Focused Review Series: Endoscopy in Children
-
Foreign Body Ingestion in Children
-
Ji Hyuk Lee
-
Clin Endosc 2018;51(2):129-136. Published online March 30, 2018
-
DOI: https://doi.org/10.5946/ce.2018.039
-
-
Abstract
PDF
PubReader
ePub
- Foreign body (FB) ingestion in children is common and most children are observed to be between 6 months and 3 years of age. Although most FBs in the gastrointestinal tract pass spontaneously without complications, endoscopic or surgical removal may be required in a few children. Thus, FB ingestion presents a significant clinical difficulty in pediatric gastroenterological practice. Parameters that need to be considered regarding the timing of endoscopic removal of ingested FBs in children are the children’s age or body weight, the clinical presentation, time lapse since ingestion, time of last meal, type as well as size and shape of the FB, and its current location in the gastrointestinal tract. Esophageal button batteries require emergency removal regardless of the presence of symptoms because they can cause serious complications. Coins, magnets, or sharp FBs in the esophagus should be removed within 2 hours in symptomatic and within 24 hours in asymptomatic children. Among those presenting with a single or multiple magnets and a metallic FB that have advanced beyond the stomach, symptomatic children need a consultation with a pediatric surgeon for surgery, and asymptomatic children may be followed with serial X-rays to assess progression. Sharp or pointed, and long or large and wide FBs located in the esophagus or stomach require endoscopic removal.
-
Citations
Citations to this article as recorded by

- Unusual presentation of multiple ingested magnets in a 12-year-old boy: A case report
Ashley Ramirez, Yi-Horng Lee, Vasantha Kondamudi, Francisca Velcek
Journal of Pediatric Surgery Case Reports.2025; 113: 102931. CrossRef - Foreign bodies in the upper gastrointestinal tract in children, modern approaches to removal. A clinical case
V.A. Ivantsiv, S.L. Nyankovskyy, L.V. Yushchyk, O.S. Nyankovska, I.M. Tumak, T.O. Kocherkevych, O.V. Yurkiv, O.N. Kocherkevych
CHILD`S HEALTH.2025; 19(8): 520. CrossRef - Pediatric Esophageal Foreign Bodies: The Role of Socioeconomic Status in Ingestion Patterns
Tanya Chen, Jennifer M Siu, Yasmine Madan, Gar‐Way Ma, Peter J. Gill, Nicholas Carman, Evan J. Propst, Nikolaus E. Wolter
The Laryngoscope.2024; 134(6): 2945. CrossRef - Conservative management of ingested foreign bodies in the gastrointestinal tract
Rizke A. PUJIATI, Muhammad A. AKIL
Gazzetta Medica Italiana Archivio per le Scienze Mediche.2024;[Epub] CrossRef - Novel Use of Laparoscopic Totally Extraperitoneal (TEP) Approach for Removal of Abdominal Wall Foreign Bodies
Ho Min Yun, Jeremy Tian Hui Tan, Benjamin Ruimin Poh
Indian Journal of Surgery.2024; 86(6): 1269. CrossRef - Safety beyond Sight: Handheld Metal Detectors as Diagnostic Allies in the Management of Children Suspected to have Ingested Foreign Bodies
Tomaz Krencnik, Tadej Jalsovec, Martina Klemenak, Petra Riznik, Jernej Dolinsek
Diagnostics.2024; 14(4): 356. CrossRef - Clinical practice guidelines in the management of pediatric foreign body aspiration and ingestion: a systematic evaluation using the AGREE II instrument
Anza Rizvi, Fatima Rizvi, Kevin Chorath, Neeraj V. Suresh, Emma De Ravin, Dominic Romeo, Deepak Lakshmipathy, Louis-Xavier Barrette, Karthik Rajasekaran
Pediatric Surgery International.2024;[Epub] CrossRef - Asymptomatic spontaneous expulsion of a long foreign body through the gastrointestinal tract – a curious case report
Sushan Pokharel, Suraj KC, Samiksha Lamichhane, Mohir Pokharel, Rajesh P. Sah, Sanjaya K. Yadav, Amrit Bhusal, Sishir Poudel, Siddhartha K. Shah, Moneec Pokharel
Radiology Case Reports.2024; 19(5): 1940. CrossRef - Water-beads Ingestion with Intestinal Obstruction in Children: A Case Report
Nicodemus, Nuraini Irma Susanti
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition.2024; 3(1): 24. CrossRef - Pediatric Esophageal Foreign Bodies and Caustic Ingestions
Kristina Powers, Cristina Baldassari, Jordyn Lucas
Otolaryngologic Clinics of North America.2024; 57(4): 623. CrossRef - Non-surgical Management of a Malecot Tube Migrating From a Small Bowel Fistula
Payton C O'Quinn, Lou M Smith, Alexander C Cavalea
Cureus.2024;[Epub] CrossRef - Imaging approach to ingested foreign bodies in the neck
Serena Poésy, Osamu Sakai, V. Carlota Andreu-Arasa
Neuroradiology.2024; 66(6): 867. CrossRef - Few incidentally found interesting foreign objects in human body: a case series
ANAND HATGAONKAR, KAJAL HATGAONKAR, SANDEEP DHOTE, VAISHALI DHAWAN
F1000Research.2024; 12: 1306. CrossRef - Decreasing the Size of Bottle Caps: Helping or Hurting Children?
Lauren A. DiNardo, Arunima Vijay, Alyssa D. Reese, Suma Alzouhayli, Michele M. Carr
Otolaryngology–Head and Neck Surgery.2024; 171(5): 1526. CrossRef - Few incidentally found interesting foreign objects in human body: a case series
ANAND HATGAONKAR, KAJAL HATGAONKAR, SANDEEP DHOTE, VAISHALI DHAWAN
F1000Research.2024; 12: 1306. CrossRef - The Ingestion of 62 Magnetic Beads by a Two-Year-Old Child: A Case Report of a Novel Approach for Retrieval
Muhammad Aishat, Omayr M Irshad, Faris M Shurafa, Sharif Mohamed
Cureus.2024;[Epub] CrossRef - Unforeseen consequences: A case report of misdiagnosis in pediatric ingestion of a fish bone
Abubakr Bajaber, Safa Shariff, Muhammad Azhar, Mariam Ayashi, Mohammed Moawed, Omar Bajaber
Radiology Case Reports.2024; 19(11): 4741. CrossRef - Magnetic Foreign Bodies of the Gastrointestinal Tract in a Child. Clinical Observations
E. B. Olkhova, K. A. Shchedrina
Radiology - Practice.2024; (4): 56. CrossRef - Has the cat got your tongue, or is something obstructing your throat? A review of imaging of ingested and aspirated foreign bodies in the paediatric population
Ola Kvist, Juan Pablo Garcia
Pediatric Radiology.2024; 54(13): 2175. CrossRef - Case Report of a Sharp-Pointed Foreign Body Ingested by a Child: How Long to Wait Before Surgical Intervention?
Anandit Bal, Santosh K Mahalik
Cureus.2024;[Epub] CrossRef - Magnet Extraction Through Appendectomy Laparoscopically (METAL) technique as a novel method to manage ingested magnets in children
Raphael C. Sun, Steven Mehl, Kristy Rialon, Adam M. Vogel, Jed Nuchtern
The American Surgeon™.2023; 89(3): 490. CrossRef - Clinical Experiences and Selection of Accessory Devices for Pediatric Endoscopic Foreign Body Removal: A Retrospective Multicenter Study in Korea
Yeoun Joo Lee, Ji-Hyuk Lee, Kie Young Park, Ji Sook Park, Jae Hong Park, Taek Jin Lim, Jun-Pyo Myong, Jae Hun Chung, Ji-Hyun Seo
Journal of Korean Medical Science.2023;[Epub] CrossRef - Ingestion of foreign bodies and caustic substances in children
J. Sutherland, L. Bowen
BJA Education.2023; 23(1): 2. CrossRef - Factors associated with complications of foreign body ingestion and/or aspiration in children from a Peruvian hospital
Brian M. Romero, Stephany Vilchez-Bravo, Gustavo Hernández-Arriaga, Lotty Bueso-Pineda, Thomas Franchi, Marcos Roberto Tovani-Palone, Christian R. Mejia
Heliyon.2023; 9(2): e13450. CrossRef - Difficult Bronchoscopy and Foreign Body Removal: Our Experience
Prabakaran S., Namasivaya Navin R.B., Gowthame K., Karthika S.R., Rajasekaran S.
