Reviewer’ s report
Title: Fishbone Foreign Body Ingestion in Duodenal Papilla: A Cause of Abdominal Pain
Resembling Gastric Ulcer
Version: 0Date: 23 Mar 2020
Reviewer's report:
Please include all comments for the authors in this box rather than uploading your report as an
attachment. Please only upload as attachments annotated versions of manuscripts, graphs,supporting materials or other aspects of your report which cannot be included in a text format.Please overwrite this text when adding your comments to the authors.1] Phrases such as "and so on" (page 1; line 8) and "other symptoms" (page 1; line 21) are notnecessary.2] Why was a CT scan obtained in an asymptomatic patients? What sequelae were you trying toidentify or exclude?3] If an endoscopic ultrasound was considered, why was it elected to not perform it.4] The "Discussion" section needs significant work. There is little discussion, rather it is more of arestatement of the case report.5] How does this case differ from previous case reports of foreign bodies impacted in the ampulla?In addition to the previous foreign body (a tooth pick) found in the ampulla, I was able to find 9more case reports between 1981 and 2019 in PubMed. Most (7) in adults; involving organicmaterial (3), bone (2), and metallic devices (4).6] Figure 4 is not needed; Figures 1 & 3 can be condensed to a single figure; including the images1B, 1C and 3B.
Are the methods appropriate and well described?
If not, please specify what is required in your comments to the authors.
NoDoes the work include the necessary controls?
If not, please specify which controls are required in your comments to the authors.
Unable to assessAre the conclusions drawn adequately supported by the data shown?
If not, please explain in your comments to the authors.
YesAre you able to assess any statistics in the manuscript or would you recommend an
additional statistical review?If an additional statistical review is recommended, please specify what aspects require further
assessment in your comments to the editors.
Not relevant to this manuscript
Quality of written English
Please indicate the quality of language in the manuscript:
Not suitable for publication unless extensively editedDeclaration of competing interests
Please complete a declaration of competing interests, considering the following questions:
1. Have you in the past five years received reimbursements, fees, funding, or salary from an
organisation that may in any way gain or lose financially from the publication of thismanuscript, either now or in the future?
2. Do you hold any stocks or shares in an organisation that may in any way gain or lose
financially from the publication of this manuscript, either now or in the future?
3. Do you hold or are you currently applying for any patents relating to the content of the
manuscript?
4. Have you received reimbursements, fees, funding, or salary from an organization that holds
or has applied for patents relating to the content of the manuscript?
5. Do you have any other financial competing interests?6. Do you have any non-financial competing interests in relation to this paper?
If you can answer no to all of the above, write 'I declare that I have no competing interests' below.
If your reply is yes to any, please give details below.
I have no conflicts of interest or competing interests.I agree to the open peer review policy of the journal. I understand that my name will be included
on my report to the authors and, if the manuscript is accepted for publication, my named reportincluding any attachments I upload will be posted on the website along with the authors'responses. I agree for my report to be made available under an Open Access Creative CommonsCC-BY license (http://creativecommons.org/licenses/by/4.0/). I understand that any commentswhich I do not wish to be included in my named report can be included as confidential commentsto the editors, which will not be published.
I agree to the open peer review policy of the journal
Reviewer’ s report
Title: Fishbone Foreign Body Ingestion in Duodenal Papilla: A Cause of Abdominal Pain
Resembling Gastric Ulcer
Version: 0Date: 23 Mar 2020
Reviewer's report:
Please include all comments for the authors in this box rather than uploading your report as an
attachment. Please only upload as attachments annotated versions of manuscripts, graphs,supporting materials or other aspects of your report which cannot be included in a text format.Please overwrite this text when adding your comments to the authors.1] Phrases such as "and so on" (page 1; line 8) and "other symptoms" (page 1; line 21) are notnecessary.2] Why was a CT scan obtained in an asymptomatic patients? What sequelae were you trying toidentify or exclude?3] If an endoscopic ultrasound was considered, why was it elected to not perform it.4] The "Discussion" section needs significant work. There is little discussion, rather it is more of arestatement of the case report.5] How does this case differ from previous case reports of foreign bodies impacted in the ampulla?In addition to the previous foreign body (a tooth pick) found in the ampulla, I was able to find 9more case reports between 1981 and 2019 in PubMed. Most (7) in adults; involving organicmaterial (3), bone (2), and metallic devices (4).6] Figure 4 is not needed; Figures 1 & 3 can be condensed to a single figure; including the images1B, 1C and 3B.
Are the methods appropriate and well described?
If not, please specify what is required in your comments to the authors.
NoDoes the work include the necessary controls?
If not, please specify which controls are required in your comments to the authors.
Unable to assessAre the conclusions drawn adequately supported by the data shown?
If not, please explain in your comments to the authors.
