Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2008 Jul 21;14(27):4403-6.
doi: 10.3748/wjg.14.4403.

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

Jan-J Koornstra  1 , Rinse-K Weersma
Affiliations
Case Reports

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

Jan-J Koornstra et al. World J Gastroenterol. .

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.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Plain abdominal radiograph showing the foreign body impacted in the rectosigmoid.
Figure 2
Figure 2
Lateral view of abdominal radiograph depicting the foreign body with the achalasia balloon inflated just above the container.
Figure 3
Figure 3
The removed container.
Figure 4
Figure 4
Algorithm for the removal of a colorectal foreign body.
See this image and copyright information in PMC

References

    1. Richter RM, Littman L. Endoscopic extraction of an unusual colonic foreign body. Gastrointest Endosc. 1975;22:40. - PubMed
    1. Wolf L, Geraci K. Colonscopic removal of balloons from the bowel. Gastrointest Endosc. 1977;24:41. - PubMed
    1. Tarnasky PR, Newcomer MK, Branch MS. Colonoscopic diagnosis and treatment of chronic chicken bone perforation of the sigmoid colon. Gastrointest Endosc. 1994;40:373–375. - PubMed
    1. Over HH, TOzUn N, AvSar E. Toothpick impaction: treatment by colonoscopy. Endoscopy. 1997;29:S60–S61. - PubMed
    1. Glaser J, Hack T, Rubsam M. Unusual rectal foreign body: treatment using argon-beam coagulation. Endoscopy. 1997;29:230–231. - PubMed

Publication types