[Safety of conservative treatment of gastric perforation due to fish bone ingestion].
Intake of foreign bodies is the second most frequent indication for urgent upper gastrointestinal endoscopy. Once in the stomach, foreign bodies are usually spontaneously eliminated. However, a small percentage of large or sharp objects become stuck in the gastrointestinal mucosa. Fish bones represent a substantial number of ingested foreign bodies. We present two cases of fish bone intake producing gastric perforation satisfactorily resolved with endoscopy. Perforation is considered an absolute spcontraindication for upper and lower gastrointestinal endoscopy. Cases such as those reported herein indicate that the decision to perform endoscopic treatment should always be individualized since punctiform perforations - especially if associated with a parietal and peritoneal inflammatory reaction that helps to close the perforation spontaneously - can be treated non-surgically.
Rosón Rodríguez
Pedro J
PJ
Servicio de Gastroenterología y Unidad de Endoscopia Digestiva Intervencionista, Hospital Xanit Internacional, Benalmádena, Málaga, España. pjroson@gmail.com
López Ortega
Susana
S
Melgarejo Cordero
Francisco
F
Vázquez Pedreño
Luis
L
Fernández Castañer
Alejandra
A
D000368:Aged; D004435:Eating; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000628:therapy; D006801:Humans; D008297:Male; D012449:Safety; D013270:Stomach / Q000293:injuries*