{"id":"https://openalex.org/W7223570508","doi":"https://doi.org/10.4166/kjg.2025.126","title":"Fishbone-Induced Gastrointestinal Perforation: A 21-Case Series from Vietnam","display_name":"Fishbone-Induced Gastrointestinal Perforation: A 21-Case Series from Vietnam","publication_year":2026,"publication_date":"2026-10-25","ids":{"openalex":"https://openalex.org/W7223570508","doi":"https://doi.org/10.4166/kjg.2025.126","pmid":"https://pubmed.ncbi.nlm.nih.gov/42928009","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13714431"},"language":"en","primary_location":{"id":"doi:10.4166/kjg.2025.126","doi":"https://doi.org/10.4166/kjg.2025.126","is_oa":true,"landing_page_url":"https://doi.org/10.4166/kjg.2025.126","pdf_url":"https://www.kjg.or.kr/journal/download_pdf.php?doi=10.4166/kjg.2025.126","source":{"id":"https://openalex.org/S179113119","display_name":"Korean Journal of Gastroenterology","issn_l":"1598-9992","issn":["1598-9992","2233-6869"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","kci-registered","ki-jl-1","medline","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319421","host_organization_name":"Jin Publishing & Printing Co.","host_organization_lineage":["https://openalex.org/P4310319421"],"host_organization_lineage_names":["Jin Publishing & Printing Co."],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Korean Journal of Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.kjg.or.kr/journal/download_pdf.php?doi=10.4166/kjg.2025.126","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5097687076","display_name":"Phu Van La","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387155212","display_name":"Can Tho University of Medicine and Pharmacy","ror":"https://ror.org/04rq4jq39","country_code":"VN","type":"education","lineage":["https://openalex.org/I4387155212"]},{"id":"https://openalex.org/I4405263644","display_name":"Can Tho Central General Hospital","ror":"https://ror.org/0479ya967","country_code":"VN","type":"healthcare","lineage":["https://openalex.org/I4405263644"]}],"countries":["VN"],"is_corresponding":false,"raw_author_name":"Phu Van La","raw_affiliation_strings":["Department of General Surgery, Can Tho General Hospital, Can Tho, Vietnam","Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Surgery, Can Tho General Hospital, Can Tho, Vietnam","institution_ids":["https://openalex.org/I4405263644"]},{"raw_affiliation_string":"Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam","institution_ids":["https://openalex.org/I4387155212"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113020983","display_name":"H\u1ed3ng Qu\u00e2n \u0110\u1eb7ng","orcid":"https://orcid.org/0009-0001-0528-2241","observed_orcids":["https://orcid.org/0009-0001-0528-2241"]},"institutions":[{"id":"https://openalex.org/I4387155212","display_name":"Can Tho University of Medicine and Pharmacy","ror":"https://ror.org/04rq4jq39","country_code":"VN","type":"education","lineage":["https://openalex.org/I4387155212"]}],"countries":["VN"],"is_corresponding":true,"raw_author_name":"Quan Hong Dang","raw_affiliation_strings":["Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam"],"raw_orcid":"https://orcid.org/0009-0001-0528-2241","affiliations":[{"raw_affiliation_string":"Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam","institution_ids":["https://openalex.org/I4387155212"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114726727","display_name":"Vu Anh Doan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387155212","display_name":"Can Tho University of Medicine and Pharmacy","ror":"https://ror.org/04rq4jq39","country_code":"VN","type":"education","lineage":["https://openalex.org/I4387155212"]}],"countries":["VN"],"is_corresponding":false,"raw_author_name":"Vu Anh Doan","raw_affiliation_strings":["Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam","institution_ids":["https://openalex.org/I4387155212"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114726726","display_name":"Phuc Vinh La","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387155212","display_name":"Can Tho University of Medicine and Pharmacy","ror":"https://ror.org/04rq4jq39","country_code":"VN","type":"education","lineage":["https://openalex.org/I4387155212"]}],"countries":["VN"],"is_corresponding":false,"raw_author_name":"Phuc Vinh La","raw_affiliation_strings":["Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam","institution_ids":["https://openalex.org/I4387155212"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159571648","display_name":"Tu Tuan Duong","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405263644","display_name":"Can Tho Central General Hospital","ror":"https://ror.org/0479ya967","country_code":"VN","type":"healthcare","lineage":["https://openalex.org/I4405263644"]}],"countries":["VN"],"is_corresponding":false,"raw_author_name":"Tu Tuan Duong","raw_affiliation_strings":["Department of General Surgery, Can