://doi.org/10.1055/s-0042-111002
  20. Lee J.H. Foreign Body Ingestion in Children. Clin Endosc. 2018; 51(2): 129-36. https://doi.org/10.5946/ce.2018.039
  21. Jayachandra S., Eslick G.D. A systematic review of paediatric foreign body ingestion: presentation, complications, and management. Int J Pediatr Otorhinolaryngol. 2013; 77(3): 311-7. https://doi.org/10.1016/j.ijporl.2012.11.025
  22. Jafari S.A., Khalesi M., Partovi S., Kiani M., Ahanchian H., Kianifar H. Ingested Foreign Bodies Removed by flexible Endoscopy in Pediatric Patients: A 10-year Retrospective Study [corrected] [published correction appears in Iran. J Otorhinolaryngol. 2014 Oct; 26(77): 271. Iran J Otorhinolaryngol. 2014; 26(76): 175-9.
  23. Зубарева П.Н., Трофимова В.М. Хирургические болезни пищевода и кардии. СПб.: Фолиант, 2005.
  24. Benjamin S., Noguera E. Foreign bodies. The Esophagus, edn 4. Edited by Castell D, Richter J. Philadelphia: Lippincott Williams & Wilkins; 2004: 340–353.
  25. Бастрыгин А.В., Махотин А.А., Гандуров С.Г., Ефременко А.Д., Жила Н.Г., Савенко А.Ю., Северный Н.Ю. Лечебная тактика при инородных телах – батарейках верхних отделов желудочно-кишечного тракта у детей. Особенности эндоскопической диагностики и лечения. Дальневосточный медицинский журнал. 2008; (4): 99-101.
  26. Arana A., Hauser B., Hachimi-Idrissi S., Vandenplas Y. Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr. 2001; 160: 468-72.
  27. Anderson K.L., Dean A.J. Foreign bodies in the gastrointestinal tract and anorectal emergencies. Emerg Med Clin North Am. 2011; 29(2): 369-ix. https://doi.org/10.1016/j.emc.2011.01.009
  28. Ginsberg G.G. Management of ingested foreign objects and food bolus impactions. Gastrointest Endosc. 1995; 41(1): 33-8. https://doi.org/10.1016/s0016-5107(95)70273-3
  29. Waltzman M.L., Baskin M., Wypij D., Mooney D., Jones D., Fleisher G. A randomized clinical trial of the management of esophageal coins in children. Pediatrics. 2005; 116(3): 614-9. https://doi.org/10.1542/peds.2004-2555
  30. Бочаров Р.В., Погорелко В.Г., Караваев А.В., Юшманова А.Б. Опыт лечения магнитных инородных тел в желудочно-кишечном тракте у детей. Эндоскопическая хирургия. 2017; 23: 13-8.
  31. Yuan F., Tang X., Gong W., Su L., Zhang Y. Endoscopic management of foreign bodies in the upper gastrointestinal tract: An analysis of 846 cases in China. Exp Ther Med. 2018; 15(2): 1257-62. https://doi.org/10.3892/etm.2017.5561
  32. Xiong Y., Yu J., Luo Q., Jiang H., Zhang J. Novel Bougie for the Management of Esophageal Coins in Children: An Observational Study. Ann Otol Rhinol Laryngol. 2019; 128(6): 503-7. https://doi.org/10.1177/0003489419828764
  33. Vicari J.J., Johanson J.F., Frakes J.T. Outcomes of acute esophageal food impaction: success of the push technique. Gastrointest Endosc. 2001; 53(2): 178-81. https://doi.org/10.1067/mge.2001.111039
  34. Bonadio W.A., Jona J.Z., Glicklich M., Cohen R. Esophageal bougienage technique for coin ingestion in children. J Pediatr Surg. 1988; 23(10): 917-8. https://doi.org/10.1016/s0022-3468(88)80384-1
  35. Gauderer M.W., DeCou J.M., Abrams R.S., Thomason M.A. The "penny pincher": a new technique for fast and safe removal of esophageal coins. J Pediatr Surg. 2000; 35(2): 276-8. https://doi.org/10.1016/s0022-3468(00)90024-1
  36. Nelson D.B., Bosco J.J., Curtis W.D., et al. ASGE technology status evaluation report. Endoscopic retrieval devices. February 1999. American Society for Gastrointestinal Endoscopy. Gastrointest Endosc. 1999; 50(6): 932-4. https://doi.org/10.1016/s0016-5107(99)70199-9
  37. Weinstock L.B., Shatz B.A., Thyssen S.E. Esophageal food bolus obstruction: evaluation of extraction and modified push techniques in 75 cases. Endoscopy. 1999; 31(6): 421-5. https://doi.org/10.1055/s-1999-39
  38. Faigel D.O., Stotland B.R., Kochman M.L., et al. Device choice and experience level in endoscopic foreign object retrieval: an in vivo study.

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