{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T04:16:16Z","timestamp":1728360976286},"reference-count":14,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:p>This case report describes a 51-year-old man who swallowed an amalgam fragment dislodged during dental treatment performed without a throat screen. The patient was transferred to the emergency department, where the foreign body was confirmed to be in the esophagus following radiographic imaging. Foreign body removal from the esophagus is routinely achieved via esophagogastroduodenoscopy (EGD). However, this incident occurred in September 2020, at the height of the COVID-19 pandemic. Because of the patient's preoperative positive COVID-19 test, the option for EGD retrieval was eliminated per hospital protocol. Instead, a noninvasive approach with serial radiographic monitoring was deemed mandatory to observe the fragment as it passed through the gastrointestinal tract, warranted by the small size of the foreign body and the patient's lack of signs and symptoms of respiratory distress. This case report reinforces the importance of using airway protection during every dental procedure. Furthermore, reevaluation of EGD as the gold standard for treatment of ingested small materials may be warranted.<\/jats:p>","DOI":"10.2344\/anpr-70-03-03","type":"journal-article","created":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T04:24:29Z","timestamp":1705292669000},"page":"178-183","source":"Crossref","is-referenced-by-count":0,"title":["Management of an Ingested Foreign Body in a COVID-Positive Patient"],"prefix":"10.2344","volume":"70","author":[{"given":"Tiffany","family":"Smith","sequence":"first","affiliation":[{"name":"Touro College of Dental Medicine, Hawthorne, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Blum","sequence":"additional","affiliation":[{"name":"Touro College of Dental Medicine, Hawthorne, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"Rozdolski","sequence":"additional","affiliation":[{"name":"Touro College of Dental Medicine, Hawthorne, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","reference":[{"issue":"(8)","key":"i1878-7177-70-4-178-b01","series-title":"Int Endod J","first-page":"585","article-title":"Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population","volume":"40","author":"Susini","year":"2007","unstructured":"Susini\n              G,\n            \n            \n              Pommel\n              L,\n            \n            \n              Camps\n              J.\n            \n          \n          Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population.\nInt Endod J.\n2007;\n40(8):\n585\u2013589.\ndoi:10.1111\/j.1365-2591.2007.01249.x"},{"issue":"(6)","key":"i1878-7177-70-4-178-b02","series-title":"Inorodnye tela verkhnikh otdelov zheludochno-kishechnogo trakta. Diagnostic and treatment of foreign bodies of the upper digestive tract. Khirurgiia (Mosk).","first-page":"38","author":"Drobyazgin","year":"2021","unstructured":"Drobyazgin\n              EA,\n            \n            \n              Chikinev\n              YV,\n            \n            \n              Arkhipov\n              DA.\n            \n          \n          Inorodnye tela verkhnikh otdelov zheludochno-kishechnogo trakta. Diagnostic and treatment of foreign bodies of the upper digestive tract. Khirurgiia (Mosk).\n          2021;\n(6):\n38\u201344.\ndoi:10.17116\/hirurgia2021061387"},{"issue":"(11)","key":"i1878-7177-70-4-178-b03","series-title":"Clin Gastroenterol Hepatol","first-page":"1773","article-title":"Zenker's diverticulum","volume":"12","author":"Law","year":"2014","unstructured":"Law\n              R,\n            \n            \n              Katzka\n              DA,\n            \n            \n              Baron\n              TH.\n            \n          \n          Zenker's diverticulum.\nClin Gastroenterol Hepatol.\n2014;\n12(11):\n1773\u2013e112.\ndoi:10.1016\/j.cgh.2013.09.016"},{"year":"2023","unstructured":"Zenker's diverticulum. Mount Sinai Health System. Accessed January 11,\n          2023.\nhttps:\/\/www.mountsinai.org\/locations\/grabscheid-voice-swallowing-center\/conditions\/zenkers-diverticulum","series-title":"Zenker's diverticulum. Mount Sinai Health System. Accessed January 11,","key":"i1878-7177-70-4-178-b04"},{"key":"i1878-7177-70-4-178-b05","series-title":"Medical Emergencies in the Dental Office. Elsevier;","first-page":"186","article-title":"Foreign body airway obstruction","author":"Malamed","year":"2015","unstructured":"Malamed\n              SF,\n            \n            \n              Orr\n              DL,\n            \n            \n              Orr\n              TM.\n            \n          \n          Foreign body airway obstruction.\nIn:\nMedical Emergencies in the Dental Office. Elsevier;2015:\n186\u2013204."},{"key":"i1878-7177-70-4-178-b06","series-title":"Ingested foreign bodies and food impactions in adults. UpToDate. Accessed January 11,","author":"Triadafilopoulos","year":"2023","unstructured":"Triadafilopoulos\n              G.\n            \n          \n          Ingested foreign bodies and food impactions in adults. UpToDate. Accessed January 11,\n          2023.\nhttps:\/\/www.uptodate.com\/contents\/ingested-foreign-bodies-and-food-impactions-in-adults?csi=7aae9449-d84b-4b7e-9f0d-08cf92ccd4ad&source=contentShare#H1120803190"},{"key":"i1878-7177-70-4-178-b07","series-title":"Airway foreign bodies in adults. UpToDate. Accessed January 11,","author":"Shepherd","year":"2023","unstructured":"Shepherd\n              W.\n            \n          \n          Airway foreign bodies in adults. UpToDate. Accessed January 11,\n          2023.