Management of rectal foreign bodies： Description of a new technique and clinical practice guidelines

A number of techniques have been described to remove rectal foreign bodies. In this report, a novel endoscopic technique using a pneumatic dilatation balloon normally used in achalasia patients is presented. In addition, a systematic review of the literature was performed for non-operative methods t...

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Published inWorld journal of gastroenterology : WJG Vol. 14; no. 27; pp. 4403 - 4406
Main Authors Koornstra, Jan-J, Weersma, Rinse-K
Format Journal Article
LanguageEnglish
Published United States Department of Gastroenterology ＆ Hepatology, University Medical Centre Groningen, University of Groningen, Groningen RB 9700, The Netherlands 21.07.2008
The WJG Press and Baishideng
Subjects
Adult
Algorithms
Case Report
Conscious Sedation - methods
Decision Support Techniques
Endoscopy - methods
Foreign Bodies - therapy
Guidelines as Topic
Humans
Male
Rectal Diseases - therapy
Rectum - pathology
Sigmoidoscopy - methods
切除术
夹杂物
腹部外科
Removal
Foreign body
Review
Rectal
Rectum
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Summary:A number of techniques have been described to remove rectal foreign bodies. In this report, a novel endoscopic technique using a pneumatic dilatation balloon normally used in achalasia patients is presented. In addition, a systematic review of the literature was performed for non-operative methods to remove foreign bodies from the rectum. These results are summarised, presented as a practical at-a- glance overview and a flow chart is offered to guide the clinician in treatment decisions. The design of the flow chart was based on the aims to treat the patient preferably on an outpatient basis with minimally invasive techniques and if possible under conscious sedation rather than general anaesthesia.
Bibliography:Removal
Rectal
14-1219/R
R657.1
Rectum
Foreign body
Review
Foreign body; Rectum; Rectal; Removal;Review
ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
Telephone: +31-50-3613354
Correspondence to: Dr. Jan J Koornstra, Department of Gastroenterology & Hepatology, University Medical Centre Groningen, University of Groningen, PO Box 30001, Groningen RB 9700, The Netherlands. j.j.koornstra@int.umcg.nl
Author contributions: Koornstra JJ and Weersma RK were responsible for the design of the paper and patient care and wrote the manuscript; Koornstra JJ performed the systematic literature search.
Fax: +31-50-3619306
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.14.4403