Detection and endoscopic treatment of foreign bodies in the upper gastrointestinal system of the geriatric patients

Abstract

Introduction: Ingestion of foreign bodies is a worldwide problem associated with severe morbidity and mortality. The incidence of foreign body ingestion increases in the elderly population due to impaired intraoral sensitivity and swallowing reflex, visual problems, tooth loss, and mental disorders. Material and Method: All patients admitted with foreign body ingestion were retrospectively screened between January 2016 and May 2020. The patients over 65 years of age were included for the study. All patients were managed by a flexible endoscope. Results:49 patients referred with the diagnosis of foreign body ingestion Geriatric population consisted of 24 (49%) patients, mean age was 77.4±7.8 years and 15 (62.5%) were male. The most common symptom at admission was dysphagia in 41.7% of patients. The most common ingested foreign bodies are meat and food in 58.3% of the patients (p<0.01). Foreign bodies were most often stuck at the upper esophageal sphincter level (50%). Our average time to perform endoscopic intervention was approximately 3 hours after patients were admitted to the emergency room. Perforation due to chicken bones was detected in 2 patients, and both patients recovered after follow-up without the need for surgical intervention, and additive endoscopic intervention. Our success rate is 100% after endoscopic procedures, and no complications or death secondary to the procedure were observed in none of the patients. Conclusion: Endoscopic foreign body removal is a highly effective procedure with relatively low complication and mortality rates. Immediate endoscopic intervention should be performed in patients who ingest foreign body to reduce the risk of complications.

Prevalence of esophageal eosinophilia in patients referred for diagnostic upper gastrointestinal endoscopy

“…Asthma history, male gender, and typical indications of EoE on endoscopy were the various clinical predictors and EoE features. With the increased detection and EoE diagnosis, esophageal eosinophilia is becoming increasingly common [18]. While GERD and EoE were thought to be the esophageal eosinophilia major causes [19,20].…”

Removal of foreign objects seen in the upper gastrointestinal tract with the help of endoscopy: A retrospective cohort study

“…Additionally, it may also be observed in psychiatric populations and among prisoners attempting voluntary suicide while in prison. While some swallowed foreign bodies may pass through the digestive system without causing harm, sharp-edged objects, impaired gastrointestinal motility, and large objects that cannot progress may lead to significant morbidity and mortality [2].…”