International Journal of Recent Surgical and Medical Sciences.2023; 10: S107. CrossRef - Assessment of Awareness Level Among Parents Regarding Foreign Body Ingestion in Children in Arar, Saudi Arabia
Syed Sajid Shah, Amin Makhdoom, Abdulaziz Alanazi, Khalid Alanazi, Abdulaziz Mohammed
Archives of Pharmacy Practice.2023; 14(2): 51. CrossRef - Neck Radiograph Halo Sign: Do Not Be Fooled
Nurdiana Baharudin, Hardip Gendeh, Hui Mon Teh
Cureus.2023;[Epub] CrossRef - Appendiceal foreign body in a two‐year‐old child: A case report
Yohei Sanmoto
Pediatrics International.2023;[Epub] CrossRef - Pediatric Emergency Department Visits Related to Home Accident in the Era of COVID-19 Pandemic
Anıl Er, Berna Kahraman Çetin, Emel Ulusoy, Fatma Akgül, İlker Günay, Hurşit Apa
Turkish Journal of Pediatric Emergency and Intensive Care Medicine.2023; 10(2): 84. CrossRef - Neodymium magnets migrated into an internal supravesical hernia: a rare case of foreign body ingestion in children
Michiaki Ikegami, Yuichiro Miyaki, Takashi Hamano, Yurina Taira, Toshiaki Takahashi
Surgical Case Reports.2023;[Epub] CrossRef - Ultrasound evaluation of intraluminal magnets in an ex vivo model
Jason J. Lee, Amanda L. Rugg, Crystal K. Wu, Garrett J. Hamblin, Michael C. Larson
Emergency Radiology.2023; 30(5): 589. CrossRef - Foreign Body in the Gastrointestinal Tract in Children: A Tertiary Hospital Experience
Chukwubuike Kevin Emeka, Nduagubam Obinna Chukwuebuka, Enebe Joseph Tochukwu
African Journal of Paediatric Surgery.2023; 20(3): 224. CrossRef - Pediatric Magnet Ingestion with Delayed Presentation: Case Series from Tertiary Center in Saudi Arabia
Abdulaziz Alareefy, Esam Barnawi, Rawan Alrashed, Abdulelah Alamri, Ahmed M Aleidan, Mazen Alghofaily, Mayada Alkhelaif, Sara Kanfar
Pediatric Health, Medicine and Therapeutics.2023; Volume 14: 231. CrossRef - Progress in Diagnosis and Treatment of Foreign Body Ingestion in Children
萌娜 王
Advances in Clinical Medicine.2023; 13(08): 12725. CrossRef - Experiencia en la endoscopia terapéutica para extracción de cuerpo extraño esofágico según sus características
Deivis Maury, Dianora Navarro, Karolina López, Franny Núñez, Genesis Rojas, Cristhian Núñez, Gleidys Villarroel, Libia Alonso, Elenny Moya, Katiuska Belandria
Revista GEN.2023; 77(1): 17. CrossRef - Foreign bodies of the gastrointestinal tract in children: a retrospective analysis of medical cases
I. S. Samolygo
Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics).2023; 68(4): 82. CrossRef - Extraction of a metallic susceptor after accidental ingestion of the heated tobaccostick TEREA™: a case report
Koki Higashi, Yuhki Koike, Yuki Sato, Shinji Yamashita, Yuka Nagano, Tadanobu Shimura, Takahito Kitajima, Kohei Matsushita, Kazuki Yokota, Keishiro Amano, Yoshinaga Okugawa, Yuji Toiyama
BMC Pediatrics.2023;[Epub] CrossRef - Few incidentally found interesting foreign objects in human body: a case series
ANAND HATGAONKAR, KAJAL HATGAONKAR, SANDEEP DHOTE, VAISHALI DHAWAN
F1000Research.2023; 12: 1306. CrossRef - A Retrospective Analysis of Foreign Body Ingestions Among the Pediatric Age Group in a Tertiary Care Hospital in Jeddah, Saudi Arabia
Rahaf L Abudungor, Deema O Arif, Yasmeen S Alsulaiman, Dana A Alrabghi, Ahmed F Jarb, Lojien M Algari
Cureus.2023;[Epub] CrossRef - Button battery ingestion in children – An impending catastrophe
P. Sasitharan, Adam Mohamad, Hardip Singh Gendeh
Visual Journal of Emergency Medicine.2023; 33: 101875. CrossRef - An Uncommon Foreign Body in an Infant
Poornima Kumar, Gautam Bir Singh, Devanshu Kwatra, Aarti Rai
Ear, Nose & Throat Journal.2022; 101(1): 38. CrossRef - Unusual Foreign Body, a Spoon, in the Esophagus of a Middle-Aged Female: A Case Report and Review of the Literature
Su Il Kim, Su Young Jung, Chang Eun Song, Dae Bo Shim
Ear, Nose & Throat Journal.2022; 101(1): NP31. CrossRef - Role of Honey and Acetic Acid in Mitigating the Effects of Button Battery in Esophageal Mucosa: A Cadaveric Animal Model Experimental Study
Bigyan Raj Gyawali, Rajendra Guragain, Dhruba Raj Gyawali
Indian Journal of Otolaryngology and Head & Neck Surgery.2022; 74(S3): 5759. CrossRef - Urgency of Esophageal Foreign Body Removal: Differentiation Between Coins and Button Cell Batteries
Arash R. Safavi, Christopher D. Brook, Osamu Sakai, Bindu N. Setty, Ann Zumwalt, Mauricio Gonzalez, Michael P. Platt
Otolaryngology–Head and Neck Surgery.2022; 166(1): 80. CrossRef - Ingesta de cuerpo extraño en pacientes pediátricos en un hospital de tercer nivel y factores asociados
L.A. Navia-López, J.F. Cadena-León, K.R. Ignorosa-Arellano, E.M.Toro-Monjaraz, F. Zárate-Mondragón, A. Loredo-Mayer, R. Cervantes-Bustamante, J.A. Ramírez-Mayans
Revista de Gastroenterología de México.2022; 87(1): 20. CrossRef - An unusual case of gastrointestinal perforation caused by trans-abdominal penetration of sewing needles
Mahindra Rampersaud, Tameshwar K Algu
Tropical Doctor.2022; 52(1): 160. CrossRef - Foreign body ingestion and associated factors in pediatric patients at a tertiary care center
L.A. Navia-López, J.F. Cadena-León, K.R. Ignorosa-Arellano, E.M. Toro-Monjaraz, F. Zárate-Mondragón, A. Loredo-Mayer, R. Cervantes-Bustamante, J.A. Ramírez-Mayans
Revista de Gastroenterología de México (English Edition).2022; 87(1): 20. CrossRef - CT imaging of esophageal foreign bodies in children: a pictorial essay
Victor J. Seghers, J. Herman Kan, Ray Somcio, Andrew C. Sher, R. Paul Guillerman, Marla B. K. Sammer
Japanese Journal of Radiology.2022; 40(3): 262. CrossRef - Duodenal dislodgement of an ingested sharp foreign body by mucosal unfolding “Gilan maneuver”; A novel surgical approach
Iraj Baghi, Amir Pirooz, Ramin Ebrahimian, Abbas Hajian
International Journal of Surgery Case Reports.2022; 90: 106721. CrossRef - Accidental or intentional ingestion of toothbrushes: experience with 8 adult patients
Gary G. Ghahremani, Katherine M. Richman
Emergency Radiology.2022; 29(2): 377. CrossRef - Occurrence of acute cholinergic syndrome in an infant due to donepezil ingestion
Mahdieh Sadeghi, Zakaria Zakariaei, Mostafa Soleymani, Abdollah Malakian
Clinical Case Reports.2022;[Epub] CrossRef - A non-invasive novel approach for managing digestive tract foreign body ingestion in children
Sayanthan Balasubramaniam, Sanjaya Abeygunasekara, Ganeshrajah Arunasalam, Thiruvarangan Suwaminathan
Karnataka Paediatric Journal.2022; 37: 19. CrossRef - Unusual Foreign Body Found on Colonoscopy in an Adolescent Girl
Charles B. Chen, Amala J. Alenchery, Lori Mahajan
ACG Case Reports Journal.2022; 9(5): e00762. CrossRef - Plastic foreign body in the pharynx can evade detection by computed tomography
Naoya Sakamoto, Shunsuke Fujii, Kouji Masumoto, Akira Matsuoka, Satoshi Toumine, Tadahiko Hara, Ken Shimada
Journal of Pediatric Surgery Case Reports.2022; 84: 102352. CrossRef - Extraction of foreign bodies from the upper gastrointestinal tract (а literature review)
N. A. Karlova, A. S. Zadvernyuk, A. Yu. Razumovsky
Russian Journal of Pediatric Surgery.2022; 26(2): 96. CrossRef - Abdominal X-rays in children: indications, procedure and interpretation
Siba Prosad Paul, Florence Holbrook, Lisa Plowman, Julia James
Nursing Children and Young People.2022; 34(4): 12. CrossRef - Foreign body ingestion: Is intervention always a necessity?