Tho General Hospital, Can Tho, Vietnam"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Surgery, Can Tho General Hospital, Can Tho, Vietnam","institution_ids":["https://openalex.org/I4405263644"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5159506274","display_name":"Thanh Tung Ngoc Nguyen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4387155212","display_name":"Can Tho University of Medicine and Pharmacy","ror":"https://ror.org/04rq4jq39","country_code":"VN","type":"education","lineage":["https://openalex.org/I4387155212"]}],"countries":["VN"],"is_corresponding":false,"raw_author_name":"Thanh Tung Ngoc Nguyen","raw_affiliation_strings":["Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam","institution_ids":["https://openalex.org/I4387155212"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5113020983"],"corresponding_institution_ids":["https://openalex.org/I4387155212"],"apc_list":{"value":10000,"currency":"KRW","value_usd":7},"apc_paid":{"value":10000,"currency":"KRW","value_usd":7},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.86279843,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"86","issue":"4","first_page":"462","last_page":"467"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11910","display_name":"Foreign Body Medical Cases","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11910","display_name":"Foreign Body Medical Cases","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13697","display_name":"Biliary and Gastrointestinal Fistulas","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11658","display_name":"Esophageal and GI Pathology","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/fish-bone-ingestion","display_name":"fish bone ingestion","score":0.9330000281333923},{"id":"https://openalex.org/keywords/gastrointestinal-perforation","display_name":"gastrointestinal perforation","score":0.9789999723434448},{"id":"https://openalex.org/keywords/foreign-body-ingestion","display_name":"foreign body ingestion","score":0.8999999761581421},{"id":"https://openalex.org/keywords/fish-bones","display_name":"fish bones","score":0.3440000116825104},{"id":"https://openalex.org/keywords/perforation","display_name":"perforation","score":0.328000009059906},{"id":"https://openalex.org/keywords/case-series","display_name":"case series","score":0.49399998784065247}],"concepts":[{"id":"https://openalex.org/C143724316","wikidata":"https://www.wikidata.org/wiki/Q312468","display_name":"Series (stratigraphy)","level":2,"score":0.5235999822616577},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.32989999651908875},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.26440000534057617},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.2535000145435333},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.24230000376701355},{"id":"https://openalex.org/C2779220451","wikidata":"https://www.wikidata.org/wiki/Q7899041","display_name":"Upper gastrointestinal series","level":3,"score":0.22390000522136688},{"id":"https://openalex.org/C151406439","wikidata":"https://www.wikidata.org/wiki/Q186588","display_name":"Time series","level":2,"score":0.2150000035762787},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.2069000005722046},{"id":"https://openalex.org/C2778112365","wikidata":"https://www.wikidata.org/wiki/Q3511065","display_name":"Sequence (biology)","level":2,"score":0.19470000267028809},{"id":"https://openalex.org/C2776401178","wikidata":"https://www.wikidata.org/wiki/Q12050496","display_name":"Feature (linguistics)","level":2,"score":0.19220000505447388}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001842","descriptor_name":"Bone and Bones","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005547","descriptor_name":"Foreign Bodies","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007416","descriptor_name":"Intestinal Perforation","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D007416","descriptor_name":"Intestinal Perforation","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D007416","descriptor_name":"Intestinal Perforation","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010535","descriptor_name":"Laparoscopy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014057","descriptor_name":"Tomography, X-Ray Computed","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014744","descriptor_name":"Vietnam","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.4166/kjg.2025.126","doi":"https://doi.org/10.4166/kjg.2025.126","is_oa":true,"landing_page_url":"https://doi.org/10.4166/kjg.2025.126","pdf_url":"https://www.kjg.or.kr/journal/download_pdf.php?doi=10.4166/kjg.2025.126","source":{"id":"https://openalex.org/S179113119","display_name":"Korean Journal of Gastroenterology","issn_l":"1598-9992","issn":["1598-9992","2233-6869"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","kci-registered","ki-jl-1","medline","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319421","host_organization_name":"Jin Publishing & Printing Co.","host_organization_lineage":["https://openalex.org/P4310319421"],"host_organization_lineage_names":["Jin Publishing & Printing Co."],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Korean Journal of Gastroenterology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13714431","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13714431/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13714431/pdf/kjg-86-4-462.