\nhttps:\/\/www.uptodate.com\/contents\/airway-foreign-bodies-in-adults?search=foreign%20body%20obstruction&source=search_result&selectedTitle=1\u223c150&usage_type=default&display_rank=1#H938790129"},{"key":"i1878-7177-70-4-178-b08","series-title":"Clinical presentation, diagnostic evaluation, and management of malignant central airway obstruction in adults. UpToDate. Accessed January 11,","author":"Herth","year":"2023","unstructured":"Herth\n              FJF.\n            \n          \n          Clinical presentation, diagnostic evaluation, and management of malignant central airway obstruction in adults. UpToDate. Accessed January 11,\n          2023.\nhttps:\/\/www.uptodate.com\/contents\/clinical-presentation-diagnostic-evaluation-and-management-of-malignant-central-airway-obstruction-in-adults?search=foreign%20body%20obstruction&topicRef=4387&source=see_link#"},{"issue":"(1)","key":"i1878-7177-70-4-178-b09","series-title":"GE Port J Gastroenterol","first-page":"28","article-title":"Accidental ingestion of dentistry material\u2014report of cases and challenges from the pediatrician point of view","volume":"22","author":"Cotrim","year":"2014","unstructured":"Cotrim\n              J,\n            \n            \n              Corujeira\n              S,\n            \n            \n              Jardim\n              J,\n            \n            \n              Cardoso\n              H,\n            \n            \n              Trindade\n              E,\n            \n            \n              Dias\n              JA.\n            \n          \n          Accidental ingestion of dentistry material\u2014report of cases and challenges from the pediatrician point of view.\nGE Port J Gastroenterol.\n2014;\n22(1):\n28\u201331.\ndoi:10.1016\/j.jpge.2014.10.003"},{"issue":"(2)","key":"i1878-7177-70-4-178-b10","series-title":"Sepsis in acute mediastinitis\u2014a severe complication after oesophageal perforations: a review of the literature. J Crit Care Med (Targu Mures)","first-page":"49","volume":"5","year":"2019","unstructured":"Mure\u0219an M, Mure\u0219an S, Balmo\u0219 I, Sala D, Suciu B, Torok A.\nSepsis in acute mediastinitis\u2014a severe complication after oesophageal perforations: a review of the literature. J Crit Care Med (Targu Mures).\n2019;\n5(2):\n49\u201355.\ndoi:10.2478\/jccm-2019-0008"},{"key":"i1878-7177-70-4-178-b11","series-title":"StatPearls. StatPearls Publishing;","article-title":"Gastrointestinal foreign body","author":"Jaan","year":"2023","unstructured":"Jaan\n              A,\n            \n            \n              Mulita\n              F.\n            \n          \n          Gastrointestinal foreign body.\nIn:\nStatPearls. StatPearls Publishing;2023.\nAccessed January 11, 2023. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562203\/"},{"issue":"(4)","key":"i1878-7177-70-4-178-b12","series-title":"Gastrointest Endosc","first-page":"707","article-title":"Adverse events of upper GI endoscopy","volume":"76","author":"Ben-Menachem","year":"2012","unstructured":"ASGE Standards of Practice Committee,\n          \n            \n              Ben-Menachem\n              T,\n            \n            \n              Decker\n              GA,\n            \n            et al.\n\n          Adverse events of upper GI endoscopy.\nGastrointest Endosc.\n2012;\n76(4):\n707\u2013718.\ndoi:10.1016\/j.gie.2012.03.252"},{"issue":"(30)","key":"i1878-7177-70-4-178-b13","series-title":"Medicine (Baltimore)","first-page":"e16489","article-title":"Small bowel perforation secondary to foreign body ingestion mimicking acute appendicitis: case report","volume":"98","author":"Ma","year":"2019","unstructured":"Ma\n              T,\n            \n            \n              Zheng\n              W,\n            \n            \n              An\n              B,\n            \n            \n              Xia\n              Y,\n            \n            \n              Chen\n              G.\n            \n          \n          Small bowel perforation secondary to foreign body ingestion mimicking acute appendicitis: case report.\nMedicine (Baltimore).\n2019;\n98(30):\ne16489.\ndoi:10.1097\/MD.0000000000016489"},{"issue":"(4)","key":"i1878-7177-70-4-178-b14","series-title":"Saudi Dent J","first-page":"177","article-title":"Accidental ingestion of foreign object: systematic review, recommendations and report of a case","volume":"23","author":"Venkataraghavan","year":"2011","unstructured":"Venkataraghavan\n              K,\n            \n            \n              Anantharaj\n              A,\n            \n            \n              Praveen\n              P,\n            \n            \n              Rani\n              SP,\n            \n            \n              Krishnan\n              BM.\n            \n          \n          Accidental ingestion of foreign object: systematic review, recommendations and report of a case.\nSaudi Dent J.\n2011;\n23(4):\n177\u2013181.\ndoi:10.1016\/j.sdentj.2010.10.007"}],"container-title":["Anesthesia Progress"],"original-title":[],"link":[{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/70\/4\/article-p178.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/70\/4\/178\/3316916\/i1878-7177-70-4-178.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/70\/4\/article-p178.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/70\/4\/article-p178.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:45:17Z","timestamp":1728305117000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/70\/4\/article-p178.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":14,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.2344\/anpr-70-03-03","relation":{},"ISSN":["1878-7177","0003-3006"],"issn-type":[{"type":"electronic","value":"1878-7177"},{"type":"print","value":"0003-3006"}],"subject":[],"published":{"date-parts":[[2023]]}}}