Dhuha N. Boumarah, Lujain S. Binkhamis, Mohammed AlDuhileb
Annals of Medicine and Surgery.2022; 84: 104944. CrossRef - Case report of fatal deep neck abscess: a complication of aerodigestive foreign bodies
D.D., Belanny, R.F. Perdana
THE NEW ARMENIAN MEDICAL JOURNAL.2022; : 66. CrossRef - Foreign Body Ingestion: A Common Presentation Among Pediatric Age Group in the City of AlAhsa Eastern Province, Saudi Arabia
Hussain A Al Ghadeer, Sajjad M AlKadhem, Alla M Albisher, Nouh H AlAli, Ali Salman Al Hassan, Murtadha H Alrashed, Mohammed H Alali, Raghad T Alturaifi, Mohammed B Alabdullah, Ahmed H Buzaid, Zakariya A Aldandan, Mohammed H Alnasser, Nasser S Aldan
Cureus.2022;[Epub] CrossRef - Protocol of care for foreign-body ingestion in children: a qualitative study
Dario Silva da Silva Júnior, Jandrei Rogério Markus, Aline Barbosa Lopes, Lucas da Silva Sousa, Erika da Silva Maciel, Ladislau Ribeiro do Nascimento, Luiz Sinésio Silva Neto, Aldair Martins Barasuol, André Pontes-Silva, Fernando Rodrigues Peixoto Quaresm
Revista da Associação Médica Brasileira.2022; 68(9): 1270. CrossRef - Incidence of pediatric rigid esophagoscopy for foreign body removal before and after coin currency implementation in Saudi Arabia in 2017
Abdulaziz Wafi, Mousa Wafi, Turki Hakami, Nasser Waleed Alabida, Raed Almutairi, Saad Alsaleh, Ibrahim Sumaily
Annals of Saudi Medicine.2022; 42(6): 415. CrossRef - Management of Foreign Body Ingestion in Children: A Single-center Experience
Aylin Yücel, Ömer Yaz
Trends in Pediatrics.2022; 3(4): 126. CrossRef - Ingestion of orthodontic appliances
Ioanna I. Karamani, Miltiadis A. Makrygiannakis, Ilias Bitsanis, Apostolos I. Tsolakis
Journal of Orthodontic Science.2022; 11(1): 20. CrossRef - Change management: Foreign body ingestion in a child
Idris Akinwande
InnovAiT: Education and inspiration for general practice.2021; 14(10): 645. CrossRef - Retrieving multiple magnetic foreign bodies from the glottic entrance and stomach
Stylianos Voulgarelis, Astrid Stucke
Saudi Journal of Anaesthesia.2021; 15(1): 56. CrossRef - Plastic bezoar causing acute pancreatitis in an adolescent: A case report
Dominic Staudenmann, Arthur J Kaffes, Payal Saxena
JPGN Reports.2021; 2(1): e026. CrossRef - Feasibility of physiologically based pharmacokinetic simulations for assessing pediatric patients after accidental drug ingestion: A case study of a 1.4-year-old girl who ingested alprazolam
Chie Emoto, Makiko Shimizu, Toshihiro Tanaka, Hiroshi Yamazaki
Drug Metabolism and Pharmacokinetics.2021; 39: 100394. CrossRef - Magnet Entrapment in the Right Lower Quadrant: A Management Dilemma
Valerie L. Luks, Atu Agawu, Dana Schwartz, Raman R. Sreedharan, Pablo Laje
Clinical Pediatrics.2021; 60(6-7): 321. CrossRef - A Precautionary Technique for the Accidental Ingestion of Preformed Zirconia Crowns in Pediatric Dentistry
Shital Kiran, Hetal Majeethia, Mehul Jani
Journal of South Asian Association of Pediatric Dentistry.2021; 4(1): 58. CrossRef - Pediatric magnet ingestion
Bridget Powell, Bridget Parsh
Nursing.2021; 51(5): 11. CrossRef - Small bowel fistula caused by ingested magnetic beads
T.G. Morulana, N. Tshifularo, T.R. Ngwenya, E. Motloung
Journal of Pediatric Surgery Case Reports.2021; 71: 101899. CrossRef - Ingested Foreign Bodies and Toxic Materials: Who Needs to be Scoped and When?
Yasemin Cagil, Jenna Diaz, Seth Iskowitz, Alisa J. Muñiz Crim
Pediatrics In Review.2021; 42(6): 290. CrossRef - Cylindrical and button battery ingestion in children: a single-center experience
Kh. A. Akilov, D. R. Asadullaev, R. Z. Yuldashev, Sh. I. Shokhaydarov
Pediatric Surgery International.2021; 37(10): 1461. CrossRef - Successful removal of two magnets in the small intestine by laparoscopy and colonoscopy: A case report
Ryang Geun Oh, Cheol Gu Lee, You Na Park, Yoo Min Lee
World Journal of Clinical Cases.2021; 9(27): 8226. CrossRef - Swallowed Metallic Spoon Causing Doudeno-Jejunal Junction Perforation in a 13-Year-Old Child: Case Report
Seifu Alemu, Nebiyou S Bayileyegn, Melkamu Berhane Arefayine
International Medical Case Reports Journal.2021; Volume 14: 731. CrossRef - A stomach like a utility room: Case report
Xiubing Chen, Aihua Huang, Lijian Yang, Shanyu Qin
Annals of Medicine and Surgery.2021; 71: 102979. CrossRef - Endoscopic Retrieval of Ingested Foreign Bodies: A Single Surgeon Experience
Nandkishor Sopanrao Sude, Venkata Pavan Kumar Karanam
Cureus.2021;[Epub] CrossRef - Therapeutic dilemma and clinical issues in management of the button battery ingestion: a case report and literature review
Olsi Agolli, Arjola Agolli, Namrata Hange, Kuchalambal Agadi
Egyptian Pediatric Association Gazette.2021;[Epub] CrossRef - Magnetic beads in gastrointestinal tract
Eva Karásková, Miloš Geryk, Radek Vrba, Tomáš Malý FEBPS, Jakub Čivrný, Dagmar Pospíšilová
Pediatrie pro praxi.2021; 22(5): 346. CrossRef - Timing of Button Battery Removal From the Upper Gastrointestinal System in Children
Tawfiq Taki Al Lawati, Reem Mohammed Al Marhoobi
Pediatric Emergency Care.2021; 37(8): e461. CrossRef - Injuries due to foreign body ingestion and insertion in children: 10 years of experience at a single institution
Fangbin Shao, Nannan Shen, Zipu Hong, Xiaoming Chen, Xiaokun Lin
Journal of Paediatrics and Child Health.2020; 56(4): 537. CrossRef - Pediatric button battery ingestion: Publication trends in the literature
Narmien Haddad, J. David Wilson, Darian Fard, Jessica R. Levi
American Journal of Otolaryngology.2020; 41(3): 102401. CrossRef - Foreign Body Shape Classification Using Intuitionistic Fuzzy Rule Based Approach on Pediatric Radiography Images
Vasumathy M., Mythili T.
