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2016 ; 16
(1
): 42
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Retrospective analysis of management of ingested foreign bodies and food
impactions in emergency endoscopic setting in adults
#MMPMID27809769
Geraci G
; Sciume' C
; Di Carlo G
; Picciurro A
; Modica G
BMC Emerg Med
2016[Nov]; 16
(1
): 42
PMID27809769
show ga
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.
|*Food
[MESH]
|Adult
[MESH]
|Age Factors
[MESH]
|Emergencies/*epidemiology
[MESH]
|Endoscopy, Gastrointestinal/*statistics & numerical data
[MESH]