ArticleUnited European gastroenterology journal2024
Endoscopic management of duodenal perforation caused by foreign bodies in adults: A retrospective study.
Article in United European gastroenterology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- Endoscopic Removal of a Toothpick Penetrating the Psoas Major Through the Duodenum.Digestive diseases and sciences · 2026Article
- Fish bone-induced liver abscess secondary to duodenal perforation: a case report.Frontiers in medicine · 2026Article
- Rectal Impaction of a Migratory Duck Bone After 72 Asymptomatic Hours: A Defused Time Bomb.Clinical case reports · 2026Article
- A rare case of submucosal foreign body in the duodenal bulb.Endoscopy · 2025Article
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- Case Report: Fish bone-induced duodenal perforation leading to bile duct stones and portal vein thrombosis.Frontiers in medicine · 2025Article
- Etiologies and Outcomes Following Duodenal Perforation in Acute Peritonitis: A Systematic Review.Cureus · 2024Review
- Endoscopic management of duodenal perforation caused by foreign bodies in adults: A retrospective study.United European gastroenterology journal · 2024Article
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Authors and funding
15 authors at 4 institutions in 1 country.
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Abstract
BACKGROUND AND
aimsDuodenal perforation caused by foreign bodies (FBs) is very rare but is an urgent emergency that traditionally requires surgical intervention. Several case reports have reported the successful endoscopic removal of duodenal perforating FBs. Here we aimed to evaluate the safety and efficacy of endoscopic management of duodenal perforating FBs in adults.
methodsBetween October 2004 and October 2022, 12,851 patients with endoscopically diagnosed gastrointestinal FBs from four tertiary hospitals in China were retrospectively reviewed. Patients were enrolled if they were endoscopically and/or radiographically diagnosed with duodenal perforating FBs.
resultsThe incidence of duodenal total FBs and perforating FBs was 1.9% and 0.3%, respectively. Thirty-four patients were enrolled. Endoscopic removal was achieved in 25 patients (73.5%), and nine patients (26.5%) received surgery. For the endoscopic group, most perforating FBs were located in the duodenal bulb (36.0%) and descending part (28.0%). The adverse events included 3 mucosal injuries and 1 localized peritonitis. All patients were cured after conventional treatment. In the surgical group, most FBs were lodged in the descending part (55.6%). One patient developed localized peritonitis and one patient died of multiple organ failure. The significant features of FBs requiring surgery included FB over 10 cm, both sides perforation, multiple perforating FBs and massive pus overflow.
conclusionEndoscopic removal of duodenal perforating FBs is safe and effective, and can be the first choice of treatment for experienced endoscopists. Surgical intervention may be required for patients with FBs over 10 cm, both sides perforation, multiple perforating FBs, or severe infections.
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