A prospective study of epidemiological risk factors for ingestion of fish bones in Singapore

Arulanandam, Shalini; De, Soumen Das; Kanagalingam, Jeevendra

doi:10.11622/smedj.2015091

Cited by 19 publications

(18 citation statements)

References 10 publications

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“…As to fish bones, the incidence among Chinese patients was a lot higher as compared with other Asian patients. 27 This may be associated with following reasons: deboning fish in mouth, eating fish with chopsticks, and wearing dentures while eating fish. 27,28 To avoid such incidence and accidental denture ingestion, dental implants is advised instead of removable dentures for the seniors, especially for patients with seizure and Alzheimer.…”

Section: Discussionmentioning

confidence: 99%

“…27 This may be associated with following reasons: deboning fish in mouth, eating fish with chopsticks, and wearing dentures while eating fish. 27,28 To avoid such incidence and accidental denture ingestion, dental implants is advised instead of removable dentures for the seniors, especially for patients with seizure and Alzheimer. 7 In this study, about half of patients had odynophagia and sore throat.…”

Section: Discussionmentioning

confidence: 99%

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Management of Sharp-Pointed Esophageal Foreign-Body Impaction With Rigid Endoscopy: A Retrospective Study of 130 Adult Patients

et al. 2020

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Objectives: To propose a management algorithm for adult patients with sharp-pointed esophageal foreign-body impaction (EFBI) who have rigid endoscopy (RE) indications and to conduct a retrospective analysis of their data. Methods: All adult patients who received RE at the Department of Otorhinolaryngology in Beijing Shijitan Hospital between January 2017 and May 2019 were enrolled. The demographics, clinical characteristics, and management data were collected and analyzed. Results: A total of 130 patients were identified, 56.9% were female with median age 60 years. More than half (56.9%) of patients had foreignbody (FB) ingestion on holidays. The most frequent FBs were jujube pits (66.9%) and bones (23.8%). There is a significant female predominance in ingestion of jujube pits (65.5%, P ¼ .005). The most common symptoms were odynophagia (49.2%) and sore throat (47.7%). The majority (96.8%) of FB founded were lodged at upper esophagus. In all, 74 patients were categorized as having mild complications and 54 having significant complications. Time interval from ingestion to presentation longer than 15 hours was an independent risk factor for significant complications, while esophagogram with barium as a protective factor. Conclusions: Long-time interval from ingestion to presentation will lead to high risk of significant complications. Computed tomography should be a prioritized imaging method for all patients suspected with EFBI, and multidisciplinary collaboration is recommended. Besides, mass education on eating habits is necessary.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Management of Sharp-Pointed Esophageal Foreign-Body Impaction With Rigid Endoscopy: A Retrospective Study of 130 Adult Patients

et al. 2020

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“…The characteristics of FFBs vary according to the fish availability, the method of cooking and the eating habits. 1 7 12 Most patients cannot recall and identify the type of the ingested fish. 9 No specific method of cooking is considered to be a risk factor, but some studies indicated that stewed fish causes the highest number of cases of esophageal FFBs, followed by baked fish, steamed fish, and raw fish.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…1 2 The use of chopsticks or cutlery to eat boned fish, fish deboning in the mouth, and wearing dentures while eating are also recognized as risk factors for FFBs. 12…”

Section: Review Of the Literaturementioning

confidence: 99%

“…Fish bone foreign body (FFB) is one of the most common ingested foreign bodies (FBs) encountered in the emergency department (ED), accounting for 46 to 88% of the total adult FB admissions, according to some studies. 1 2 3 4 5 6 7 8 9 10 11 12 It is the most common FB across Asia, the Mediterranean, and other coastal countries, assumingly due to dietary habits. 1 7 12 13 Fish bone FBs are common in the pediatric population, though the estimated prevalence is lower than in adults, estimated at ∼ 30%.…”

