Plastic bread-bag clips in the gastrointestinal tract: report of 5 cases and review of the literature

Newell, Ken J.; Taylor, Brian; Walton, John C.; Tweedie, Edward J.
February 2000
CMAJ: Canadian Medical Association Journal;2/22/2000, Vol. 162 Issue 4, p527
Academic Journal
AbstractPlastic bread-bag clips have been identified as a cause of local perforation or obstruction at many sites in the gastrointestinal tract. This study is the largest case series yet reported, consisting of 3 cases presenting as small-bowel perforation, 1 case in which the clip was found incidentally in the small bowel at laparotomy during vascular surgery and 1 case in which the clip was found incidentally in the small bowel at autopsy. In all cases there was no radiographic evidence to suggest a foreign body in the gastrointestinal tract. People older than 60 years of age who have either partial or full dentures seem to be particularly at risk for the accidental ingestion of these devices. If accidentally ingested, plastic bread-bag clips represent a significant health hazard. As the population ages, small-bowel perforation secondary to ingestion of such clips may occur with increasing frequency. The authors recommend elimination or redesign of the clips, to prevent their being swallowed and becoming impacted in the small bowel or to allow them to be identified in the gastrointestinal tract by conventional radiography.


Related Articles

  • Ingested foreign bodies in the stomach and small intestine. Anand, Krishna; Tripathi, Manjul // Internet Journal of Surgery;2009, Vol. 18 Issue 2, p13 

    To find foreign bodies inside the gastrointestinal tract is rare. Often these patients have psychiatric problems. We present a case report of a 30-year-old male with incidentally diagnosed foreign bodies inside the gastrointestinal tract. A self-inflicted, deep incised wound in the anterior...

  • Multiple Foreign Bodies in GIT in a Child Managed by Conservative Approach. Ahmed, M.; Kumar, M. M. // Journal of Nepal Paediatric Society;Jan-Apr2015, Vol. 35 Issue 1, p67 

    A seven years old child presented with multiple pebble stones in the gastro intestinal tract. Clinical examination did not reveal any abnormality except mild dehydration. Serial clinical examination for period of three days and regular radiographic follow up was done. Spontaneous expulsion of...

  • An unusual cause of small bowel obstruction: Gossypiboma -- case report. Gencosmanoglu, Rasim; Inceoglu, Resit // BMC Surgery;2003, Vol. 3, p6 

    Background: The term "gossypiboma" denotes a mass of cotton that is retained in the body following surgery. Gossypiboma is a medico-legal problem especially for surgeons. To the best of our knowledge, the patient presented herein is the second reported patient in whom the exact site of migration...

  • LETTERS TO THE EDITOR. Foreign Body in Bronchus and Small Intestine in a Single Patient. Mohamad, Irfan; Pein, Cheong Jack; Shibghatullah, Abdul Halim; Abdullah, Mohamad Khir // International Medical Journal;Dec2010, Vol. 17 Issue 4, p308 

    Introduction: Foreign body ingestion among mentally challenged individuals is common. A thorough examination is very important as the history is almost always unreliable. Objective: To report a case of dual foreign bodies in two separate areas of the body; one in the respiratory and the other...

  • Ingested Foreign Bodies: Do We Need a Specific Approach When Treating Inmates? RIBAS, YOLANDA; RUIZ-LUNA, DAVID; GARRIDO, MARINA; BARGALLO, JOSEP; CAMPILLO, FRANCESC // American Surgeon;Feb2014, Vol. 80 Issue 2, p131 

    The management of foreign bodies in the gastrointestinal tract is not standardized. Foreign body ingestions in prisoners are always intentional and inmates can be manipulative, which makes medical decision even more difficult. Our objective is to propose a decisional algorithm for management of...

  • Bone Marrow Derivation of Interstitial Cells of Cajal in Small Intestine Following Intestinal Injury. Dengqun Liu; FengchaoWang; Zhongmin Zou; Shiwu Dong; JunpingWang; Xinze Ran; Chunxue Li; Chunmeng Shi; Yongping Su // Journal of Biomedicine & Biotechnology;2010, p1 

    Interstitial cells of Cajal (ICCs) in gastrointestinal tract are specialized cells serving as pacemaker cells. The origin of ICCs is currently not fully characterized. In this work, we aimed to study whether bone marrow-derived cells (BMDCs) could contribute to the origin of ICCs in the muscular...

  • Retained Wooden Foreign Body in a Child's Parotid Gland: A Case Report. Woolley, Audie L.; Wimberly, Lee T.; Royal, Stuart A. // ENT: Ear, Nose & Throat Journal;Feb1998, Vol. 77 Issue 2, p140 

    Presents a case of a wooden foreign body in the parotid gland in order to illustrate a common presentation of such a foreign body, to review guidelines for their clinical and radiologic diagnosis, and to suggest strategies for the management of their unique complications. Case of the...

  • Foreign Body Erosion Of Duodenum. Sahu, Shantanu Kumar; Burathoki, Sandeep Kumar; Bahl, Dig Vijay; Sachan, Praveendra Kumar // Internet Journal of Surgery;2007, Vol. 13 Issue 2, p3 

    A foreign body in the gastrointestinal tract is a common occurrence in both children and adults. At times, this is accidental and at others, it may be due to intentional ingestion. We report a case of accidental ingestion of a foreign body in the form of a denture, which had eroded the wall of...

  • Gastrik Trikobezoar: Olgu Sunumu. Tatar, Cihad; Karşıdağ, Tamer; Özgül, Halit; Tüzün, Sefa // Medical Bulletin of Haseki / Haseki Tip Bulteni;Sep2013, Vol. 51 Issue 3, p141 

    Bezoars are indigestible conglomerates of foreign bodies or food in the gastrointestinal tract. Signs and symptoms are vague and insidious, and may even be asymptomatic. We present the case of an 18-year-old female patient with trichobezoar who presented to the outpatient clinic with weakness...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics