Copyright
©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Jul 21, 2008; 14(27): 4403-4406
Published online Jul 21, 2008. doi: 10.3748/wjg.14.4403
Published online Jul 21, 2008. doi: 10.3748/wjg.14.4403
Management of rectal foreign bodies: Description of a new technique and clinical practice guidelines
Jan J Koornstra, Rinse K Weersma, Department of Gastroenterology & Hepatology, University Medical Centre Groningen, University of Groningen, Groningen RB 9700, The Netherlands
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.
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
Telephone: +31-50-3613354
Fax: +31-50-3619306
Received: April 9, 2008
Revised: May 10, 2008
Accepted: May 17, 2008
Published online: July 21, 2008
Revised: May 10, 2008
Accepted: May 17, 2008
Published online: July 21, 2008
Abstract
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.
Keywords: Foreign body; Rectum; Rectal; Removal; Review