AIM: To investigate predictive risk factors associated with complications in the endoscopic removal of foreign bodies from the upper gastrointestinal tract.METHODS: We retrospectively reviewed the medical records of 1...AIM: To investigate predictive risk factors associated with complications in the endoscopic removal of foreign bodies from the upper gastrointestinal tract.METHODS: We retrospectively reviewed the medical records of 194 patients with a diagnosis of foreign body impaction in the upper gastrointestinal tract,confirmed by endoscopy,at two university hospital in South Korea.Patient demographic data,including age,gender,intention to ingestion,symptoms at admission,and comorbidities,were collected.Clinical features of the foreign bodies,such as type,size,sharpness of edges,number,and location,were analyzed.Endoscopic data those were analyzed included duration of foreign body impaction,duration of endoscopic performance,endoscopic device,days of hospitalization,complication rate,30-d mortality rate,and the number of operationsrelated to foreign body removal.RESULTS: The types of upper gastrointestinal foreign bodies included fish bones,drugs,shells,meat,metal,and animal bones.The locations of impacted foreign bodies were the upper esophagus(57.2%),mid esophagus(28.4%),stomach(10.8%),and lower esophagus(3.6%).The median size of the foreign bodies was 26.2 ± 16.7 mm.Among 194 patients,endoscopic removal was achieved in 189,and complications developed in 51 patients(26.9%).Significant complications associated with foreign body impaction and removal included deep lacerations with minor bleeding(n = 31,16%),ulcer(n = 11,5.7%),perforation(n = 3,1.5%),and abscess(n = 1,0.5%).Four patients underwent operations because of incomplete endoscopic foreign body extraction.In multivariate analyses,risk factors for endoscopic complications and failure were sharpness(HR = 2.48,95%CI: 1.07-5.72; P = 0.034) and a greater than 12-h duration of impaction(HR = 2.42,95%CI: 1.12-5.25,P = 0.025).CONCLUSION: In cases of longer than 12 h since foreign body ingestion or sharp-pointed objects,rapid endoscopic intervention should be provided in patients with ingested foreign bodies.展开更多
From January 1978 to March 1995, 60 children (age :1 day-12 years) were examined endoscopically for their ingested foreign bodies. Sixty children had 65 pieces of foreign bodies, of which 16 pieces were impacted in th...From January 1978 to March 1995, 60 children (age :1 day-12 years) were examined endoscopically for their ingested foreign bodies. Sixty children had 65 pieces of foreign bodies, of which 16 pieces were impacted in the esophagus, 41 in the stomach and 8 in the duodenum. Sixty pieces of foreign bodies were successfully removed from 56 children without any complications. But 5 pieces of foreign bodies in 4 children failed to be taken out because the foreign bodies lodged in the second part of the duodenum. The successful rate was 93.3% in respect to the number of children, and 92.3% in respect to the pieces of foreign bodies. Among all the foreign bodies taken out, the longest one was 150 mm in length and 34 mm in width. Endoscopy was performed under general anaesthesia for most of the children with foreign bodies. The endoscope for adults has been used safely in these children.展开更多
<b><span style="font-family:Verdana;">Background/Aims:</span></b><span style="font-family:Verdana;"> Foreign body (FB) ingestion is a common clinical situation. In som...<b><span style="font-family:Verdana;">Background/Aims:</span></b><span style="font-family:Verdana;"> Foreign body (FB) ingestion is a common clinical situation. In some cases, it could be life</span><span style="font-family:Verdana;">-</span><span style="font-family:""><span style="font-family:Verdana;">threatening, requiring interventional digestive endoscopy. Knowing the main FBs observed could help to prevent </span><span><span style="font-family:Verdana;">their ingestion or to improve management. The aim of this study is to report the results of upper digestive endoscopies performed for ingestion of FBs in Yaoundé (Cameroon). </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> We recorded all patients who did a gastroscopy </span></span><span style="font-family:Verdana;">f</span><span><span style="font-family:Verdana;">or FB ingestion from January 2000 to April 2020 in three medical centers of Yaoundé. We collected data concerning the socio-demographic characteristics of patients, foreign body type, endoscopic management and outcome. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> A total of 9380 upper digestive endoscopies were performed, with 51 FBs ingestion (0.54%). Male were 27 (52.9%). The mean age was 25.8 ± 22.3 years (8 months to 75 years). Coins were the most frequent FB (23.5%), only observed in children, followed by fishbones (17.6%), only observed in adults. We also observed dental wears (11.8%), metallic objects (11.8%), non-metallic objects (3.9%), batteries (3.9%), toothpick (2%), packet of tablets (2%), and bezoars (2%). The FB was unknown </span></span></span><span style="font-family:Verdana;">at</span><span style="font-family:Verdana;"> 21.6%. The most frequent localization was the esophagus in 29/36 patients (80.5%). Endoscopic removal was a success in 35/36 patients (97.2%). A surgery has been performed </span><span style="font-family:Verdana;">on</span><span style="font-family:""><span style="font-family:Verdana;"> one patient. We didn’t register any death. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Most common FBs ingested in Yaoundé are coins and fishbones. The upper digestive endoscopy has a high success rate.展开更多
