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

Giuseppe Modica, Carmelo Sciume', Girolamo Geraci, Antonino Picciurro, Giovanni Di Carlo

Risultato della ricerca: Articlepeer review

18 Citazioni (Scopus)

Abstract

Background: Ingestion of foreign bodies and food impaction represent the second most common endoscopicemergency after bleeding. The aim of this paper is to report the management and the outcomes in 67 patientsadmitted 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. Wereviewed patients’ database (age, sex, type of foreign body and its anatomical location, treatments, and outcomesas complications, success rates, and mortalities).Results: Foreign bodies were found in all of our 67 patients. Almost all were found in the stomach and loweresophagus (77 %). The types of foreign body were very different, but they were chiefly meat boluses, fishbonesor cartilages, button battery and dental prostheses. In all patients it was possible to endoscopically remove theforeign body. Complications related to the endoscopic procedure were unfrequent (about 7 %) and have beentreated conservatively. 5.9 % of patients had previous esophageal or laryngeal surgery, and 8.9 % had an underlyingesophageal disease, such as a narrowing, dismotility or achalasia.Conclusion: Our experience with foreign bodies and food impaction emphasizes the importance of endoscopicapproach and removal, simple and secure when performed by experienced hands and under conscious sedationin most cases.High success rates, lower incidence of minor complications, reduction of the need of surgery and reducedhospitalization time are the strengths of the endoscopic approach.
Lingua originaleEnglish
Numero di pagine5
RivistaBMC Emergency Medicine
Volume16
Stato di pubblicazionePublished - 2016

All Science Journal Classification (ASJC) codes

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