FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4316077664> ?p ?o ?g. }

• W4316077664 endingPage "e1671" @default.
• W4316077664 startingPage "e1671" @default.
• W4316077664 abstract "Introduction: Esophagogastroduodenoscopy (EGD) remains the standard of care for foreign body (FB) retrieval. The decision to pursue endoscopic intervention is based on multiple considerations including the probability of passage of the FB, the risk of potential injury caused by ingestion of the foreign body, and the risk of potential injury caused by performing the intervention. We present a case of FB ingestion resulting in practically impossible endoscopic retrieval. We also highlight endoscopic cues that should prompt a gastroenterologist to consider surgical evaluation in high-risk cases. Case Description/Methods: A 49-year-old man with schizoaffective disorder and a history of multiple ingestions of foreign bodies presented to the hospital for vomiting and diarrhea for 4 days. An abdominal x-ray revealed a large radiopaque structure that conformed to the shape of the stomach in the gastric region [Figure 1a]. EGD revealed multiple large consolidated ovoid masses of gray metal in the gastric body and antrum [Figure 2a]. Endoscopic retrieval was attempted using a large cold snare, which could not be wrapped around or secured around the FB without slipping upon closure. A Roth net was tried with the same unsuccessful result. Bites of the FB using rat-tooth forceps slightly deteriorated the mass and the foreign body material impeded the full-closing of the jaws of the forceps so that the forceps could not be retrieved through the working channel. The malleable material then had to be irrigated and scraped off to allow for reuse. Due to the large size of the FB and small space in the stomach for gastroscope maneuverability and the presence of multiple scattered large and deeply cratered ulcers along the gastric wall, the procedure was aborted to avoid perforation [Figure 2b]. The patient was referred for surgical intervention and soon thereafter underwent FB removal via partial gastrectomy with gastric reconstruction [Figure 1b]. The recovered FB weighed 2,885 grams and measured 32 x 31 x 1.5 cm Discussion: Care should be practiced when planning and executing the retrieval of foreign bodies. The type, size, and location of the FB, the patient’s anatomy, the presence of deep ulceration and the risk of organ perforation are important considerations for the endoscopist. Surgical intervention should be considered when the risk of perforation with endoscopic intervention is high and/or endoscopic attempts at retrieval have been unsuccessful after practically exhausting the endoscopic tools available.Figure 1.: 1a: CT scan without contrast on admission Figure 1b: CT scan without contrast post-surgery. Figure 2a: Foreign body in gastric body Figure 2b: Foreign body with ulcers in gastric body." @default.
• W4316077664 created "2023-01-14" @default.
• W4316077664 creator A5016763367 @default.
• W4316077664 creator A5019901256 @default.
• W4316077664 creator A5028800245 @default.
• W4316077664 date "2022-10-01" @default.
• W4316077664 modified "2023-09-27" @default.
• W4316077664 title "S2510 Limitations of Endoscopic Tools for Foreign Body Retrieval: A Case of Massive Ferromagnet Ingestion" @default.
• W4316077664 doi "https://doi.org/10.14309/01.ajg.0000866680.36039.2c" @default.
• W4316077664 hasPublicationYear "2022" @default.
• W4316077664 type Work @default.
• W4316077664 citedByCount "0" @default.
• W4316077664 crossrefType "journal-article" @default.
• W4316077664 hasAuthorship W4316077664A5016763367 @default.
• W4316077664 hasAuthorship W4316077664A5019901256 @default.
• W4316077664 hasAuthorship W4316077664A5028800245 @default.
• W4316077664 hasBestOaLocation W43160776641 @default.
• W4316077664 hasConcept C126322002 @default.
• W4316077664 hasConcept C141071460 @default.
• W4316077664 hasConcept C193230392 @default.
• W4316077664 hasConcept C2776914593 @default.
• W4316077664 hasConcept C2778451229 @default.
• W4316077664 hasConcept C2779995113 @default.
• W4316077664 hasConcept C2781143854 @default.
• W4316077664 hasConcept C2908799130 @default.
• W4316077664 hasConcept C71924100 @default.
• W4316077664 hasConceptScore W4316077664C126322002 @default.
• W4316077664 hasConceptScore W4316077664C141071460 @default.
• W4316077664 hasConceptScore W4316077664C193230392 @default.
• W4316077664 hasConceptScore W4316077664C2776914593 @default.
• W4316077664 hasConceptScore W4316077664C2778451229 @default.
• W4316077664 hasConceptScore W4316077664C2779995113 @default.
• W4316077664 hasConceptScore W4316077664C2781143854 @default.
• W4316077664 hasConceptScore W4316077664C2908799130 @default.
• W4316077664 hasConceptScore W4316077664C71924100 @default.
• W4316077664 hasIssue "10S" @default.
• W4316077664 hasLocation W43160776641 @default.
• W4316077664 hasLocation W43160776642 @default.
• W4316077664 hasOpenAccess W4316077664 @default.
• W4316077664 hasPrimaryLocation W43160776641 @default.
• W4316077664 hasRelatedWork W1521738806 @default.
• W4316077664 hasRelatedWork W1972843537 @default.
• W4316077664 hasRelatedWork W2039713110 @default.
• W4316077664 hasRelatedWork W2061474956 @default.
• W4316077664 hasRelatedWork W2388411982 @default.
• W4316077664 hasRelatedWork W2754527602 @default.
• W4316077664 hasRelatedWork W3095572983 @default.
• W4316077664 hasRelatedWork W4280605671 @default.
• W4316077664 hasRelatedWork W4366315172 @default.
• W4316077664 hasRelatedWork W2530083937 @default.
• W4316077664 hasVolume "117" @default.
• W4316077664 isParatext "false" @default.
• W4316077664 isRetracted "false" @default.
• W4316077664 workType "article" @default.