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Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract

OBJECTIVES: Fish bone impaction in the upper gastrointestinal tract is a common reason for patients to seek emergent care. The aim of this study was to find a clinical characteristics of patients with fish bone impaction in the upper gastrointestinal tract. METHODS: The study was conducted on 286 fi...

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Autores principales: Kim, Jin Pyeong, Kwon, Oh Jin, Shim, Hyun Seok, Kim, Rock Bum, Kim, Jin Hyun, Woo, Seung Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Otorhinolaryngology-Head and Neck Surgery 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553358/
https://www.ncbi.nlm.nih.gov/pubmed/26330922
http://dx.doi.org/10.3342/ceo.2015.8.3.261
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author Kim, Jin Pyeong
Kwon, Oh Jin
Shim, Hyun Seok
Kim, Rock Bum
Kim, Jin Hyun
Woo, Seung Hoon
author_facet Kim, Jin Pyeong
Kwon, Oh Jin
Shim, Hyun Seok
Kim, Rock Bum
Kim, Jin Hyun
Woo, Seung Hoon
author_sort Kim, Jin Pyeong
collection PubMed
description OBJECTIVES: Fish bone impaction in the upper gastrointestinal tract is a common reason for patients to seek emergent care. The aim of this study was to find a clinical characteristics of patients with fish bone impaction in the upper gastrointestinal tract. METHODS: The study was conducted on 286 fish bone ingestion patients who complained of dysphagia and irritation after eating fish. The patients were treated according to the hospital protocol regarding the removal of fish bone. The parameters for the analysis included the age and sex of the patients, location and characteristics of the foreign body, method of removal, and type of fish. RESULTS: The fish bone could be observed by the physical examination in the oral cavity and laryngopharynx in 198 patients (69.23%). For those patients in whom the foreign body could not be observed in oral cavity and laryngopharynx, noncontrast computed tomography (CT) (from nasopharynx to diaphragm) was performed. The fish bone was discovered in the esophagus of 66 patients (23.08%). The esophageal fish bone was successfully removed by transnasal flexible esophagoscopy (TNE) in 55 patients, the fish bone moved to the stomach in 10 patients and one fish bone was removed by rigid esophagoscopy due to esophageal abscess. The esophageal fish bone was mostly found in patients aged 50 years and older. CONCLUSION: Fish bone foreign body ingestion in the esophagus appeared to be more common in older patients. Incorporating noncontrast CT and TNE can facilitate decision-making and adequate treatment for patients with fish bone impactions.
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spelling pubmed-45533582015-09-01 Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract Kim, Jin Pyeong Kwon, Oh Jin Shim, Hyun Seok Kim, Rock Bum Kim, Jin Hyun Woo, Seung Hoon Clin Exp Otorhinolaryngol Original Article OBJECTIVES: Fish bone impaction in the upper gastrointestinal tract is a common reason for patients to seek emergent care. The aim of this study was to find a clinical characteristics of patients with fish bone impaction in the upper gastrointestinal tract. METHODS: The study was conducted on 286 fish bone ingestion patients who complained of dysphagia and irritation after eating fish. The patients were treated according to the hospital protocol regarding the removal of fish bone. The parameters for the analysis included the age and sex of the patients, location and characteristics of the foreign body, method of removal, and type of fish. RESULTS: The fish bone could be observed by the physical examination in the oral cavity and laryngopharynx in 198 patients (69.23%). For those patients in whom the foreign body could not be observed in oral cavity and laryngopharynx, noncontrast computed tomography (CT) (from nasopharynx to diaphragm) was performed. The fish bone was discovered in the esophagus of 66 patients (23.08%). The esophageal fish bone was successfully removed by transnasal flexible esophagoscopy (TNE) in 55 patients, the fish bone moved to the stomach in 10 patients and one fish bone was removed by rigid esophagoscopy due to esophageal abscess. The esophageal fish bone was mostly found in patients aged 50 years and older. CONCLUSION: Fish bone foreign body ingestion in the esophagus appeared to be more common in older patients. Incorporating noncontrast CT and TNE can facilitate decision-making and adequate treatment for patients with fish bone impactions. Korean Society of Otorhinolaryngology-Head and Neck Surgery 2015-09 2015-08-13 /pmc/articles/PMC4553358/ /pubmed/26330922 http://dx.doi.org/10.3342/ceo.2015.8.3.261 Text en Copyright © 2015 by Korean Society of Otorhinolaryngology-Head and Neck Surgery. http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Jin Pyeong
Kwon, Oh Jin
Shim, Hyun Seok
Kim, Rock Bum
Kim, Jin Hyun
Woo, Seung Hoon
Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract
title Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract
title_full Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract
title_fullStr Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract
title_full_unstemmed Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract
title_short Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract
title_sort analysis of clinical feature and management of fish bone ingestion of upper gastrointestinal tract
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553358/
https://www.ncbi.nlm.nih.gov/pubmed/26330922
http://dx.doi.org/10.3342/ceo.2015.8.3.261
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