International Journal of Computer Vision and Image Processing.2020; 10(2): 45. CrossRef - Foreign body and caustic ingestions in children: A clinical practice guideline
Salvatore Oliva, Claudio Romano, Paola De Angelis, Sara Isoldi, Cecilia Mantegazza, Enrico Felici, Emanuele Dabizzi, Giorgio Fava, Sara Renzo, Caterina Strisciuglio, Paolo Quitadamo, Marco Deganello Saccomani, Matteo Bramuzzo, Paolo Orizio, Giovanni Di Na
Digestive and Liver Disease.2020; 52(11): 1266. CrossRef - Occult Ingested Foreign Body: An Unusual Cause of Perimyocarditis
Bonnie Mathews, Cindy Chen, Michael Fahey
The Journal of Emergency Medicine.2020; 59(4): e127. CrossRef - An unusual cause of appendectomy in a child (a sharp pin trapped in the appendix): a case report
Leen Jamel Doya, Nabila Salhab, Hanin Ahmed Mansour, Mohammad Ahmad Almahmod Alkhalil
Oxford Medical Case Reports.2020;[Epub] CrossRef - Esophageal Foreign Body Management in Children: Can It Wait?
Joseph R. Esparaz, Stewart R. Carter, Michelle S. Mathis, Mike K. Chen, Robert T. Russell
Journal of Laparoendoscopic & Advanced Surgical Techniques.2020; 30(12): 1286. CrossRef - Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017
Arne Jorma Speidel, Lena Wölfle, Benjamin Mayer, Carsten Posovszky
BMC Pediatrics.2020;[Epub] CrossRef - A case report of intestinal obstruction due to magnetic ball ingestion
Nadeem Hashmat, Adel Altamimi, Naureen Kanwal Satti
European Journal of Medical Case Reports.2020;[Epub] CrossRef - Complications des corps étrangers à piles-boutons chez l’enfant : à propos de deux cas
A. Kaboré, M. Sanou, K. Nagalo, C. Tientrebeogo, L. Dao, Y. Gyébré, K. Ouoba, D. Yé
Journal de Pédiatrie et de Puériculture.2019; 32(1): 35. CrossRef - Use of magnets in gastrointestinal surgery
Ramon Diaz, Gerardo Davalos, Leonard K. Welsh, Dana Portenier, Alfredo D. Guerron
Surgical Endoscopy.2019; 33(6): 1721. CrossRef - Laparoscopic retrieval of two intragastric spoons at least seven years after ingestion
Adeel Ahmed Shamim, Muhammad Maaz Zuberi, Amir Hafeez Shariff
Laparoscopic, Endoscopic and Robotic Surgery.2019; 2(3): 77. CrossRef - Fatality Due to Button Battery Lodgment in the Upper Digestive Tract of a Neonate
Venkatesh Janarthanan, Kumaran Moorthi, Kusa Kumar Shaha
American Journal of Forensic Medicine & Pathology.2019; 40(3): 298. CrossRef - Foreign body ingestion in an infant: A high index of suspicion is required
Luqman Afiq Mohamad Ishak, Kee Guan Khor, Shi Nee Tan
Pediatric Investigation.2019; 3(3): 188. CrossRef - Foreign body ingestion may be increasing in the US
Vigil James
The Journal of Pediatrics.2019; 214: 238. CrossRef - Ten‐Year‐Old Girl with Spontaneous Passage of Multiple Magnetic Foreign Bodies
Christopher RR Hyde, Shabana Yusuf
Journal of Paediatrics and Child Health.2018; 54(11): 1278. CrossRef - Button Battery Ingestion in Children: A Specific Clinical Issue
Francesco Macchini, Elettra Vestri, Martina Ichino, Anna Morandi, Giorgio Fava, Ernesto Leva
Clinical Endoscopy.2018; 51(6): 602. CrossRef
-
13,275
View
-
487
Download
-
84
Web of Science
-
97
Crossref
Case Report
-
Fluoroscopy-Guided Endoscopic Removal of Foreign Bodies
-
Junhwan Kim, Ji Yong Ahn, Seol So, Mingee Lee, Kyunghwan Oh, Hwoon-Yong Jung
-
Clin Endosc 2017;50(2):197-201. Published online December 23, 2016
-
DOI: https://doi.org/10.5946/ce.2016.085
-
-
Abstract
PDF
PubReader
ePub
- In most cases of ingested foreign bodies, endoscopy is the first treatment of choice. Moreover, emergency endoscopic removal is required for sharp and pointed foreign bodies such as animal or fish bones, food boluses, and button batteries due to the increased risks of perforation, obstruction, and bleeding. Here, we presented two cases that needed emergency endoscopic removal of foreign bodies without sufficient fasting time. Foreign bodies could not be visualized by endoscopy due to food residue; therefore, fluoroscopic imaging was utilized for endoscopic removal of foreign bodies in both cases.
-
Citations
Citations to this article as recorded by

- Fluoroscopic‐Guided Removal of Jejunal Sharp Foreign Body: An Alternative Approach to Surgery
Abdulrahman Qatomah, Simon McQueen, Wafa Qatomah, Aishah Qatomah, Ali Bessissow, Yoshifumi Nakayama
Case Reports in Gastrointestinal Medicine.2024;[Epub] CrossRef - A Gastric Magnetic Foreign Body Incidentally Detected Several Years after Ingestion
Dong Chan Joo, Moon Won Lee, Seung Min Hong, Dong Hoon Baek, Bong Eun Lee, Gwang Ha Kim, Geun Am Song
The Korean Journal of Gastroenterology.2023; 82(4): 198. CrossRef - Endoscopic Removal of an Embedded Foreign Body Using Fluoroscopy
Yujin Lee, Yong Hwan Kwon
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2022; 22(3): 231. CrossRef - Gastrointestinal perforation secondary to accidental ingestion of toothpicks
Zifeng Yang, Deqing Wu, Dailan Xiong, Yong Li
Medicine.2017; 96(50): e9066. CrossRef
-
9,228
View
-
166
Download
-
3
Web of Science
-
4
Crossref
Review
-
Oroesophageal Fish Bone Foreign Body
-
Heung Up Kim
-
Clin Endosc 2016;49(4):318-326. Published online July 26, 2016
-
DOI: https://doi.org/10.5946/ce.2016.087
-
-
Abstract
PDF
PubReader
ePub
- Fish bone foreign body (FFB) is the most frequent food-associated foreign body (FB) in adults, especially in Asia, versus meat in Western countries. The esophageal sphincter is the most common lodging site. Esophageal FB disease tends to occur more frequently in men than in women. The first diagnostic method is laryngoscopic examination. Because simple radiography of the neck has low sensitivity, if perforation or severe complications requiring surgery are expected, computed tomography should be used. The risk factors associated with poor prognosis are long time lapse after FB involvement, bone type, and longer FB (>3 cm). Bleeding and perforation are more common in FFB disease than in other FB diseases. Esophageal FB disease requires urgent treatment within 24 hours. However, FFB disease needs emergent treatment, preferably within 2 hours, and definitely within 6 hours. Esophageal FFB disease usually occurs at the physiological stricture of the esophagus. The aortic arch eminence is the second physiological stricture. If the FB penetrates the esophageal wall, a life-threatening aortoesophageal fistula can develop. Therefore, it is better to consult a thoracic surgeon prior to endoscopic removal.