基金Supported by Gachon University Gil Medical Center,No.2013-49 and No.2013-35,to Cho JH and Kim YJ
文摘AIM: To investigate predictive risk factors associated with complications in the endoscopic removal of foreign bodies from the upper gastrointestinal tract.METHODS: We retrospectively reviewed the medical records of 194 patients with a diagnosis of foreign body impaction in the upper gastrointestinal tract,confirmed by endoscopy,at two university hospital in South Korea.Patient demographic data,including age,gender,intention to ingestion,symptoms at admission,and comorbidities,were collected.Clinical features of the foreign bodies,such as type,size,sharpness of edges,number,and location,were analyzed.Endoscopic data those were analyzed included duration of foreign body impaction,duration of endoscopic performance,endoscopic device,days of hospitalization,complication rate,30-d mortality rate,and the number of operationsrelated to foreign body removal.RESULTS: The types of upper gastrointestinal foreign bodies included fish bones,drugs,shells,meat,metal,and animal bones.The locations of impacted foreign bodies were the upper esophagus(57.2%),mid esophagus(28.4%),stomach(10.8%),and lower esophagus(3.6%).The median size of the foreign bodies was 26.2 ± 16.7 mm.Among 194 patients,endoscopic removal was achieved in 189,and complications developed in 51 patients(26.9%).Significant complications associated with foreign body impaction and removal included deep lacerations with minor bleeding(n = 31,16%),ulcer(n = 11,5.7%),perforation(n = 3,1.5%),and abscess(n = 1,0.5%).Four patients underwent operations because of incomplete endoscopic foreign body extraction.In multivariate analyses,risk factors for endoscopic complications and failure were sharpness(HR = 2.48,95%CI: 1.07-5.72; P = 0.034) and a greater than 12-h duration of impaction(HR = 2.42,95%CI: 1.12-5.25,P = 0.025).CONCLUSION: In cases of longer than 12 h since foreign body ingestion or sharp-pointed objects,rapid endoscopic intervention should be provided in patients with ingested foreign bodies.
文摘From January 1978 to March 1995, 60 children (age :1 day-12 years) were examined endoscopically for their ingested foreign bodies. Sixty children had 65 pieces of foreign bodies, of which 16 pieces were impacted in the esophagus, 41 in the stomach and 8 in the duodenum. Sixty pieces of foreign bodies were successfully removed from 56 children without any complications. But 5 pieces of foreign bodies in 4 children failed to be taken out because the foreign bodies lodged in the second part of the duodenum. The successful rate was 93.3% in respect to the number of children, and 92.3% in respect to the pieces of foreign bodies. Among all the foreign bodies taken out, the longest one was 150 mm in length and 34 mm in width. Endoscopy was performed under general anaesthesia for most of the children with foreign bodies. The endoscope for adults has been used safely in these children.
文摘<b><span style="font-family:Verdana;">Background/Aims:</span></b><span style="font-family:Verdana;"> Foreign body (FB) ingestion is a common clinical situation. In some cases, it could be life</span><span style="font-family:Verdana;">-</span><span style="font-family:""><span style="font-family:Verdana;">threatening, requiring interventional digestive endoscopy. Knowing the main FBs observed could help to prevent </span><span><span style="font-family:Verdana;">their ingestion or to improve management. The aim of this study is to report the results of upper digestive endoscopies performed for ingestion of FBs in Yaoundé (Cameroon). </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> We recorded all patients who did a gastroscopy </span></span><span style="font-family:Verdana;">f</span><span><span style="font-family:Verdana;">or FB ingestion from January 2000 to April 2020 in three medical centers of Yaoundé. We collected data concerning the socio-demographic characteristics of patients, foreign body type, endoscopic management and outcome. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> A total of 9380 upper digestive endoscopies were performed, with 51 FBs ingestion (0.54%). Male were 27 (52.9%). The mean age was 25.8 ± 22.3 years (8 months to 75 years). Coins were the most frequent FB (23.5%), only observed in children, followed by fishbones (17.6%), only observed in adults. We also observed dental wears (11.8%), metallic objects (11.8%), non-metallic objects (3.9%), batteries (3.9%), toothpick (2%), packet of tablets (2%), and bezoars (2%). The FB was unknown </span></span></span><span style="font-family:Verdana;">at</span><span style="font-family:Verdana;"> 21.6%. The most frequent localization was the esophagus in 29/36 patients (80.5%). Endoscopic removal was a success in 35/36 patients (97.2%). A surgery has been performed </span><span style="font-family:Verdana;">on</span><span style="font-family:""><span style="font-family:Verdana;"> one patient. We didn’t register any death. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Most common FBs ingested in Yaoundé are coins and fishbones. The upper digestive endoscopy has a high success rate.