Section: Introductionmentioning

confidence: 99%

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Fish Bone Foreign Body: The Role of Imaging

Klein

Tamir

Marom

et al. 2018

Int Arch Otorhinolaryngol

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Introduction Fish bone foreign body (FFB) impaction in the upper aerodigestive tract is a common cause for emergency department referral. Its management varies in both diagnosis and treatment paradigms. Fish bone foreign bodies are more commonly found in the oropharynx in cases of patients < 40 years old, and in the esophagus in cases of patients > 40 years old. Symptoms are typically non-indicative for the location of the FFB, with the exception of foreign body sensation at/superior to the cervical esophagus. A lack of findings during the physical examination is routinely followed by imaging, with computed tomography (CT) being the preferred modality. In practice, many patients undergo unnecessary imaging studies, including CT scans. Objectives To identify patients with suspected fish bone impaction who do not require CT imaging and can be safely discharged. Data Synthesis We have searched the PubMed database for the following medical subject headings (MeSH) terms: fish bone , fish foreign body AND oropharynx , hypopharynx , esophagus , flexible esophagoscopy , and rigid esophagoscopy . Our search in the English language yielded 32 papers. Case reports were included, since they highlighted rare and serious complications. Conclusion In patients > 40 years old suspected of fish bone impaction, non-contrast CT is recommended and should be urgently performed, even in the presence of ambiguous symptoms. However, in patients < 40 years old presenting within 24 hours from ingestion, imaging has little diagnostic value due to the low probability of esophageal fish bones. For this specific subgroup, in the absence of clinical findings, discharge without imaging studies may be considered safe.

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Pediatric Esophageal Foreign Bodies: The Role of Socioeconomic Status in Ingestion Patterns

Chen,

M Siu,

Madan

et al. 2024

The Laryngoscope

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ObjectivePediatric esophageal foreign bodies (EFBs) are common and can result in serious complications. Little is known about the influence of socioeconomic status (SES) on EFB ingestion in children. The goal was to study SES as a risk factor for dangerous foreign body ingestion and in‐hospital complications in children.MethodsThis was a retrospective cohort study of children presenting to a tertiary care pediatric hospital with an esophageal foreign body from 2010 to 2021. SES was assessed for each patient by linking their postal code to the Ontario Marginalization Index to determine a quintile score across four dimensions of deprivation: residential instability, material deprivation, dependency, and ethnic concentration. Dangerous EFBs were defined as magnets, batteries, sharp objects, or bones. In‐hospital complications included: intensive care unit admission, prolonged length of stay, and postoperative sequelae.ResultsA total of 680 patients were included. Dangerous EFB ingestion was higher for children with increased residential instability (odds ratio [OR], 2.1; 95% confidence interval [CI], 1.2–3.6) and increased material deprivation (OR, 2.2; CI, 1.9–2.8), which was similarly true for odds of complications. Odds of dangerous EFB ingestion were higher in older children (OR, 1.1; CI, 1.0–1.1) and odds of complications were higher in children with comorbidities (OR, 1.1; CI, 1.0–1.3).ConclusionHigher levels of housing instability and material deprivation are associated with dangerous EFB ingestion and complications related to EFB ingestion. These findings emphasize the role that SES plays on child health outcomes and the need for initiatives to mitigate these disparities.Level of Evidence3 Laryngoscope, 2024

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A prospective study of epidemiological risk factors for ingestion of fish bones in Singapore

Cited by 19 publications

References 10 publications

Management of Sharp-Pointed Esophageal Foreign-Body Impaction With Rigid Endoscopy: A Retrospective Study of 130 Adult Patients

Management of Sharp-Pointed Esophageal Foreign-Body Impaction With Rigid Endoscopy: A Retrospective Study of 130 Adult Patients

Fish Bone Foreign Body: The Role of Imaging

Pediatric Esophageal Foreign Bodies: The Role of Socioeconomic Status in Ingestion Patterns

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