-
Citations
Citations to this article as recorded by

- Unusual Intra-Thyroid Migration of Ingested Fish Bone: A Case Report and Literature Review
Richard Wend-Lasida Ouédraogo, Mathieu Millogo, T Antoine Coulibaly
Indian Journal of Otolaryngology and Head & Neck Surgery.2024; 76(3): 2782. CrossRef - Gastric foreign body granuloma resembling gastric cancer: a case report
Hussein Hassan Okasha, Ahmed Elsayed Alzamzamy, Hanane Delsa, Haitham fekry Othman, Ahmed sayed Alsibaie, Abeer Abdellatef
The Egyptian Journal of Internal Medicine.2024;[Epub] CrossRef - Various Approaches in Managing Fish Bone Migration: Our Experience in Tertiary Hospital in Sarawak
Yuanzhi Cheah, Ting Ting Yew, Mohd Razif Mohamad Yunus, Ing Ping Tang
Indian Journal of Otolaryngology and Head & Neck Surgery.2024; 76(4): 3556. CrossRef - Imaging approach to ingested foreign bodies in the neck
Serena Poésy, Osamu Sakai, V. Carlota Andreu-Arasa
Neuroradiology.2024; 66(6): 867. CrossRef - The case of endoscopic extraction of a foreign body of the gastric antral wall using full-thickness resection
A. A. Smirnov, M. M. Saadylaeva, R. A. Karpova, Y. V. Blinov, Y. V. Ruchkina, M.-E. T. Ilyasov, A. Yu. Korolkov
Grekov's Bulletin of Surgery.2024; 182(6): 44. CrossRef - Traumatic Vocal Fold Paralysis from Fishbone Foreign Body: Diagnosis and Management
Michaele Francesco Corbisiero, Nicole Wershoven, Matthew Clary, Brian Cervenka
The Laryngoscope.2024; 134(12): 5062. CrossRef - Successful Multidisciplinary Treatment of Severe Pyogenic Liver Abscess Caused by Fish Bone: A Case Report
Kei Harada, Takahisa Fujikawa, Yusuke Uemoto, Taisuke Matsuoka, Yuichiro Kawamura
Cureus.2024;[Epub] CrossRef - Absceso hepático por espina de pescado: reporte de caso
Edgar Ferney Hernández-Valencia, Álvaro Andrés Montenegro-Apraez, Gabriel José Romero-Camperos, Juan Manuel Rico-Juri
Revista Colombiana de Cirugía.2024;[Epub] CrossRef - Embedded Ileal Fish Bone Removed via Deep Enteroscopy in a Patient with Abdominal Pain and Hematochezia: A Case Report
Hsin-Yang Chen, Chao-Feng Chang, Tien-Yu Huang, I-Hsuan Huang
Medicina.2024; 61(1): 30. CrossRef - The role and value of low-dose computed tomography scan compared to esophagoscopy in the diagnosis of foreign body ingestion in adults
Parviz Mardani, Reza Shahriarirad, Fateme Khosravi, Hamidreza Malekhosseini, Armin Amirian, Hooman Kamran
General Thoracic and Cardiovascular Surgery.2023; 71(3): 198. CrossRef - An unusual cause of dysphagia: Esophageal external compressive stricture caused by abscess
Shi-Ze Xiong, Tong Sha, Wei Liu
The American Journal of the Medical Sciences.2023; 365(3): e29. CrossRef - A case report of a carotid space abscess due to extraluminal migration of a fishbone into the deep cervical space
Tae-Hun Lee, Ki Ju Cho, Seong Jun Won, Jung Je Park
Kosin Medical Journal.2023; 38(2): 151. CrossRef - Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body
Ji-Hee Han, Ra-Ri Cha, Ji-Yoon Kwak, Hankyu Jeon, Sang-Soo Lee, Jae Jun Jung, Jin Kyu Cho, Hyun Jin Kim
Medicina.2023; 59(9): 1504. CrossRef - Research Status of Endoscopic Management of Foreign Bodies in the Upper Digestive Tract
琴 杨
Advances in Clinical Medicine.2023; 13(12): 19833. CrossRef - 1. The analysis of 232 patients with esophageal foreign bodies
Özgür KATRANCIOĞLU, Şule KARADAYI, Eftal SERT
Journal of Medical Topics and Updates.2023; 2(3): 52. CrossRef - Diagnostic Performance of Digital Radiograph and Low-Dose Computed Tomography for the Diagnosis of Fishbone Retention in the Oropharynx
Jirapa Chansangrat
International Archives of Otorhinolaryngology.2022; 26(03): e401. CrossRef - Ear, Nose, and Throat Foreign Bodies in Children: A Retrospective Study
Bin Kwon, Yeso Choi, Sung-Kyun Kim, Seok-Jin Hong, Yong-Bok Kim, Seok-Min Hong
Children.2022; 9(1): 63. CrossRef - ESOPHAGEAL FISH BONE IMPACTION: THE IMPORTANCE OF EARLY DIAGNOSIS AND TREATMENT TO AVOID SEVERE COMPLICATIONS
Andrés Conthe, Isabel Payeras Otero, Luis Alberto Pérez Gavín, Ainara Baines García, Clara Usón Peiron, Clara Villaseca Gómez, José Luis Herrera Fajes, Óscar Nogales
Revista Española de Enfermedades Digestivas.2022;[Epub] CrossRef - Espina de pescado como manifestación de cuerpo extraño
Miguel Ángel Sarlat Ribas, Laura Aresté Caupena
FMC - Formación Médica Continuada en Atención Primaria.2022; 29(2): 105. CrossRef - Fishbone in the pleural space: an unusual case of pleural empyema
Jessy A. Nellipudi, Kevin Seow, John Tharion
ANZ Journal of Surgery.2022; 92(12): 3328. CrossRef - Endoscopy-negative esophageal foreign body - The role of computed tomography
Tao Dong, Yuwen Tao, Rui Wu, Wentao Fan, Lan Wang, Lili Zhao, Li Liu, Zhining Fan
Revista Española de Enfermedades Digestivas.2022;[Epub] CrossRef - Mediastinal abscess revealed by computed tomography after pharyngeal fish-bone impaction
Julien W. Hsieh, Nicolas Dulguerov, Maxime Mermod
Radiology Case Reports.2022; 17(12): 4478. CrossRef - Case report of fatal deep neck abscess: a complication of aerodigestive foreign bodies
D.D., Belanny, R.F. Perdana
THE NEW ARMENIAN MEDICAL JOURNAL.2022; : 66. CrossRef - 救急外来における小児魚骨異物症例の臨床的特徴(Clinical characteristics of accidental fish bone ingestion in children)
神谷 侑画, 松岡 由典, 水 大介, 浅香 葉子, 有吉 孝一
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine.2022; 33(12): 1033. CrossRef - Teach a man to fillet: gastrointestinal and extra-gastrointestinal complications related to fish bone ingestion
Hau Wei Khoo, Chern Yue Glen Ong, Dinesh Chinchure
Clinical Imaging.2021; 69: 150. CrossRef - Investigative strategies for fish bone foreign bodies during the coronavirus disease 2019 pandemic: an analysis of ENT UK guidelines
J Michaels, C Orji, F Green, C Nogueira
The Journal of Laryngology & Otology.2021; 135(3): 250. CrossRef - Migration of ingested sharp foreign body into the bronchus: a case report and review of the literature
Yuanhua Qiu, Shan Xu, Yafang Wang, Enguo Chen
BMC Pulmonary Medicine.2021;[Epub] CrossRef - An assessment of management strategies for adult patients with foreign-body sensation in the neck
Nidhi Garg, RyanN Lee, Renee Pekmezaris, Sanjey Gupta
Journal of Emergencies, Trauma, and Shock.2021; 14(1): 28. CrossRef - Clinical presentation, diagnosis and management of aerodigestive tract foreign bodies in the adult population: Part 1
Rishi P. Mathew, Sreekutty Sarasamma, Merin Jose, Ajith Toms, Vinayak Jayaram, Vimal Patel, Gavin Low
