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October, 1947 FOREIGN BODIES—HART 639 Fig. 2 (Case 1). Open safety pin in the stomach of a 7-month-old baby. Fig. 3 (Case 2). Open safety pin in the stomach of a baby 15 months of age. Fig. 4 (Case 4). Large nail in the stomach of a baby 15 months of age. All these foreign bodies were successfully extracted with the Alnico magnet. Case 3 This baby was 2% years of age and was seen four hours after swallowing an open safety pin. X-ray examination revealed a medium-sized open safety pin in the pyloric end of the stomach. Without anesthesia, the magnet was passed through a laryngeal spatula into the esophagus. Under fluoroscopic guidance, and with some inflation, we were finally able to get the magnet into the pyloric end, where immediate contact with the pin was made. The pin proved to be magnetic and was drawn to the cardia, where the point presented. By rotating and shaking the magnet, however, we were able to reverse the point into a trailing position. The pin was then gently pulled upward. It came off either at the cricopharyngeus or in the mouth. A laryngeal spatula was immediately introduced. The pin was found lying in the hypopharvnx with the spring end presenting. This end was seized with rins* forceDS and the pin was extracted. The patient had an uneventful convalescence. Case 4 A babv 2 years of age was seen two hours after swallowing a nail. The roentgenogram (fig. 4) showed a large nail in the stomach. Following sedation with 1 grain of sodium luminal and 14 grain of codeine, the hypopharynx was exposed with a spatula and the stomach magnet was introduced. By a little manipulation under fluoroscopic guidance, we were able to make contact with the head of the nail. The nail was withdrawn without Hifficulty, and proved to be about two inches in length. The babv returned home in good condition shortly after the operation. Case 5 This 4-vear-old child was also seen two hours after the ingestion of a nail. An x-ray film (fig. 5) showed a slightly bent nail in the pylorus of the stomach. Following the administration of 2 grains of sodium luminal and % grain of codeine, the magnet was passed into the stomach with the help of a laryngeal spatula. Under fluoroscopic guidance, immediate contact was made with the head end of the nail, which had apparently been regurgitated higher into the stomach bv vomiting. The nail was extracted without difficulty, and recovery was uneventful. Case 6 A 3-year-old baby swallowed a bobby pin three hours before admission. X-ray examination (fig. 6) revealed a large bobby pin in the stomach. The patient was given 2 grains of sodium luminal and XA grain of codeine, and was then taken to the x-ray room, where the whole procedure was done under fluoroscopic guidance. By means of a laryngeal spatula, the Alnico magnet was passed into the stomach. The stomach was then ballooned with air, and the bobby pin was immediately picked up in the long axis. We were thus able to extract it without difficulty. There were no complications. Other Methods for Extracting Foreign Bodies from the Food Passages Extraction through the esophagoscope Since only 10 per cent of foreign bodies are magnetic(1), and since most safety pins are now made of plastic and are therefore inert, the older methods for extracting foreign bodies from the food passages must often be utilized. If the pin is one of the larger sizes, is in the esophagus, and is nonmagnetic, I prefer endogastric version through the esophagoscope. The keeper shank is straddled with ring forceps, so that a rigid and dangerous grip is avoided. The pin is taken with trailing point into the stomach, and there reversed by manipulation. Peroral extraction is then done with the point trailing. In my opinion, however, the introduction of a rigid metal esophagoscope into the stomach is a risky procedure in an infant. If the foreign body is toward or in the pylorus, the instrument must be swung to the left by rotating the head to the left. This maneuver involves considerable pressure on
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1947 |
Identifier | NCHH-17-008 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 8 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-008.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-008 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Description
Fixed Title * | Page 641 (image) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1947 |
Identifier | NCHH-17-008-0651 |
Form General | Periodicals |
Page Type | all; all images; x-ray |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed81947medi_0651.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 8 |
Issue Number | 10 |
Page Number | 641 |
Health Discipline | Medicine |
Full Text | October, 1947 FOREIGN BODIES—HART 639 Fig. 2 (Case 1). Open safety pin in the stomach of a 7-month-old baby. Fig. 3 (Case 2). Open safety pin in the stomach of a baby 15 months of age. Fig. 4 (Case 4). Large nail in the stomach of a baby 15 months of age. All these foreign bodies were successfully extracted with the Alnico magnet. Case 3 This baby was 2% years of age and was seen four hours after swallowing an open safety pin. X-ray examination revealed a medium-sized open safety pin in the pyloric end of the stomach. Without anesthesia, the magnet was passed through a laryngeal spatula into the esophagus. Under fluoroscopic guidance, and with some inflation, we were finally able to get the magnet into the pyloric end, where immediate contact with the pin was made. The pin proved to be magnetic and was drawn to the cardia, where the point presented. By rotating and shaking the magnet, however, we were able to reverse the point into a trailing position. The pin was then gently pulled upward. It came off either at the cricopharyngeus or in the mouth. A laryngeal spatula was immediately introduced. The pin was found lying in the hypopharvnx with the spring end presenting. This end was seized with rins* forceDS and the pin was extracted. The patient had an uneventful convalescence. Case 4 A babv 2 years of age was seen two hours after swallowing a nail. The roentgenogram (fig. 4) showed a large nail in the stomach. Following sedation with 1 grain of sodium luminal and 14 grain of codeine, the hypopharynx was exposed with a spatula and the stomach magnet was introduced. By a little manipulation under fluoroscopic guidance, we were able to make contact with the head of the nail. The nail was withdrawn without Hifficulty, and proved to be about two inches in length. The babv returned home in good condition shortly after the operation. Case 5 This 4-vear-old child was also seen two hours after the ingestion of a nail. An x-ray film (fig. 5) showed a slightly bent nail in the pylorus of the stomach. Following the administration of 2 grains of sodium luminal and % grain of codeine, the magnet was passed into the stomach with the help of a laryngeal spatula. Under fluoroscopic guidance, immediate contact was made with the head end of the nail, which had apparently been regurgitated higher into the stomach bv vomiting. The nail was extracted without difficulty, and recovery was uneventful. Case 6 A 3-year-old baby swallowed a bobby pin three hours before admission. X-ray examination (fig. 6) revealed a large bobby pin in the stomach. The patient was given 2 grains of sodium luminal and XA grain of codeine, and was then taken to the x-ray room, where the whole procedure was done under fluoroscopic guidance. By means of a laryngeal spatula, the Alnico magnet was passed into the stomach. The stomach was then ballooned with air, and the bobby pin was immediately picked up in the long axis. We were thus able to extract it without difficulty. There were no complications. Other Methods for Extracting Foreign Bodies from the Food Passages Extraction through the esophagoscope Since only 10 per cent of foreign bodies are magnetic(1), and since most safety pins are now made of plastic and are therefore inert, the older methods for extracting foreign bodies from the food passages must often be utilized. If the pin is one of the larger sizes, is in the esophagus, and is nonmagnetic, I prefer endogastric version through the esophagoscope. The keeper shank is straddled with ring forceps, so that a rigid and dangerous grip is avoided. The pin is taken with trailing point into the stomach, and there reversed by manipulation. Peroral extraction is then done with the point trailing. In my opinion, however, the introduction of a rigid metal esophagoscope into the stomach is a risky procedure in an infant. If the foreign body is toward or in the pylorus, the instrument must be swung to the left by rotating the head to the left. This maneuver involves considerable pressure on |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-008.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-008 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
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