Esophageal foreign bodies in adults with different durations of time from ingestion to effective treatment

Abstract

ObjectiveThis study was performed to identify the differences in clinical characteristics, operative methods, complications, and postoperative hospitalization stays for adults with esophageal foreign bodies with different durations of time from ingestion to effective treatment.MethodsWe retrospectively reviewed the medical records of 221 patients with a diagnosis of a foreign body in the esophagus, confirmed by rigid esophagoscopy, flexible esophagoscopy, or surgery. The differences between the two groups (Group A, ≤24 hours from ingestion to effective treatment; Group B, >24 hours from ingestion to effective treatment) were analyzed.ResultsSharp foreign bodies comprised the majority of objects in the two groups, including jujube pits, bones (excluding fish bones), fish bones, dentures, and seafood shells. Foreign bodies located in the upper esophagus were more commonly observed in Group A than B. Significant differences were observed in the complication rate and length of postoperative hospitalization stays. Adults with esophageal foreign bodies had a high complication rate.ConclusionsRigid esophagoscopy can be used to remove sharp and bulky foreign bodies if more effective methods are unavailable. Effective treatment within 24 hours resulted in fewer complications and shorter postoperative hospitalization stays.

Differences between intentional and accidental ingestion of foreign body in China

“…Most of the patients in our study who intentionally ingested FBs were male; however, there was no significant difference between male and female in the general population [2,9]. Most of the patients with intentional ingestion were prisoners in custody, and they could be considered as seeking secondary gains through access to a medical facility or even manipulative attempts to escape incarceration, which was similar to findings in a previous study [3].…”

Foreign Body Ingestion and Food Impaction Management in Adults: A Cross-sectional study

“…Rigid endoscopy is preferably used for the removal of foreign body from the esophagus in some eastern clinical practices with high success rates and low complica-tions. [15,16] The authors have advocated that rigid endoscopy is more appropriate for proximal esophagus and more advantageous to remove the bigger chunks of food or foreign body due to the wider lumen for manipulation. However, some studies have claimed that the procedural duration is longer in rigid endoscopy compared to flexible and that the latter provides better examination of the esophageal mucosa.…”

Challenges in the management of ENT foreign bodies during COVID-19 Pandemic - Experience at a tertiary care centre.

“…They are commonly observed in the pediatric population. Ingestion of foreign bodies by adults is generally accidental, seen commonly in edentulous patients and under the in uence of alcohol [2][3][4][5].…”

“…However, some patients with impacted foreign bodies do not go to the hospital for help but stay at home for observation. This prolongs the time from ingestion to effective treatment and causes greater harm and an economic burden for the patient [9].…”