South African Journal of Radiology.2021;[Epub] CrossRef - Successful laparoscopic treatment for sustained abdominal pain due to fish bone migrating into the neck of the pancreas: a case report and thinking about surgical approach through the literature review
Yang Wang, Xianzhang Luo, Jiefeng Zhang
Surgical Case Reports.2021;[Epub] CrossRef - Fishbone-Induced Appendicitis: A Case Report
Marouane Harhar, Rachid Jabi, Tijani El Harroudi, Mohammed Bouziane
Cureus.2021;[Epub] CrossRef - A rare case of a migrating fishbone lodged in the larynx for 6 months in a patient with delayed presentation due to COVID-19 pandemic
Mohamed Alreefi, Noora Althawadi, Ankit Patel, Raghav Dwivedi
Journal of Surgical Case Reports.2021;[Epub] CrossRef - Diagnostic and treatment of foreign bodies of the upper digestive tract
E.A. Drobyazgin, Yu.V. Chikinev, D.A. Arkhipov
Khirurgiya. Zhurnal im. N.I. Pirogova.2021; (6): 38. CrossRef - Abdominal CT manifestations in fish bone foreign body injuries: What the radiologist needs to know
Devendra Kumar, Anirudh Venugopalan Nair, Pankaj Nepal, Tareq Z Alotaibi, Mahmoud Al-Heidous, David Blair Macdonald
Acta Radiologica Open.2021;[Epub] CrossRef - Characteristics of fish-bone foreign bodies in the upper aero-digestive tract: The importance of identifying the species of fish
Tadahisa Shishido, Jun Suzuki, Ryoukichi Ikeda, Yuta Kobayashi, Yukio Katori, Oded Cohen
PLOS ONE.2021; 16(8): e0255947. CrossRef - Surgical treatment of delayed cervical infection and incomplete quadriplegia with fish-bone ingestion: A case report
Suo-Yuan Li, Ye Miao, Liang Cheng, Ye-Feng Wang, Zhi-Qiang Li, Yu-Bo Liu, Tian-Ming Zou, Jun Shen
World Journal of Clinical Cases.2021; 9(25): 7535. CrossRef - Atypical presentation of a fish bone foreign body: A case report and review of the literature
Bagdadi Rabab R, Baghdadi Leena R
Global Journal of Medical and Clinical Case Reports.2021; : 034. CrossRef - Impacted Fish Bone in Buccal Space Associated with an Abscess
Naren Kishore Rayudu, Santosh Palla, Phani Himaja Devi Vaaka, Dagilla Priyanka Rao
Journal of Medical Ultrasound.2021; 29(1): 53. CrossRef - Appendicitis-mimicking presentation in fishbone induced microperforation of the distal duodenum: A case report
Daniel Lim, Cheng-Maw Ho
World Journal of Gastrointestinal Surgery.2020; 12(2): 77. CrossRef - Internal Jugular Vein Injury by Fishbone Ingestion
Armin Amirian, Hamed Ghoddusi Johari, Mohamadreza Karoobi, Reza Shahriarirad, Keivan Ranjbar
Case Reports in Medicine.2020; 2020: 1. CrossRef - Clinical diagnosis and treatment of throat foreign bodies under video laryngoscopy
Chuanyao Lin, Dingding Liu, Han Zhou, Xiaoli Zhang, Ling Lu, Xia Gao
Journal of International Medical Research.2020;[Epub] CrossRef - Fish bone perforation mimicking colon cancer: A case report
Thokozani Sibanda, Pria Pakkiri, Anne Ndlovu
South African Journal of Radiology.2020;[Epub] CrossRef - Penetration of a swallowed fish bone into pulmonary vein: diagnosis and management
Tetsuya Akaishi, Kota Ishizawa, Toshiaki Fukutomi, Yasuchika Yamamoto, Hirofumi Ichikawa, Suguru Watanabe, Naoko Mori, Mayuko Saito, Shin Takayama, Michiaki Abe, Kazuaki Hatsugai, Tadashi Ishii
Heliyon.2020; 6(11): e05611. CrossRef - Predictive factors for complications associated with penetrated fish bones outside the upper gastrointestinal tract
Qingguo Chen, Hanqi Chu, Ting Tong, Yanling Tao, Liangqiang Zhou, Jin Chen, Yun Liu, Liyan Peng
European Archives of Oto-Rhino-Laryngology.2019; 276(1): 185. CrossRef - Embedded Fish Bone in the Upper Esophageal Sphincter that Was Localized and Removed Using Ultrasonography-guided Surgery
Gil Chai Lim, Seung Yeon Cho, Sun-Jin Boo, Heung Up Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2019; 19(2): 127. CrossRef - Sudden Unexpected Death Due to Left Subclavian Artery‐esophageal Fistula Caused by Fish Bone
Shuquan Zhao, Lopsong Tinzin, Weinian Deng, Fang Tong, Qing Shi, Yiwu Zhou
Journal of Forensic Sciences.2019; 64(6): 1926. CrossRef - Laparoscopic diagnosis and extraction of an ingested fish bone that penetrated the stomach
Zhi Zhang, Gang Wang, Zhigang Gu, Jie Qiu, Chuanfu Wu, Jianzhong Wu, Weixian Huang, Genhai Shen, Zhenghai Qian
Medicine.2019; 98(50): e18373. CrossRef - Efficacy of EUS for detection of a buried fish bone in the esophagus
Junji Kohisa, Ken-ichi Mizuno, Kazuya Takahashi, Junji Yokoyama, Shuji Terai
VideoGIE.2018; 3(4): 125. CrossRef - Thyroid Cartilage Window Approach to Extract a Foreign Body after Migration into the Paraglottic Space
Sheikha Alkhudher, Faisal AlObaid, Shabreez Shafi
Case Reports in Otolaryngology.2018; 2018: 1. CrossRef - Oxford radiographic chart of foreign bodies
J.F. Curran, A. Qureishi, P. Martinez‐Devesa
Clinical Otolaryngology.2018; 43(5): 1353. CrossRef - Diabetes is an independent risk factor for delayed perforation after foreign bodies impacted in esophagus in adults
Shaowei Zhang, Jiaxin Wen, Mingmei Du, Yunxi Liu, Lianbin Zhang, Xiangyang Chu, Zhiqiang Xue
United European Gastroenterology Journal.2018; 6(8): 1136. CrossRef - Esophageal Foreign Body: Treatment and Complications
Sun-Jin Boo, Heung Up Kim
The Korean Journal of Gastroenterology.2018; 72(1): 1. CrossRef - Usual suspects: the foreign bodies of the aerodigestive tract
K Devaraja, Dipak Ranjan Nayak, Ajay M Bhandarkar, Poorvi V Sharma
BMJ Case Reports.2018; : bcr-2018-224979. CrossRef - Laparoscopic removal of an ingested fish bone that penetrated the stomach and was embedded in the pancreas: a case report
Kosuke Mima, Hidetaka Sugihara, Rikako Kato, Chihiro Matsumoto, Daichi Nomoto, Hironobu Shigaki, Junji Kurashige, Mitsuhiro Inoue, Shiro Iwagami, Takao Mizumoto, Tatsuo Kubota, Nobutomo Miyanari
Surgical Case Reports.2018;[Epub] CrossRef - Esophageal foreign body ingestion in adults on weekdays and holidays
Qian Zhong, Ruiwei Jiang, Xi Zheng, Guifang Xu, Xiuqin Fan, Yuanyuan Xu, Fei Liu, Chunyan Peng, Wei Ren, Lei Wang
Medicine.2017; 96(43): e8409. CrossRef
-
19,408
View
-
335
Download
-
47
Web of Science
-
55
Crossref
Case Reports
-
Successful Removal of a Screw Nail in the Jejunum Using Double-Balloon Enteroscopy
-
Dong Ju Kim, Myoung Ki Sim, Sang Wook Lee, Tae Hee Lee
-
Clin Endosc 2015;48(5):444-446. Published online September 30, 2015
-
DOI: https://doi.org/10.5946/ce.2015.48.5.444
-
-
Abstract
PDF
PubReader
ePub
The vast majority of foreign bodies (FBs) that enter the stomach pass through the gastrointestinal tract spontaneously. When the FB enters the small bowel-beyond the reach of conventional endoscopy-daily radiographs are needed to ensure its safe passage. However, endoscopic intervention is an appropriate management strategy for a sharp-pointed FB, because sharp FBs have a higher risk of intestinal perforation. We describe here a case in which a 1.5-cm, sharp-pointed screw nail in the proximal jejunum was removed successfully by double-balloon enteroscopy from a 19-year-old-male with autism. This case adds to the growing body of evidence demonstrating the value of therapeutic double-balloon enteroscopy in the field of FB ingestion
-
Citations
Citations to this article as recorded by

- Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study
Jeongseok Kim, Beom Jae Lee, Nam Seok Ham, Eun Hye Oh, Kee Don Choi, Byong Duk Ye, Jeong-Sik Byeon, Chang Soo Eun, Jin Su Kim, Dong-Hoon Yang
Gastroenterology Research and Practice.2020; 2020: 1. CrossRef - Foreign Body Penetration through Jejunal Loops Causing Renal Artery Thrombosis and Renal Infarct
Najib Nassani, Elie El-Charabaty, Patricia Nasr, Iskandar Barakat, Sherif Andrawes
ACG Case Reports Journal.2017; 4(1): e12. CrossRef
-
7,506
View
-
76
Download
-
5
Web of Science
-
2
Crossref
-
An Unusual Case of Duodenal Perforation Caused by a Lollipop Stick: A Case Report
-
Eun Ae Cho, Du Hyeon Lee, Hyoung Ju Hong, Chang Hwan Park, Seon Young Park, Hyun Soo Kim, Sung Kyu Choi, Jong Sun Rew
-
Clin Endosc 2014;47(2):188-191. Published online March 31, 2014
-
DOI: https://doi.org/10.5946/ce.2014.47.2.188
-
-
Abstract
PDF
PubReader
ePub
Most ingested foreign bodies often pass through the gastrointestinal tract uneventfully; however, complications such as perforation do occur. Most cases of perforation are caused by thin, pointed objects such as needles, toothpicks, or fish and chicken bones. Herein, we report an unusual case of duodenal perforation caused by a lollipop stick with blunt ends. A 23-year-old woman was admitted to the emergency department complaining of epigastric and right upper quadrant pain for the last 2 days. Abdominal computed tomography scans confirmed the presence of a foreign body in the duodenum, with signs of duodenal perforation and inflammation. The patient was not aware of ingesting the foreign body. Endoscopy revealed the presence of a lollipop stick in the duodenum, which was removed with forceps. The duodenal perforation was successfully managed by using hemoclips and a detachable snare.
-
Citations
Citations to this article as recorded by

- Duodenal perforation in a child due to lollipop stick ingestion: A case report
Hercules Magalhães Olivense do Carmo, Miguel Lucas Silva Valente, Sthefanie da Silva Bessa, Pedro Lucas Melo Brilhante, Melayne Silva de Oliveira, Luana Livelli Becker, João Lucas de Melo Bardi, Angela Claudia Paixão Soares de Magalhães
Journal of Pediatric Surgery Case Reports.2025; 114: 102944. CrossRef - Ingestion of Metallic Materials Found in the Stomach and First Part of the Duodenum of a Schizophrenic Man: Case Report
Telila Mesfin, Yohannes Tekalegn, Mudesir Aman, Girma Geta, Adugna Ketema, Fekata Defere, Dejene Girma, Mesfin Tsegaye, Takele Mengistu, Kenbon Seyoum
International Medical Case Reports Journal.2022; Volume 15: 681. CrossRef - Lollipop in a haystack: an unusual case of foreign body caecal perforation mimicking appendicitis
Georgia M. Carroll, Francesco Amico, Liam Shun, Cino Bendinelli
ANZ Journal of Surgery.2021; 91(6): 1311. CrossRef - Endoscopic Removal of Sharp-Pointed Foreign Bodies with Both Sides Embedded into the Duodenal Wall in Adults: A Retrospective Cohort Study
Meihong Yu, Kaixuan Li, Shishuang Zhou, Hanyu Wang, Meixian Le, Chen Li, Deliang Liu, Yuyong Tan
International Journal of General Medicine.2021; Volume 14: 9361. CrossRef - Diagnosis and management of duodenal perforations: a narrative review
Daniel Ansari, William Torén, Sarah Lindberg, Helmi-Sisko Pyrhönen, Roland Andersson
Scandinavian Journal of Gastroenterology.2019; 54(8): 939. CrossRef - Endoscopic management of gastric perforation secondary to chicken bone: A report of 2 cases
M Masood Sidiqi, Siddhanth Sharma, Ausama H Muhammed
International Journal of Surgery Case Reports.2019; 65: 305. CrossRef - Duodenal perforation due to an ingested lollipop stick in a 7-year-old boy
Jinyoung Park
Journal of Pediatric Surgery Case Reports.2019; 51: 101325. CrossRef - Ileocecal junction perforation caused by a sewing needle in incarcerated inguinal hernia
Shiqi Liu, Qifeng Li, Yumei Li, Yi Lv, Jianhua Niu, Quan Xu, Jingru Zhao, Yajun Chen, Dayong Wang, Ruimiao Bai
Medicine.2018; 97(22): e10787. CrossRef - A Case of Mysterious Impacted Duodenal Foreign Body Presenting with Halitosis
Bhavtosh Dedania, Dipen Khanapara, Amruta Panwala, Murali Dharan
Case Reports in Gastroenterology.2017; 10(3): 800. CrossRef - Tendency to Ingest Foreign Bodies in Mentally Retarded Patients: A Case with Ileal Perforation Caused by the Ingestion of a Teaspoon
İhsan Yıldız, Yavuz Savaş Koca, Gökhan Avşar, İbrahim Barut
Case Reports in Surgery.2016; 2016: 1. CrossRef - A case report of successful removal of multiples sewing needles in the gastrointestinal tract and pancreas using intraoperative C-arm fluoroscopy
Baongoc Nasri, Ken Yuu, Masanori Tada
International Journal of Surgery Case Reports.2016; 24: 166. CrossRef - An unusual case of duodenal perforation caused by a blister pack: A case report and literature review
Si-Yuan Yao, Yugo Matsui, Souichi Shiotsu
International Journal of Surgery Case Reports.2015; 14: 129. CrossRef - Highlights from the 50th Seminar of the Korean Society of Gastrointestinal Endoscopy
Eun Young Kim, Il Ju Choi, Kwang An Kwon, Ji Kon Ryu, Seok Ho Dong, Ki Baik Hahm
Clinical Endoscopy.2014; 47(4): 285. CrossRef - Endoscopic removal of a metallic touchpad stylus with partially collapsible body from the duodenojejunal flexure in a young boy
Ramnik V Patel, Dhaval Govani, Juliette King King, Oliver Gee
BMJ Case Reports.2014; : bcr2014207391. CrossRef
-
6,631
View
-
43
Download
-
13
Web of Science
-
14
Crossref
-
Razor Blade Removal from the Cervical Esophagus Utilizing a Novel Modification of the Overtube
-
Sang Ryol Ryu, M.D., Seong Hwan Kim, M.D., Choon Sik Seon, M.D., Mi Yeon Chung, M.D., Sang Bong Ahn, M.D., Byoung Kwan Son, M.D., Yun Ju Jo, M.D. and Young Sook Park, M.D.
