{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T03:14:33Z","timestamp":1782789273161,"version":"3.54.5"},"reference-count":18,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Frontline Gastroenterol"],"accepted":{"date-parts":[[2021,3,26]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>We report on the increasing incidence and outcomes from intentional foreign body ingestion (iFoBI) presenting to our hospital over a 5-year period. The aim was to assess the impact on services and to identify ways to safely mitigate against this clinical challenge.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design\/method<\/jats:title>\n                  <jats:p>We performed a retrospective observational study of all patients presenting to a university hospital between January 2015 and April 2020 with iFoBI with a focus on objects swallowed, timing of endoscopy and clinical outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>239 episodes of iFoBI in 51 individuals were recorded with a significant increase in incidence throughout the study period (Welch (5, 17.3)=15.1, p&lt;0.001), imposing a high burden on staff and resources. Items lodged in the oesophagus were more likely to lead to mucosal injury (p=0.009) compared with elsewhere. Ingested item type and timing of endoscopy were not related to complications (p=0.78) or length of stay (p=0.8). In 12% of cases, no objects were seen at endoscopy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>In all except those patients with oesophageal impaction of the object on radiograph, there is no need to perform endoscopic extraction out of hours. A subset of cases can avoid endoscopy with an X-ray immediately prior to the procedure as a significant proportion have passed already. We discuss more holistic approaches to deal with recurrent attendances.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/flgastro-2021-101776","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T13:24:03Z","timestamp":1617888243000},"page":"98-103","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Endoscopic management of intentional foreign body ingestion: experience from a UK centre"],"prefix":"10.1136","volume":"13","author":[{"given":"Sina","family":"Yadollahi","sequence":"first","affiliation":[{"name":"Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Buchannan","sequence":"additional","affiliation":[{"name":"Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK"},{"name":"Faculty of Medicine, University of Southampton, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadeem","family":"Tehami","sequence":"additional","affiliation":[{"name":"Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Stacey","sequence":"additional","affiliation":[{"name":"Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imbadhur","family":"Rahman","sequence":"additional","affiliation":[{"name":"Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Boger","sequence":"additional","affiliation":[{"name":"Gastroenterology, Southampton General Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7046-241X","authenticated-orcid":false,"given":"Mark","family":"Wright","sequence":"additional","affiliation":[{"name":"Hepatology, University Hospital Southampton, Southampton, Hampshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,4,8]]},"reference":[{"key":"2025090708094565000_13.2.98.1","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/j.gie.2019.09.010","article-title":"Trends and clinical features of intentional and accidental adult foreign body ingestions in the United States, 2000 to 2017","volume":"91","author":"Hsieh","year":"2020","journal-title":"Gastrointest Endosc"},{"key":"2025090708094565000_13.2.98.2","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1111\/sltb.12474","article-title":"Self-Harm by sharp foreign body ingestion","volume":"49","author":"Robertson","year":"2019","journal-title":"Suicide Life Threat Behav"},{"key":"2025090708094565000_13.2.98.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2010.07.013"},{"key":"2025090708094565000_13.2.98.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2011.06.011"},{"key":"2025090708094565000_13.2.98.5","doi-asserted-by":"crossref","DOI":"10.4253\/wjge.v7.i3.162","article-title":"Intentional ingestions of foreign objects among prisoners: a review","volume":"7","author":"Evans","year":"2015","journal-title":"World J Gastrointest Endosc"},{"key":"2025090708094565000_13.2.98.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.05.072"},{"key":"2025090708094565000_13.2.98.7","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1155\/2013\/671273","article-title":"Predictors of recurrent ingestion of gastrointestinal foreign bodies","volume":"27","author":"Grimes","year":"2013","journal-title":"Can J Gastroenterol"},{"key":"2025090708094565000_13.2.98.8","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.48.2.162"},{"key":"2025090708094565000_13.2.98.9","first-page":"485","article-title":"Repeat intentional foreign body ingestion: the importance of a multidisciplinary approach","volume":"8","author":"Palese","year":"2012","journal-title":"Gastroenterol Hepatol"},{"key":"2025090708094565000_13.2.98.10","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-100456"},{"key":"2025090708094565000_13.2.98.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2010.11.010"},{"key":"2025090708094565000_13.2.98.12","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-16212"},{"key":"2025090708094565000_13.2.98.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2006.01.059"},{"key":"2025090708094565000_13.2.98.14","doi-asserted-by":"crossref","DOI":"10.1186\/s12876-020-01224-z","article-title":"Differences between intentional and accidental ingestion of foreign body in China","volume":"20","author":"Zong","year":"2020","journal-title":"BMC Gastroenterol"},{"key":"2025090708094565000_13.2.98.15","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.jss.2013.04.078","article-title":"Intentional foreign object ingestions: need for endoscopy and surgery","volume":"184","author":"Dalal","year":"2013","journal-title":"J Surg Res"},{"key":"2025090708094565000_13.2.98.16","doi-asserted-by":"crossref","DOI":"10.1186\/s12887-020-02444-8","article-title":"Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017","volume":"20","author":"Speidel","year":"2020","journal-title":"BMC Pediatr"},{"key":"2025090708094565000_13.2.98.17","unstructured":"National Health Service Improvement . National tariff payment system 2019\/20: a consultation notice. Available: https:\/\/improvement.nhs.uk\/resources\/national-tariff-1920-consultation\/"},{"key":"2025090708094565000_13.2.98.18","first-page":"482","article-title":"Recurrent intentional foreign body ingestion: an endoscopist's dilemma","volume":"8","author":"Atluri","year":"2012","journal-title":"Gastroenterol Hepatol"}],"container-title":["Frontline Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/flgastro-2021-101776","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T15:09:53Z","timestamp":1757257793000},"score":1,"resource":{"primary":{"URL":"https:\/\/fg.bmj.com\/lookup\/doi\/10.1136\/flgastro-2021-101776"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,8]]},"references-count":18,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022,2,7]]},"published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1136\/flgastro-2021-101776"],"URL":"https:\/\/doi.org\/10.1136\/flgastro-2021-101776","relation":{},"ISSN":["2041-4137","2041-4145"],"issn-type":[{"value":"2041-4137","type":"print"},{"value":"2041-4145","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,8]]}}}