Management of smooth-blunt gastric foreign bodies in asymptomatic patients

Title

Management of smooth-blunt gastric foreign bodies in asymptomatic patients

Creator

Bendig DW; Mackie GG

Publisher

Clinical Pediatrics

Date

1990

Subject

Questionnaires; Human; Foreign Bodies/th [Therapy]; Stomach

Description

Guidelines for management in the asymptomatic patient with a smooth-blunt gastric foreign body are not well established in the pediatric literature. Questionnaires were sent to pediatricians, family practitioners, pediatric gastroenterologists and pediatric surgeons with an over-all response rate of 62.2%. There was no agreement in regard to how long one should observe such patients before recommending intervention. There was no correlation of years of clinical experience and length of observation recommended either. Review of the pre-endoscopic literature revealed spontaneous evacuation in 93-99% of all types of foreign bodies in 1477 pediatric patients. An observation period of at least eight weeks should be strongly considered in an asymptomatic patient with a smooth-blunt gastric foreign body. Exceptions would include an anatomic abnormality of the gastric outlet, previous gastric outlet surgery as well as a possibly toxic object.
1990

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Citation

Bendig DW; Mackie GG, “Management of smooth-blunt gastric foreign bodies in asymptomatic patients,” Pediatric Palliative Care Library, accessed December 3, 2022, https://pedpalascnetlibrary.omeka.net/items/show/12442.

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