-
Korean J Gastrointest Endosc 2011;42(5):293-296. Published online May 28, 2011
-
-
-
Abstract
PDF
- Foreign bodies in the upper esophagus should be removed as soon as possible to avoid serious complications. These foreign bodies can penetrate the bowel wall and cause severe complications. The peristalsis of the esophagus is not strong enough to prevent it from retaining swallowed objects. Hence, perforation from a foreign body is more likely to occur in the esophagus than in the rest of the gastrointestinal tract. A razor blade is a rare foreign body of the esophagus. Its sharpness and large size make it difficult to remove. A razor blade was very firmly impacted in the esophageal wall in our case, and the razor blade had not moved from the upper esophagus. A standard overtube has limitations to remove a razor blade inside the overtube's lumen. We report here on a case of using a wedge resected overtube made it possible to successfully extract a razor blade and no serious complications occurred after extraction of the razor blade. (Korean J Gastrointest Endosc 2011;42:293-296)
-
Distal Esophageal Perforation Caused by Press-Through-Pack Ingestion
-
Yong Sung Kim, M.D. and Dong Seop Song, M.D.*
-
Korean J Gastrointest Endosc 2009;39(6):355-358. Published online December 30, 2009
-
-
-
Abstract
PDF
- A 60-year-old man presented with epigastric pain. The patient had no history of foreign body ingestion and had no symptoms of dysphagia or odynophagia. Chest computed tomography scan showed an esophageal perforation with unknown etiology and an emergency operation for thoracic cavity irrigation and drainage was undertaken, followed by fasting and conservative treatment. Two weeks later, a follow-up chest computed tomography scan revealed a suspicious foreign body in the distal esophagus. Endoscopy revealed a press-through-pack (PTP) that had caused an esophageal perforation. Despite extraction of the PTP and antibiotic administration, the patient died. The present case is important since PTP is commonly used in Korea. (Korean J Gastrointest Endosc 2009;39:355-358)
-
A Case of Removing an Esophageal Sharp Foreign Body Using a Surgical Glove
-
Woo-Seong Jeon, M.D., Kyu-Jong Kim, M.D., Se-Young Park, M.D., Sun-Jung Kim, M.D., Hong-Jun You, M.D., Won Moon, M.D., Moo In Park, M.D. and Seun Ja Park, M.D.
-
Korean J Gastrointest Endosc 2009;38(2):85-89. Published online February 27, 2009
-
-
-
Abstract
PDF
- Foreign bodies with a sharp margin in the esophagus are often associated with serious complications, such as bleeding, perforation and mediastinitis in the middle of endoscopic removal, as well as impaction in the esophagus wall. Therefore, safe extraction for such patients is essential. The techniques that are performed with an endoscope have been designed with using a protector hood and overtube. Yet the former is not available in Korea, and the later is uncomfortable and limited in diameter. Press-through-packs (PTPs) are commonly used as a package for drugs and they also usually cause esophageal impaction because they have sharp edges. We report here on a case of an impacted PTP in the upper esophagus, and this was successfully extracted endoscopically with using a surgical glove, which is a better safe alternative to above mentioned removal items. (Korean J Gastrointest Endosc 2009;38:85-89)
-
A Case of Esophageal and Gastric Foreign Bodies Induced by Cyanoacrylate Ingestion
-
Kil Sang Wang, M.D., Myoung Hwan Kim, M.D., Myoung Lyeol Woo, M.D., Ja Sung Choi, M.D., Hyeon Geun Cho, M.D. and Young Myoung Moon, M.D.
-
Korean J Gastrointest Endosc 2008;36(4):224-227. Published online April 30, 2008
-
-
-
Abstract
PDF
- Foreign bodies of the upper gastrointestinal tract are found in all age groups, and the foreign bodies can be ingested incidentally or intentionally. They are usually common in children, but they have also been discovered in adults with esophageal disease, artificial teeth, mental retardation, in patients seeking secondary gains and in alcoholics. The types of foreign bodies vary for different social and cultural conditions, and can include coins, corks, toys, fish bones, toothbrushes, needles, nails and pens. Foreign bodies of the upper gastrointestinal tract are usually passed into the intestinal tract spontaneously, but sometimes intervention is required. We report a case of an 80-year-old man with a past medical history of depressive disorder that had ingested adhesives. The adhesives present in the esophagus were removed by the use of therapeutic endoscopy. However, the adhesives in the stomach were too large to remove by the use of an endoscopic procedure, and gastrotomy was performed. (Korean J Gastrointest Endosc 2008;36:224-227)
-
소아 상부 위장관 이물의 내시경적 적출술 - 대구, 경북지역 소아 78예에 대한 고찰 - ( Endoscopic Removal of Foreign Bodies from the Upper Gastrointestinal Tract in Children: Management of 78 Cases in Taegu, Korea )
-
-
Korean J Gastrointest Endosc 2000;20(1):6-13. Published online November 30, 1999
-
-
-
Abstract
PDF
- Background
/Aims: Foreign body (FB) removal is a common indication of therapeutic endoscopy in children. The trend is becoming wider and more rational in application. The spectrum of upper gastrointestinal FB's in children during a recent 2 year period was reviewed in Taegu, Kyungbook Province in order to obtain a the consensus of recent trend of indications and techniques of endoscopic FB removal in children. Methods: Esophagogastroscopy was performed on 78 children who had been referred to 3 University Hospitals in Taegu for FB ingestion from Oct. 1996 to Sep. 1998. Results: Age between 1∼2 year was the peak age group; 22 cases (28%). Male to female ratio was 1.9:1. Thirty four cases (44%) were in the esophagus, 44 cases (56%) in the stomach. The majority (49%) of the FB's were coins, 26 of 34 esophageal FB's and 12 of 44 gastric FB's. Others were 14 sharp/pointed objects, 12 big/long objects, 7 toxic objects, etc. In 67 children (86%) the FB was successfully removed and spontaneous passage through the pylorus was observed in 9 children. Conclusions: Endoscopic FB removal can be performed safely and effectively in children with minimal or no complications by an experienced endoscopist. Proper arrangement should be conducted with consideration to the property of FB's, expected complication, and the possibility of an emergency situation. (Korean J Gastrointest Endosc 2000;20:6~13)
-
상부 위장관 이물질의 내시경적 적출 ( Endoscopic Removal of Upper Gastrointestinal Tract Foreign Body )
-
-
Korean J Gastrointest Endosc 1992;12(2):227-230. Published online November 30, 1991
-
-
-
Abstract
PDF
- The clinical review was done on 17 cases with the foreign body in the upper gastrointestinal tract who underwent endoscopic removal of foreign body at Kang Nam Sacred Heart Hospital from Dec. 1981 to Dec. 1991. The results were as follows: 1) The age distribution varies from 3 months to 72 years of age, being most prevalent under 5 years of age. 2) The incidence of foreign body in the order of frequency was coin, fish bone, safety pinring, peanut, keyring, food bolus, artificial teeth and medal. Among 17 cases, 9 cases(53.0%) were lodged in the esophagus and 8 cases(47.0%) were lodged in the stomach. 3) Dysphagia or globus was the common symptom in 8 cases(47.2%), followed by absence of symptom in 7 cases(41.2%), upper abdominal discomfort in 1 case(5.8%) and vomiting in 1 case (5.8%). 4) l0 cases(58.8%) of foreign body were removed within 72 hours and 7 cases(41.2%) of foreign body were removed after 72 hours.