{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:55:39Z","timestamp":1777726539208,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>The entry of multiple broken scalpel blades into the gastrointestinal tract with involvement of the stomach, ileum, and colon is rare; no such cases have been reported to date. Whether management of multiple sharp foreign bodies is more effective by endoscopy or surgery remains controversial in clinical practice. We herein describe a 23-year-old man with depression who was admitted to our department 36 hours after swallowing multiple scalpel blades. The patient reported abdominal pain and bloody vomit. A radiograph revealed irregular blade-shaped foreign bodies in the abdomen, and computed tomography confirmed foreign bodies in the stomach, mid-distal segment of the ileum, proximal segment of the ascending colon, liver area of the transverse colon, and lumen of the sigmoid colon. Surgery was immediately suggested as the first-choice treatment, but endoscopy was instead performed after a thorough multidisciplinary discussion. All broken scalpel blades were successfully removed with combined gastroscopy and colonoscopy, and the patient\u2019s postoperative recovery was uneventful. This case demonstrates the vital importance of multidisciplinary management and endoscopy as an appropriate treatment approach even for multiple sharp foreign bodies in patients without perforation or peritonitis.<\/jats:p>","DOI":"10.1177\/0300060520982697","type":"journal-article","created":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T06:11:34Z","timestamp":1610950294000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Endoscopic management of multiple broken scalpel blades in the gastrointestinal tract: a case report"],"prefix":"10.1177","volume":"49","author":[{"given":"Lisheng","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7814-7246","authenticated-orcid":false,"given":"Lingwei","family":"Jia","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,1,18]]},"reference":[{"key":"bibr1-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1055\/a-1062-9011"},{"key":"bibr2-0300060520982697","doi-asserted-by":"publisher","DOI":"10.5935\/0103-507X.20190075"},{"key":"bibr3-0300060520982697","first-page":"e6110","volume":"11","author":"O'Connor PD","year":"2019","journal-title":"Cureus"},{"key":"bibr4-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2019-229655"},{"key":"bibr5-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-019-0245-2"},{"key":"bibr6-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2019.04.015"},{"key":"bibr7-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1007\/s12328-019-00962-2"},{"key":"bibr8-0300060520982697","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.908373"},{"key":"bibr9-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1111\/apt.12925"},{"key":"bibr10-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2017.01.004"},{"key":"bibr11-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2010.11.010"},{"key":"bibr12-0300060520982697","first-page":"254","volume":"30","author":"Hershman M","year":"2017","journal-title":"Ann Gastroenterol"},{"key":"bibr13-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/658602"},{"key":"bibr14-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2016.08.006"},{"key":"bibr15-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/8520767"},{"key":"bibr16-0300060520982697","doi-asserted-by":"publisher","DOI":"10.4103\/0189-6725.181706"},{"key":"bibr17-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1111\/1751-2980.12833"},{"key":"bibr18-0300060520982697","doi-asserted-by":"crossref","first-page":"265","DOI":"10.14639\/0392-100X-895","volume":"35","author":"Passali D","year":"2015","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"bibr19-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2012.03.252"},{"key":"bibr20-0300060520982697","doi-asserted-by":"publisher","DOI":"10.1111\/1751-2980.12318"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060520982697","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0300060520982697","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060520982697","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:46:55Z","timestamp":1777459615000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0300060520982697"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1177\/0300060520982697"],"URL":"https:\/\/doi.org\/10.1177\/0300060520982697","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"article-number":"0300060520982697"}}