Retrospective analysis of management of ingested foreign bodies and food impactions in emergency endoscopic setting in adults

被引：34
作者：
Geraci G. [1 ]
Sciume' C. [1 ]
Di Carlo G. [1 ]
Picciurro A. [1 ]
Modica G. [1 ]
机构：
[1] University of Palermo, Operative Unit of General and Thoracic Surgery, Palermo
来源：
BMC Emergency Medicine | / 16卷 / 1期
关键词：
Endoscopic management; Food bolus impaction; Foreign body; Upper endoscopy;
D O I：
10.1186/s12873-016-0104-3
中图分类号：
学科分类号：
摘要：
Background: Ingestion of foreign bodies and food impaction represent the second most common endoscopic emergency after bleeding. The aim of this paper is to report the management and the outcomes in 67 patients admitted for suspected ingestion of foreign body between December 2012 and December 2014. Methods: This retrospective study was conducted at Palermo University Hospitals, Italy, over a 2-year period. We reviewed patients' database (age, sex, type of foreign body and its anatomical location, treatments, and outcomes as complications, success rates, and mortalities). Results: Foreign bodies were found in all of our 67 patients. Almost all were found in the stomach and lower esophagus (77 %). The types of foreign body were very different, but they were chiefly meat boluses, fishbones or cartilages, button battery and dental prostheses. In all patients it was possible to endoscopically remove the foreign body. Complications related to the endoscopic procedure were unfrequent (about 7 %) and have been treated conservatively. 5.9 % of patients had previous esophageal or laryngeal surgery, and 8.9 % had an underlying esophageal disease, such as a narrowing, dismotility or achalasia. Conclusion: Our experience with foreign bodies and food impaction emphasizes the importance of endoscopic approach and removal, simple and secure when performed by experienced hands and under conscious sedation in most cases. High success rates, lower incidence of minor complications, reduction of the need of surgery and reduced hospitalization time are the strengths of the endoscopic approach. © 2016 The Author(s).
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  • [1] Palta R., Sahota A., Bemarki A., Salama P., Simpson N., Laine L., Foreign-body ingestion: characteristics and outcomes in a lower socioeconomic population with predominantly intentional ingestion, Gastrointest Endosc, 69, 3, pp. 426-433, (2009)
  • [2] Cuneo S., Canepa V., Vignolo S., Laforge S., Saggese M.P., Ingestione di corpo estraneo nel paziente adulto: gestione in PS, Em Care J, 4, pp. 11-17, (2009)
  • [3] Mosca S., Manes G., Martino R., Amitrano L., Bottino V., Bove A., Camera A., Nucci C., Costanzo G., Guardascione M., Lampasi F., Picascia S., Picciotto F.P., Riccio E., Rocco V.P., Uomo G., Balzano A., Endoscopic management of foreign bodies in the upper gastrointestinal tract: report on a series of 414 adult patients, Endoscopy, 33, pp. 692-696, (2001)
  • [4] Sugawa C., Ono H., Taleb M., Lucas C.E., Endoscopic management of foreign bodies in the upper gastrointestinal tract: a review, World J Gastrointest Endosc, 6, 10, pp. 475-481, (2014)
  • [5] Ikenberry S.O., Jue T.L., Anderson M.A., Appalaneni V., Banerjee S., Ben-Menachem T., Decker G.A., Fanelli R.D., Fisher L.R., Fukami N., Harrison M.E., Jain R., Khan K.M., Krinsky M.L., Maple J.T., Sharaf R., Strohmeyer L., Dominitz J.A., Management of ingested foreign bodies and food impactions, Gastrointest Endosc, 73, 6, pp. 1085-1091, (2011)
  • [6] Li Z.S., Sun Z.X., Zou D.W., Xu G.M., Wu R.P., Liao Z., Endoscopic management of foreign bodies in the upper-GI tract: experience with 1088 cases in China, Gastrointest Endosc, 64, 4, pp. 485-492, (2006)
  • [7] McKechnie J.C., Gastroscopic removal of a phytobezoar, Gastroenterology, 62, pp. 1047-1051, (1972)
  • [8] Eisen G.M., Baron T.H., Dominitz J.A., Faigel D.O., Goldstein J.L., Johanson J.F., Mallery J.S., Raddawi H.M., Vargo J.J., Waring J.P., Fanelli R.D., Wheeler-Harbough J., Guideline for the management of ingested foreign bodies, Gastrointest Endosc, 55, 7, pp. 802-806, (2002)
  • [9] Emara M.H., Darwiesh E.M., Refaey M.M., Galal S.M., Endoscopic removal of foreign bodies from the upper gastrointestinal tract: 5-year experience, Clin Exp Gastroenterol, 7, pp. 249-253, (2014)
  • [10] Webb W.A., Management of foreign bodies of the upper gastrointestinal tract: update, Gastrointest Endosc, 41, pp. 39-51, (1995)
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