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Management of Ingested Hijab-Pin

  • Original Article
  • Published:
Journal of Gastrointestinal Surgery

Abstract

Background and Study Aims

Accidental swallowing of hijab (or turban) pin was reported mainly among adolescent girls. Current guidelines indicate emergent intervention endoscopy in case a long sharp object is found in the gastrointestinal tract. The aims of the current study are to present the results of an observational approach and to assess the need for intervention.

Patients and Methods

A retrospective cohort study was conducted including all 5–18-year-old patients who presented with hijab-pin ingestion between 2003 and 2014. The need for intervention was assessed using both univariable and multivariable statistical analyses.

Results

Two hundred three cases of hijab-pin ingestion were documented. In the majority of cases, the pin was observed in the stomach (137/203, 67.4%) upon arrival. Most pins that were located at the upper gastrointestinal tract (proximal to the ligament of Treitz) ejected spontaneously (120/169, 71%, Pv = 0.005). The absence of pin progression in an X-ray performed 12 h following presentation was significantly more frequent in the intervention group (46/51, 90%, Pv = 0.001).

Conclusions

In most cases, the outcome is spontaneous ejection from the digestive tract. However, if needle location remains unchanged on two consecutive X-rays, an endoscopic intervention is recommended.

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Author information

Authors and Affiliations

  1. Pediatric Intensive Care Unit, Soroka University Medical Center, Soroka, Israel

    Evyatar Hubara

  2. Pediatric Gastroenterology Unit, Soroka University Medical Center, Soroka, Israel

    Galina Ling, Vered Pinsk & Baruch Yerushalmi

  3. Clinical Research Center, Soroka University Medical Center, Soroka, Israel

    Yotam Lior & Shalev Zuckerman

  4. The Department of Public Health, Soroka University Medical Center, Soroka, Israel

    Sharon Daniel

  5. Faculty of Health Sciences, Ben-Gurion University, Beer-Sheva, Israel

    Sharon Daniel

Authors
  1. Evyatar Hubara
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  2. Galina Ling
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  3. Vered Pinsk
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  4. Yotam Lior
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  5. Sharon Daniel
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  6. Shalev Zuckerman
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  7. Baruch Yerushalmi
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Corresponding author

Correspondence to Baruch Yerushalmi.

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The authors declare that they have no conflict of interest.

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Hubara, E., Ling, G., Pinsk, V. et al. Management of Ingested Hijab-Pin. J Gastrointest Surg 21, 1062–1066 (2017). https://doi.org/10.1007/s11605-017-3424-z

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  • DOI: https://doi.org/10.1007/s11605-017-3424-z

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