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Two Cases of Colonoscopic Retrieval of a Foreign Body in Children: A Button Battery and an Open Safety Pin

  • Lee, Eun Joo (Department of Pediatrics, Seoul National University Bundang Hospital) ;
  • Yang, Hye Ran (Department of Pediatrics, Seoul National University Bundang Hospital) ;
  • Cho, Jin Min (Department of Pediatrics, Seoul National University Bundang Hospital) ;
  • Ko, Jae Sung (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Moon, Jin Soo (Department of Pediatrics, Seoul National University College of Medicine)
  • Received : 2016.08.09
  • Accepted : 2016.09.26
  • Published : 2017.09.30

Abstract

Ingestion of foreign body in children is a relatively common problem among paediatric population. The foreign bodies mostly pass spontaneously through the gastrointestinal tract. However, complications can occur according to its anatomical location, the characteristics of the foreign body, and delays in management. Although the cases of ingested button batteries or sharp objects impacted at the gastrointestinal tract can be very serious, there have been very only a few cases have reported colonoscopic removal of these dangerous foreign bodies in adults, and there have been no case reports in children. We report one case of a button battery and one case of an open safety pin, both impacted in the terminal ileum that had moved from the stomach within a few hours of ingestion and were eventually managed by colonoscopy without any complications.

Keywords

References

  1. Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc 2002;55:802-6. https://doi.org/10.1016/S0016-5107(02)70407-0
  2. Chang JJ, Yen CL. Endoscopic retrieval of multiple fragmented gastric bamboo chopsticks by using a flexible overtube. World J Gastroenterol 2004;10:769-70. https://doi.org/10.3748/wjg.v10.i5.769
  3. Tarnasky PR, Newcomer MK, Branch MS. Colonoscopic diagnosis and treatment of chronic chicken bone perforation of the sigmoid colon. Gastrointest Endosc 1994; 40:373-5. https://doi.org/10.1016/S0016-5107(94)70079-6
  4. Vemula NR, Madariaga J, Brand DL, Hershey H. Colonoscopic removal of a foreign body causing colocutaneous fistulas. Gastrointest Endosc 1982;28:195-6. https://doi.org/10.1016/S0016-5107(82)73057-3
  5. Viceconte G, Viceconte GW, Bogliolo G, Pietropaolo V, Dell'Anna A, Montori A. Endoscopic removal of foreign bodies in the large bowel. Endoscopy 1982;14:176-7. https://doi.org/10.1055/s-2007-1021614
  6. Lyons MF 2nd, Tsuchida AM. Foreign bodies of the gastrointestinal tract. Med Clin North Am 1993;77: 1101-14. https://doi.org/10.1016/S0025-7125(16)30212-7
  7. Webb WA. Management of foreign bodies of the upper gastrointestinal tract: update. Gastrointest Endosc 1995;41:39-51. https://doi.org/10.1016/S0016-5107(95)70274-1
  8. Ginsberg GG, Pfau PR. Foreign bodies and bezoars. In: Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger and fordtran's gastrointestinal and liver disease: pathophysiology/diagnosis/management. London: Saunders, 2002:395-7.
  9. 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. https://doi.org/10.1007/s004310100788
  10. 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;5:319-23.
  11. Chang YJ, Chao HC, Kong MS, Lai MW. Clinical analysis of disc battery ingestion in children. Chang Gung Med J 2004;27:673-7.
  12. Litovitz T, Whitaker N, Clark L, White NC, Marsolek M. Emerging battery-ingestion hazard: clinical implications. Pediatrics 2010;125:1168-77. https://doi.org/10.1542/peds.2009-3037
  13. Langkau JF, Noesges RA. Esophageal burns from battery ingestion. Am J Emerg Med 1985;3:265.
  14. Temple DM, McNeese MC. Hazards of battery ingestion. Pediatrics 1983;71:100-3.
  15. Kramer RE, Lerner DG, Lin T, Manfredi M, Shah M, Stephen TC, et al. Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr 2015;60:562-74. https://doi.org/10.1097/MPG.0000000000000729
  16. Paul RI, Christoffel KK, Binns HJ, Jaffe DM. Foreign body ingestions in children: risk of complication varies with site of initial health care contact. Pediatric Practice Research Group. Pediatrics 1993;91:121-7.
  17. Paul RI, Jaffe DM. Sharp object ingestions in children: illustrative cases and literature review. Pediatr Emerg Care 1988;4:245-8. https://doi.org/10.1097/00006565-198812000-00004
  18. Chauvin A, Viala J, Marteau P, Hermann P, Dray X. Management and endoscopic techniques for digestive foreign body and food bolus impaction. Dig Liver Dis 2013;45:529-42. https://doi.org/10.1016/j.dld.2012.11.002

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