YesAre you able to assess any statistics in the manuscript or would you recommend an
additional statistical review?If an additional statistical review is recommended, please specify what aspects require further
assessment in your comments to the editors.
Not relevant to this manuscript
Quality of written English
Please indicate the quality of language in the manuscript:
Not suitable for publication unless extensively editedDeclaration of competing interests
Please complete a declaration of competing interests, considering the following questions:
1. Have you in the past five years received reimbursements, fees, funding, or salary from an
organisation that may in any way gain or lose financially from the publication of thismanuscript, either now or in the future?
2. Do you hold any stocks or shares in an organisation that may in any way gain or lose
financially from the publication of this manuscript, either now or in the future?
3. Do you hold or are you currently applying for any patents relating to the content of the
manuscript?
4. Have you received reimbursements, fees, funding, or salary from an organization that holds
or has applied for patents relating to the content of the manuscript?
5. Do you have any other financial competing interests?6. Do you have any non-financial competing interests in relation to this paper?
If you can answer no to all of the above, write 'I declare that I have no competing interests' below.
If your reply is yes to any, please give details below.
I have no conflicts of interest or competing interests.I agree to the open peer review policy of the journal. I understand that my name will be included
on my report to the authors and, if the manuscript is accepted for publication, my named reportincluding any attachments I upload will be posted on the website along with the authors'responses. I agree for my report to be made available under an Open Access Creative CommonsCC-BY license (http://creativecommons.org/licenses/by/4.0/). I understand that any commentswhich I do not wish to be included in my named report can be included as confidential commentsto the editors, which will not be published.
I agree to the open peer review policy of the journal
Please review this paper.
user
Reviewer’ s report
Title: Fishbone Foreign Body Ingestion in Duodenal Papilla: A Cause of Abdominal Pain
Resembling Gastric Ulcer
Version: 0Date: 23 Mar 2020
Reviewer's report:
Please include all comments for the authors in this box rather than uploading your report as an
attachment. Please only upload as attachments annotated versions of manuscripts, graphs,supporting materials or other aspects of your report which cannot be included in a text format.Please overwrite this text when adding your comments to the authors.1] Phrases such as "and so on" (page 1; line 8) and "other symptoms" (page 1; line 21) are notnecessary.2] Why was a CT scan obtained in an asymptomatic patients? What sequelae were you trying toidentify or exclude?3] If an endoscopic ultrasound was considered, why was it elected to not perform it.4] The "Discussion" section needs significant work. There is little discussion, rather it is more of arestatement of the case report.5] How does this case differ from previous case reports of foreign bodies impacted in the ampulla?In addition to the previous foreign body (a tooth pick) found in the ampulla, I was able to find 9more case reports between 1981 and 2019 in PubMed. Most (7) in adults; involving organicmaterial (3), bone (2), and metallic devices (4).6] Figure 4 is not needed; Figures 1 & 3 can be condensed to a single figure; including the images1B, 1C and 3B.
Are the methods appropriate and well described?
If not, please specify what is required in your comments to the authors.
NoDoes the work include the necessary controls?
If not, please specify which controls are required in your comments to the authors.
Unable to assessAre the conclusions drawn adequately supported by the data shown?
If not, please explain in your comments to the authors.
YesAre you able to assess any statistics in the manuscript or would you recommend an
additional statistical review?If an additional statistical review is recommended, please specify what aspects require further
assessment in your comments to the editors.
Not relevant to this manuscript
Quality of written English
Please indicate the quality of language in the manuscript:
Not suitable for publication unless extensively editedDeclaration of competing interests
Please complete a declaration of competing interests, considering the following questions:
1. Have you in the past five years received reimbursements, fees, funding, or salary from an
organisation that may in any way gain or lose financially from the publication of thismanuscript, either now or in the future?
2. Do you hold any stocks or shares in an organisation that may in any way gain or lose
financially from the publication of this manuscript, either now or in the future?
3. Do you hold or are you currently applying for any patents relating to the content of the
manuscript?
4. Have you received reimbursements, fees, funding, or salary from an organization that holds
or has applied for patents relating to the content of the manuscript?
5. Do you have any other financial competing interests?6. Do you have any non-financial competing interests in relation to this paper?
If you can answer no to all of the above, write 'I declare that I have no competing interests' below.
If your reply is yes to any, please give details below.
I have no conflicts of interest or competing interests.I agree to the open peer review policy of the journal. I understand that my name will be included
on my report to the authors and, if the manuscript is accepted for publication, my named reportincluding any attachments I upload will be posted on the website along with the authors'responses. I agree for my report to be made available under an Open Access Creative CommonsCC-BY license (http://creativecommons.org/licenses/by/4.0/). I understand that any commentswhich I do not wish to be included in my named report can be included as confidential commentsto the editors, which will not be published.
I agree to the open peer review policy of the journal
assistant