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Korean J Gastroenterol","raw_type":"Text"},{"id":"pmid:42928009","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42928009","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.4166/kjg.2025.126","doi":"https://doi.org/10.4166/kjg.2025.126","is_oa":true,"landing_page_url":"https://doi.org/10.4166/kjg.2025.126","pdf_url":"https://www.kjg.or.kr/journal/download_pdf.php?doi=10.4166/kjg.2025.126","source":{"id":"https://openalex.org/S179113119","display_name":"Korean Journal of Gastroenterology","issn_l":"1598-9992","issn":["1598-9992","2233-6869"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","kci-registered","ki-jl-1","medline","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319421","host_organization_name":"Jin Publishing & Printing Co.","host_organization_lineage":["https://openalex.org/P4310319421"],"host_organization_lineage_names":["Jin Publishing & Printing Co."],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Korean Journal of Gastroenterology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223570508.pdf","grobid_xml":"https://content.openalex.org/works/W7223570508.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2463957950","https://openalex.org/W4413402147","https://openalex.org/W2415962721","https://openalex.org/W2292085574","https://openalex.org/W1575189796","https://openalex.org/W1427277330","https://openalex.org/W2419528878","https://openalex.org/W6913059524","https://openalex.org/W2442309631","https://openalex.org/W2407579606"],"abstract_inverted_index":{"Gastrointestinal":[0],"(GI)":[1],"perforation":[2,44,81,127,164,210],"caused":[3],"by":[4,173],"fishbone":[5,110],"ingestion":[6],"is":[7,30],"rare":[8],"but":[9],"potentially":[10],"life-threatening.":[11],"Because":[12],"symptoms":[13],"are":[14,23,229],"nonspecific":[15],"and":[16,45,84,91,108,125,180,193,227,238],"most":[17,162],"patients":[18,40,57,87,123,141,147,155,191,215],"do":[19],"not":[20],"recall":[21],"or":[22],"unaware":[24],"of":[25,38,49,145],"ingesting":[26],"the":[27,47,92,126,167,174,181],"bone,":[28],"diagnosis":[29],"often":[31],"delayed.":[32],"This":[33],"study":[34],"presents":[35],"a":[36,60,109],"series":[37],"21":[39,56],"with":[41,216,222],"fishbone-induced":[42],"GI":[43,209],"highlights":[46],"importance":[48],"early":[50],"surgical":[51,79,234],"intervention.":[52],"We":[53],"retrospectively":[54],"reviewed":[55],"treated":[58],"at":[59],"tertiary":[61],"referral":[62],"hospital":[63,201],"in":[64,105,113,121,131,139,189,214,220],"southern":[65],"Vietnam,":[66],"from":[67],"June":[68],"2022":[69],"to":[70,151],"August":[71],"2024.":[72],"Data":[73],"included":[74],"demographics,":[75],"symptoms,":[76],"imaging":[77],"findings,":[78],"approach,":[80],"site,":[82],"complications,":[83],"outcomes.":[85,240],"Thirteen":[86],"were":[88],"female":[89],"(61.9%),":[90],"mean":[93,199],"age":[94],"was":[95,103,111,119,129,137,166,203],"57.7\u00b113.2":[96],"years":[97],"(range,":[98,206],"39-85).":[99],"Computed":[100],"tomography":[101],"(CT)":[102],"performed":[104],"12":[106],"patients,":[107,170,178,184],"identified":[112,130],"10":[114],"cases":[115],"(83.3%).":[116],"Diagnostic":[117],"laparoscopy":[118,228],"attempted":[120,133],"17":[122,146],"(81%),":[124],"site":[128,165],"all":[132],"cases.":[134],"Laparoscopic":[135],"surgery":[136],"completed":[138],"8":[140],"(47.1%),":[142],"whereas":[143],"9":[144],"(52.9%)":[148],"required":[149],"conversion":[150],"open":[152,159],"surgery.":[153,160],"Four":[154],"(19.0%)":[156],"underwent":[157],"primary":[158],"The":[161,198],"common":[163],"colon":[168],"(13":[169],"61.9%),":[171],"followed":[172],"small":[175],"intestine":[176],"(6":[177],"28.6%)":[179],"stomach":[182],"(2":[183],"9.5%).":[185],"Postoperative":[186],"complications":[187],"occurred":[188],"5":[190],"(23.8%),":[192],"one":[194],"patient":[195],"(4.8%)":[196],"died.":[197],"postoperative":[200],"stay":[202],"8.7\u00b15.1":[204],"days":[205],"3-26).":[207],"Fishbone-induced":[208],"should":[211],"be":[212],"considered":[213],"unexplained":[217],"peritonitis,":[218],"especially":[219],"regions":[221],"high":[223],"fish":[224],"consumption.":[225],"CT":[226],"key":[230],"diagnostic":[231],"tools.":[232],"Early":[233],"intervention":[235],"reduces":[236],"morbidity":[237],"improves":[239]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-26T00:00:00"}