Evaluation of Gastrointestinal Foreign Body Cases

Kafadar, Safiye; Kafadar, Hüseyin

doi:10.30569/adiyamansaglik.593467

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…The first narrowing is the part behind the cricoid cartilage at the level of the cricopharyngeal muscle, the second narrowing is at the level of the aortic arch, and the third is where the esophagus passes through its own hiatus through the diaphragm (2) . Seventy percent of EFB is seen in the first narrowing, the tightest part of the esophagus (11) . In our study, foreign body was detected in esophageal first narrowing in 67.2% of the patients, which is consistent with the literature.…”

Section: Discussionmentioning

confidence: 99%

Çocuklarda Özofagus Yabancı Cisimleri

Kocaman¹,

Çakmak²,

Günendi³

et al. 2022

JTAPS

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Introduction: Esophageal foreign body (EFB) is one of the most common causes of emergency admission in children and is a public health problem. 75% of EFBs are seen in children younger than 5 years old. We aimed to present the demographic and clinical characteristics of patients treated for EFBs in our department. Material and Methods:The files of 113 patients who were treated for EFB in our clinic between April 2018 and April 2022 were reviewed retrospectively. The patients were divided into 3 groups as 0-5 years old, 5-10 years old and 10-17 years old. The age, gender, type of foreign body, level of the esophagus, the procedure performed, complications and additional diseases of the patients were evaluated. Results:The mean age of the patients was 4.28±3.05 (min:3 months, max:17 years) and the malefemale ratio was 1.4. Of the patients, 62.8% were aged under 5 years. Although most of the patients were asymptomatic, the most common symptom was hypersalivation. Ingested foreign body was a metallic coin in 76 patients. There was a significant difference between the types of swallowed foreign bodies among the groups (p=0.009). Of the esophageal foreign bodies, 67.2% were detected in the first constriction of the esophagus, and 99.12% of the EFBs were successfully removed. Conclusion:If EFB in children is not diagnosed and treated on time, it can be life-threatening clinical condition. Most EFBs in esophageal first anatomical narrowing can be removed with Magill forceps, and foreign bodies that are lodged more distally can safely be removed via rigid esophagoscopy.Especially those families whose children have esophageal diseases such as esophageal atresia repair or a corrosive esophagitis sequelae, should be warned against a foreign body ingestion.

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Section: Discussionmentioning

confidence: 99%

Çocuklarda Özofagus Yabancı Cisimleri

Kocaman¹,

Çakmak²,

Günendi³

et al. 2022

JTAPS

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“…Prompt diagnosis and treatment are essential for foreign bodies in the gastrointestinal system. In this regard, physical examination is complemented by radiologic imaging for accurate diagnosis [5].…”

Section: Introductionmentioning

confidence: 99%

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

Çalta

2023

J Surg Med

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Background/Aim: Delay in diagnosing and treating gastrointestinal (GI) tract foreign bodies may lead to serious complications. In this study, we aimed to retrospectively evaluate the patients who underwent emergency upper GI endoscopy for foreign body ingestion in our clinic. Methods: Between 2015 and 2022, we evaluated 68 patients who underwent emergency upper GI endoscopy with a prediagnosis of foreign body ingestion. The evaluation included factors such as age, gender, presenting complaints, foreign body type, localization, and treatment parameters. Results: Out of the 68 patients included in the study, 21 (30.89%) were female, and the mean age was 54.00 years. Among them, 43 (63.23%) presented with no active complaints, 23 (33.82%) with dysphagia and odynophagia, and two (2.94%) with vomiting. The swallowed objects were classified as follows: coin (n=2), pin (n=5), battery (n=11), drug plaque (n=6), esophageal foreign body (n=7), piece of meat (n=5), chicken bone (n=4), fish bone (n=5), razor (n=7), lighter (n=3), and toothpick (n=1). The foreign bodies were located in the esophagus in 23 cases (33.82%), in the stomach in 32 cases (47.05%), and in the duodenum in one case (1.47%). For 12 patients (17.64%), the foreign body could not be detected endoscopically but was detected using radiologic methods. Among the foreign bodies, 54 (79.41%) were successfully removed. In one patient (1.47%) who could not be removed endoscopically and another patient (1.47%) who developed gastrointestinal perforation due to a foreign body (toothpick), a surgical procedure was performed. Conclusion: Early diagnosis and treatment of foreign body ingestion are crucial in preventing serious complications. Endoscopy, a minimally invasive procedure, can be a safe alternative to surgical procedures, which may carry higher morbidity and mortality risks.

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Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi

Çelik¹,

Şenkaya²,

Ünal³

et al. 2020

Endoskopi Gastrointestinal

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Etiyoloji, epidemiyolojik dağılım ve tedavi yönetimi merkezlere göre farklılık gösterebilir (3). Yabancı cisim yutulmasının büyük çoğunluğu çocukluk çağında görülür (8,9). Erişkinlerde diş protezi kullananlarda damakta his kaybı sonucu, obezlerde ağızdaki lokmayı fazla çiğnemeden yutma nedeniyle meydana gelebilir. Ayrıca, kronik alkoliklerde, epilepsi hastalarında, psikiyatrik bozukluğu olanlarda ve mental retarde bireylerde sıklığı artmaktadır (10-15). Üst GİS'de YC'lere anatomik yapı nedeniyle en sık özefagusta daha sonra ise midede rastlanır (16). GİRİŞ Gastrointestinal sistemde (GİS) yabancı cisimler (YC) dünyada ve ülkemizde ciddi mortalite ve morbidite nedenidir (1,2). ABD'de yabancı cisimlerin yutulması nedeniyle yılda yaklaşık 1500 ölüm meydana gelmektedir (3). İnsidansı net olarak bilinmemekle birlikte ABD'de 13/100000 civarındadır (4). Yabancı cisimlerin %80'i veya daha fazlası kendiliğinden gastrointestinal traktustan geçebilmekle beraber, vakaların yaklaşık %20'sinde yabancı cisimlerin endoskopik veya cerrahi müdahale ile çıkarılması gerekmektedir (5,6). Genellikle endoskopi ile çoğu vakada tedavi sağlanırken sadece vakaların %1'inden daha azında cerrahi tedavi gereklidir (3,7).

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Evaluation of Gastrointestinal Foreign Body Cases

Cited by 3 publications

References 10 publications

Çocuklarda Özofagus Yabancı Cisimleri

Çocuklarda Özofagus Yabancı Cisimleri

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

Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi

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