| Theme |
Emergency Endoscopy |
| Title |
Diagnosis and Treatment of Foreign Bodies in Large Intestine |
| Author |
Hiroshi Kawano |
Department of Medicine II, Kurume University School of Medicine |
| Author |
Osamu Tsuruta |
Department of Medicine II, Kurume University School of Medicine |
| Author |
Kenichi Yoshimori |
Department of Medicine II, Kurume University School of Medicine |
| Author |
Minoru Itou |
Department of Medicine II, Kurume University School of Medicine |
| Author |
Takeshi Toubaru |
Department of Medicine II, Kurume University School of Medicine |
| Author |
Nobuo Tomiyasu |
Department of Medicine II, Kurume University School of Medicine |
| Author |
Michio Sata |
Department of Medicine II, Kurume University School of Medicine |
| Author |
Atsushi Toyonaga |
Division of Gastroenterology and Endoscopy, Kurume University School of Medicine |
| Author |
Nobuyuki Arima |
Department of Pathology, Kumamoto Municipal Hospital |
| [ Summary ] |
Foreign objects in the large intestine are not a common occurrence. Foreign objects are identified by abdominal X-rays or enema studies. When sharp foreign objects can be detected with abdominal X-rays, endoscopic removal should be attempted. Foreign objects in the rectum are often of various shapes and large in size. So it is difficult to remove them endoscopically. In such cases, foreign objects are removed through the anus after relaxing the anal sphincter. Foreign objects lodged in large intestine should be carefully removed through the anus to avoid intestinal bleeding, laceration or perforation. When foreign objects can not be removed through the anus, general anesthesia and laparotomy are required. |