Surgical Management of Foreign Body Ingestion in Adults: Case Series
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By
April 29, 2025
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7 min
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1
Most foreign bodies pass through the gastrointestinal tract spontaneously, but a percentage requires endoscopic removal or surgery due to complications like obstruction or perforation.
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2
Comprehensive evaluation is essential even after apparently successful surgeries for foreign body ingestion.
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3
Psychiatric stabilization is imperative alongside surgical management for recurrent cases.
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4
Bezoars should be considered in elderly patients with dentition issues, rapid eating habits, or prior gastric surgeries.
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5
Diagnostic history and imaging play essential roles in the diagnosis and management of foreign body ingestion.
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Foreign body ingestion in adults can be associated with underlying gastrointestinal pathologies, psychiatric conditions, or altered mental status. While most foreign bodies pass spontaneously through the gastrointestinal tract, approximately 10% to 20% require endoscopic removal and less than 1% necessitate surgery for complications like obstruction or perforation. The presented case series underscores the need for a comprehensive evaluation even after successful surgeries, psychiatric stabilization alongside surgical management for recurrent foreign body ingestion, and the consideration of bezoars in elderly patients with certain predisposing factors.
-
1
Most foreign bodies pass through the gastrointestinal tract spontaneously, but a percentage requires endoscopic removal or surgery due to complications like obstruction or perforation.
-
2
Comprehensive evaluation is essential even after apparently successful surgeries for foreign body ingestion.
-
3
Psychiatric stabilization is imperative alongside surgical management for recurrent cases.
-
4
Bezoars should be considered in elderly patients with dentition issues, rapid eating habits, or prior gastric surgeries.
-
5
Diagnostic history and imaging play essential roles in the diagnosis and management of foreign body ingestion.
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