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Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract of Adults
Background. Foreign object ingestion and food bolus impaction are a common clinical problem. We report our clinical experiences in endoscopic management for adults, foreign body ingestion, and food bolus impaction. Method. A retrospective chart review study was conducted on adult patients with forei...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4518178/ https://www.ncbi.nlm.nih.gov/pubmed/26258140 http://dx.doi.org/10.1155/2015/658602 |
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author | Yao, Chih-Chien Wu, I-Ting Lu, Lung-Sheng Lin, Sheng-Chieh Liang, Chih-Ming Kuo, Yuan-Hung Yang, Shih-Cheng Wu, Cheng-Kun Wang, Hsing-Ming Kuo, Chung-Huang Chiou, Shue-Shian Wu, Keng-Liang Chiu, Yi-Chun Chuah, Seng-Kee Tai, Wei-Chen |
author_facet | Yao, Chih-Chien Wu, I-Ting Lu, Lung-Sheng Lin, Sheng-Chieh Liang, Chih-Ming Kuo, Yuan-Hung Yang, Shih-Cheng Wu, Cheng-Kun Wang, Hsing-Ming Kuo, Chung-Huang Chiou, Shue-Shian Wu, Keng-Liang Chiu, Yi-Chun Chuah, Seng-Kee Tai, Wei-Chen |
author_sort | Yao, Chih-Chien |
collection | PubMed |
description | Background. Foreign object ingestion and food bolus impaction are a common clinical problem. We report our clinical experiences in endoscopic management for adults, foreign body ingestion, and food bolus impaction. Method. A retrospective chart review study was conducted on adult patients with foreign body ingestion and food bolus impaction between January 2011 and November 2014. Patients with incomplete medical records were excluded. Results. A total of 198 patients (226 incidents) were included in the study (male/female: 1.54/1; age 57 ± 16 years). Among them, 168 foreign bodies were found successfully (74.3%). 75.6% of the foreign bodies were located in the esophagus. Food bolus impaction was most common (41.6%). 93.5% of foreign bodies in current study cohort were successfully extracted and 5 patients required surgical interventions. Comparisons between symptomatic and asymptomatic patients revealed that locations of foreign bodies in the pharynx and esophagus were the significant relevant factors (P < 0.001). Shorter time taken to initiate endoscopic interventions increased detection rate (289.75 ± 465.94 versus 471.06 ± 659.93 minutes, P = 0.028). Conclusion. Endoscopic management is a safe and highly effective procedure in extracting foreign body ingestion and food bolus impaction. Prompt endoscopic interventions can increase the chance of successful foreign bodies' detection. |
format | Online Article Text |
id | pubmed-4518178 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-45181782015-08-09 Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract of Adults Yao, Chih-Chien Wu, I-Ting Lu, Lung-Sheng Lin, Sheng-Chieh Liang, Chih-Ming Kuo, Yuan-Hung Yang, Shih-Cheng Wu, Cheng-Kun Wang, Hsing-Ming Kuo, Chung-Huang Chiou, Shue-Shian Wu, Keng-Liang Chiu, Yi-Chun Chuah, Seng-Kee Tai, Wei-Chen Biomed Res Int Research Article Background. Foreign object ingestion and food bolus impaction are a common clinical problem. We report our clinical experiences in endoscopic management for adults, foreign body ingestion, and food bolus impaction. Method. A retrospective chart review study was conducted on adult patients with foreign body ingestion and food bolus impaction between January 2011 and November 2014. Patients with incomplete medical records were excluded. Results. A total of 198 patients (226 incidents) were included in the study (male/female: 1.54/1; age 57 ± 16 years). Among them, 168 foreign bodies were found successfully (74.3%). 75.6% of the foreign bodies were located in the esophagus. Food bolus impaction was most common (41.6%). 93.5% of foreign bodies in current study cohort were successfully extracted and 5 patients required surgical interventions. Comparisons between symptomatic and asymptomatic patients revealed that locations of foreign bodies in the pharynx and esophagus were the significant relevant factors (P < 0.001). Shorter time taken to initiate endoscopic interventions increased detection rate (289.75 ± 465.94 versus 471.06 ± 659.93 minutes, P = 0.028). Conclusion. Endoscopic management is a safe and highly effective procedure in extracting foreign body ingestion and food bolus impaction. Prompt endoscopic interventions can increase the chance of successful foreign bodies' detection. Hindawi Publishing Corporation 2015 2015-07-15 /pmc/articles/PMC4518178/ /pubmed/26258140 http://dx.doi.org/10.1155/2015/658602 Text en Copyright © 2015 Chih-Chien Yao et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Yao, Chih-Chien Wu, I-Ting Lu, Lung-Sheng Lin, Sheng-Chieh Liang, Chih-Ming Kuo, Yuan-Hung Yang, Shih-Cheng Wu, Cheng-Kun Wang, Hsing-Ming Kuo, Chung-Huang Chiou, Shue-Shian Wu, Keng-Liang Chiu, Yi-Chun Chuah, Seng-Kee Tai, Wei-Chen Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract of Adults |
title | Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract of Adults |
title_full | Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract of Adults |
title_fullStr | Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract of Adults |
title_full_unstemmed | Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract of Adults |
title_short | Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract of Adults |
title_sort | endoscopic management of foreign bodies in the upper gastrointestinal tract of adults |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4518178/ https://www.ncbi.nlm.nih.gov/pubmed/26258140 http://dx.doi.org/10.1155/2015/658602 |
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