ASGE DDW Videos from Around the World | 2023-PATIENT SAVED FROM COLECTOMY IN EXCHANGE FOR 2 DIMES

PATIENT SAVED FROM COLECTOMY IN EXCHANGE FOR 2 DIMES

Video Transcription

Video Summary

In this video, it is discussed that foreign body ingestion is a common issue, particularly among children. Risk factors in adults include psychiatric conditions, incarceration, and alcohol abuse. Most objects passing through the GI tract will pass without complications, but sharp or long objects are more likely to get stuck. Rarely, even blunt objects can cause complications like perforation or obstruction. The video presents a case of a 37-year-old male with a history of schizoaffective disorder and repeated foreign body ingestions. After initial attempts to remove coins and pebbles from his colon, one coin remained and caused concerns about a perforation. Surgery was hesitant due to a previous surgical history, so the patient underwent endoscopic retrieval and defect closure, successfully removing the coin and avoiding surgery. Close follow-up is important to ensure safe passage.

Asset Subtitle

Honorable Mention

Keywords

foreign body ingestion

children

risk factors

GI tract complications

endoscopic retrieval