Search Our Scientific Publications & Authors

Publications
find publications by category +
Translate page:

Gastrointestinal perforations by ingested foreign bodies: A preoperative diagnostic flowchart-based experience. A case series report.

Authors:
Atef Mejri Jasser Yaacoubi Mohamed Ali Mseddi Ahmed Omry

Int J Surg Case Rep 2022 Jun 18;95:107216. Epub 2022 May 18.

Department of General Surgery, Jendouba Hospital, Tunisia; Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.

Background: Gastrointestinal tract perforation is the most harmful complication of Foreign Body (FB) ingestion, besides diagnostic delay adversely affects the outcome. This paper aims to present our preoperative diagnostic flowchart and describe the surgical management in a Tunisian center.

Methods: A retrospective review of 48 patients with gastrointestinal perforation by ingested FB treated in the surgery department of Jendouba Hospital. January 2010-December 2020.

Results: 48 patients were treated for gastrointestinal tract perforation induced by FB ingestion. The mean age was 56.6 years. The sex ratio was 2/1. Acute abdominal pain was reported in all the patients. 35 patients had abdominal X-ray that showed a FB in 12 cases. CT scan was performed in 38 patients and identified the FB in 28 cases. Postoperative proofreading has identified a preoperative missed diagnosis of FB perforation in 5 cases, all before applying the diagnostic flowchart. All patients underwent open surgery after a median time of 7.12 h. This duration decreased after applying the flowchart (8.21 h versus 5.6 h). 33 patients had a terminal ileum perforation. Enterectomy was performed in 33 patients. Postoperatively, there was one abdominal abscess, one pulmonary embolism, one refractory septic choc, and one wound abscess. The median hospital stay was 6.35 days. The mortality rate was 6.25%. All patients managed with enterostomy had their stoma closed after 3-5 months.

Conclusions: The challenge of gastrointestinal perforation due to FB ingestion is accurate diagnosis and early management. A standardized initial assessment based on a diagnostic flowchart is helpful to achieve this goal and improve outcomes.

Download full-text PDF

 Source
http://dx.doi.org/10.1016/j.ijscr.2022.107216DOI Listing
June 2022

Publication Analysis

Top Keywords

diagnostic flowchart
12
patients
9
performed patients
8
gastrointestinal perforation
8
tract perforation
8
gastrointestinal tract
8
preoperative diagnostic
8
perforation
6
diagnostic
5
gastrointestinal
5
bodies preoperative
4
median time
4
cases applying
4
applying diagnostic
4
flowchart patients
4
patients underwent
4
underwent open
4
open surgery
4
surgery median
4
time 712 h
4

Keyword Occurance

Similar Publications

Temporality of body mass index, blood tests, comorbidities and medication use as early markers for pancreatic ductal adenocarcinoma (PDAC): a nested case-control study.

Authors:
Pui San Tan Cesar Garriga Ashley Clift Weiqi Liao Martina Patone Carol Coupland Rachael Bashford-Rogers Shivan Sivakumar Julia Hippisley-Cox

Gut 2022 Jun 27. Epub 2022 Jun 27.

Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK

Objective: Prior studies identified clinical factors associated with increased risk of pancreatic ductal adenocarcinoma (PDAC). However, little is known regarding their time-varying nature, which could inform earlier diagnosis. This study assessed temporality of body mass index (BMI), blood-based markers, comorbidities and medication use with PDAC risk . Read More

View Article and Full-Text PDF
June 2022
Similar Publications

Association between neutrophil-lymphocyte ratio and lymph node metastasis in gastric cancer: A meta-analysis.

Authors:
Krishna Kotecha Animesh Singla Philip Townend Neil Merrett

Medicine (Baltimore) 2022 Jun 24;101(25):e29300. Epub 2022 Jun 24.

Department of Upper Gastrointestinal Surgery, Bankstown Hospital, Bankstown, NSW, Australia.

Introduction And Aim: The prognostic role of neutrophil to lymphocyte ratio (NLR) has been explored extensively in the literature. The aim of this meta-analysis was to evaluate the link between NLR and lymph node metastasis in gastric cancer. A method for increasing specificity and sensitivity of pre-treatment staging has implications on treatment algorithms and survival. Read More

View Article and Full-Text PDF
June 2022
Similar Publications

Risk Factors for Acute Ankle Sprains in Field-Based, Team Contact Sports: a Systematic Review of Prospective Etiological Studies.

Authors:
Patrick Dolan Ian Kenny Liam Glynn Mark Campbell Giles D Warrington Roisin Cahalan Andrew Harrison Mark Lyons Thomas Comyns

Phys Sportsmed 2022 Jun 27. Epub 2022 Jun 27.

Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.

Disclaimer: This manuscript is original and is not being considered for publication elsewhere. The authors listed have contributed significantly to the given text and consented to have their names appear for authorship. There are no conflicts of interest related to this research and no external financial support. Read More

View Article and Full-Text PDF
June 2022
Similar Publications

Design of a Smart Elbow Brace as a Home-Based Rehabilitation Device.

Authors:
Ramadhan Rashid Said Wang Quan Yong Md Belal Bin Heyat Liaqat Ali Song Qiang Arif Ali Hafiz Tayyab Rauf Zhe Wu

Comput Intell Neurosci 2022 16;2022:3754931. Epub 2022 Jun 16.

School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.

Poststroke and traumatic elbow injuries are the most common cause of elbow stiffness, which results in loss of functional range of motion (ROM). Various studies support early mobilization of the elbow joint after injury or after surgery to reduce risks of elbow stiffness development. After hospitalization, patients are required to follow a long-term rehabilitation program during home recovery. Read More

View Article and Full-Text PDF
June 2022
Similar Publications

Measurement of The Inner Macular Layers for Monitoring of Glaucoma: Confounding Effects of Age-Related Macular Degeneration.

Authors:
Leila Chew Vahid Mohammadzadeh Massood Mohammadi Veronica Toriz Nancy Rosa Michael B Gorin Navid Amini Kouros Nouri-Mahdavi

Ophthalmol Glaucoma 2022 Jun 21. Epub 2022 Jun 21.

Glaucoma Division, Stein Eye Institute, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California. Electronic address:

Objective: To investigate the confounding effect of non-exudative age-related macular degeneration (AMD), specifically drusen and outer retinal atrophy, on the architecture and automated segmentation of the inner retinal layers as measured with optical coherence tomography (OCT).

Study Design: Observational cross-sectional study.

Subjects: 265 consecutive eyes with non-exudative AMD were identified through retrospective chart review. Read More

View Article and Full-Text PDF
June 2022
Similar Publications
}