Emergency admissions due to swallowed foreign bodies in adults

Erbil, Bülent

doi:10.3748/wjg.v19.i38.6447

Cited by 62 publications

(73 citation statements)

References 31 publications

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“…Although FBI and FI are frequent emergencies, studies evaluating treatment strategies and their outcomes are scarce and the majority is retrospective. [1][2][3][4] Indeed, the need to perform radiological exams before endoscopy, the endoscopic methods used to retrieve the foreign body or FI and the postendoscopy attitude are generally decided on a case by case basis, based on the type, size, shape of the foreign body and also on physical examination and symptoms or signs of complications. [5][6][7][8][9][10] This contributes to significant heterogeneity in attitudes and also in their reporting, with some studies reporting FBI and FI therapeutics and outcomes together although they are different entities.…”

Section: Introductionmentioning

confidence: 99%

“…[5][6][7][8][9][10] This contributes to significant heterogeneity in attitudes and also in their reporting, with some studies reporting FBI and FI therapeutics and outcomes together although they are different entities. [1][2][3] Endoscopy is the mainstay of diagnosis and treatment of FBI and FI, although some controversies exist concerning the indications and the best timing for its execution. Indeed, recent European guidelines report that although 10-20% of ingested foreign bodies require endoscopic removal, 80-90% of them spontaneously pass the gastrointestinal tract, 7 and thus a significant proportion would not benefit from endoscopy.…”

Section: Introductionmentioning

confidence: 99%

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Foreign body ingestion and food impaction in adults: better to scope than to wait

et al. 2018

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Background and objective: To assess clinical outcomes after foreign body ingestion and food impaction; to identify predictors of foreign body presence at the time of endoscopy. Methods: A prospective study including consecutive adult patients with foreign body ingestion or suspected food impaction between May 2014 and August 2016. Results: In total, 521 patients were included, 320 with foreign body ingestion and 201 with suspected food impaction. Food impaction patients were significantly older and more frequently had a history of oesophageal disease. The foreign body was encountered in the upper digestive tract in 43% of the patients with foreign body ingestion, and food impaction was confirmed in 87%. Older age (odds ratio (OR) year 1.04, 95% confidence interval (CI) 1.02-1.06) and early presentation (OR first six hours 4.41, 95% CI 2.24-8.66) were independent predictors of foreign body presence, while a history of psychiatric disease was an independent predictor of food impaction (OR 6.69, 95% CI 1.66-26.9). Successful endoscopic treatment was achieved in more than 90% of the cases, with adverse events occurring in fewer than 5%. Foreign body forceps was the preferred device in foreign body ingestion, while retrieval basket and mobilisation were preferred in food impaction. The need to use more than one instrument was significantly higher in food impaction. Conclusion: Foreign bodies are encountered at endoscopy in almost half of the cases. Older age and earlier presentation are independent predictors of its presence. Given the high proportion of patients with foreign body at endoscopy and the low risk of complications, endoscopic evaluation is probably justified in the majority of cases.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Foreign body ingestion and food impaction in adults: better to scope than to wait

et al. 2018

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“…In most of the cases, ingredients of food, and bony particles are detected. In elder people, dental prostheses, and in mentally retarded people, and psychiatric patients frequently multiple number of atypical objects are observed [1, 3]. …”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment is applied in 1% of the patient group when endoscopic interventions remain adequate or complications develop [1]. Patients with psychosis like schizophrenia tend to swallow usually multiple foreign objects repetitively.…”

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confidence: 99%

A rare cause of gastric obstruction: Lighters swallowing

Aday

Tardu

Yağcı

et al. 2016

North Clin Istanbul

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The majority of swallowed foreign bodies are thrown spontaneously without causing complications in the digestive system. Multiple number of foreign bodies may be swallowed by psychiatric patients which delay diagnosis and increase the complication rate. Long and hard objects cannot pass through the pylorus, and may cause obstruction, ulceration, bleeding and perforation. Endoscopy is used as an effective method in such cases. An exploratory laparatomy was performed after unsuccessful endoscopic foreign object removal in a 28-year-old schizophrenic patient with gastric outlet obstruction due to multiple cigarette lighter swallowing. Ten lighters were removed from the stomach through gastrotomy and one more lighter was removed from the descending colon by milking through the anus. The aim of this paper is to discuss encountered difficulties in psychiatric patients who underwent surgery due to intake of foreign bodies.

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“…Ingestion by adults occurs much less frequently and is often non-intentional with the exception of those with psychiatric disorders and prison inmates 2. The majority (80%) of ingested FBs pass through the gastrointestinal (GI) tract with no complications.…”

Section: Introductionmentioning

confidence: 99%

Double duodenal perforation following foreign body ingestion

et al. 2017

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Intentional ingestion of a foreign body in adults is a rare clinical presentation. This case is one of a 27-year-old Sudanese man who presented having swallowed a ballpoint pen intentionally. Clinical examination and plain chest radiograph exhibited no signs indicative of perforation with only a raised C reactive protein identified on blood tests. Subsequent gastroscopy revealed that the pen had simultaneously perforated the duodenum at both D1 and D3 requiring removal via a laparotomy. The patient fully recovered and was discharged 2 weeks postoperatively following psychiatric input.

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Emergency admissions due to swallowed foreign bodies in adults

Abstract: Plain radiography is helpful in the localization of radiopaque swollen foreign bodies, while fiberoptic methods are useful as both diagnostic and therapeutic tools, regardless of radiopacity.

Cited by 62 publications

References 31 publications

Foreign body ingestion and food impaction in adults: better to scope than to wait

Foreign body ingestion and food impaction in adults: better to scope than to wait

A rare cause of gastric obstruction: Lighters swallowing

Double duodenal perforation following foreign body ingestion

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