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LETTER TO THE EDITOR |
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| Year : 2011 | Volume
: 16
| Issue : 4 | Page : 174 |
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Ingested foreign body lodged in the appendix
Vipul D Yagnik
Ronak Endo-Laparoscopy and General Surgical Hospital, Patan, Gujarat, India
| Date of Web Publication | 31-Oct-2011 |
Correspondence Address:
Vipul D Yagnik
77, Siddhraj Nagar, Rajmahal Road, Patan - 384 265, Gujarat
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9261.86895
How to cite this article:
Yagnik VD. Ingested foreign body lodged in the appendix. J Indian Assoc Pediatr Surg 2011;16:174 |
Sir,
I read with great interest the article entitled, "Ingested metallic foreign body lodged in the appendix". [1] It is really an interesting and unusual case. Authors had performed laparotomy for the removal of foreign body. I would like to state here that surgery was the traditional treatment and probably represent over treatment for such condition now a days. Advancement in the technology and skill of endoscopists made it possible to remove it endoscopically. [2] A 100 year review of the literature for impacted foreign bodies within the appendix showed that colonoscopic removal is indicated if anatomical location of the object is in the right lower quadrant. [3] If this is unsuccessful, laparoscopy along with fluoroscopic guidance should be performed to localize and remove the foreign body. [3] Colonoscopy is a safe and an effective method for the removal of foreign bodies in the appendix. [4]
 References | |  |
| 1. | Sarkar RR, Bisht J, Sinha Roy SK. Ingested metallic foreign body lodged in the appendix. J Indian Assoc Pediatr Surg 2011;16:29-30. 
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| 2. | Song YS, Covarrubias DA, Nardi PM. Foreign body appendicitis. AJR Am J Roentgenol 2009;193:W154-5.
[PUBMED] [FULLTEXT] |
| 3. | Klingler PJnone , Seelig MHnone , DeVault KRnone , Wetscher GJnone , Floch NRnone , Branton SAnone , et al. Ingested foreign bodies within the appendix: A 100-year review of the literature. Dig Disnone 1998;16:308-14.
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| 4. | Pilichos Cnone , Tasias Gnone , Pyleris Enone , Anyfantis Nnone , Pantelaros Nnone , Barbatzas Cnone . Endoscopic extraction of a metal key impacted within the appendix. World J Gastrointest Endoscnone 2010;2:372-4.
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