The removal of foreign body ingestion in the upper gastrointestinal tract: a retrospective study of 1,182 adult cases

Abstract

Background: Foreign body (FB) ingestion in the gastrointestinal tract is a common and urgent problem observed in children and adults. However, there may be difficulty locating FBs and complications associated with their removal. This study aimed to identify risk factors and complications correlated to the presence and removal of FBs.Methods: This 5-year retrospective study enrolled 1,311 patients between June 2014 and April 2019.Demographic and endoscopic data were collected, containing age, gender, types and location of FBs, duration of FB ingestion, accessory devices, endoscopic methods, and complications. Logistic regression analysis was applied to evaluate the predictive risk factors.Results: Among 1,131 patients, FBs were found in 90.16% of cases. A major predictor for the presence of FB was a presentation of less than 24 hours (h). The types of FBs were jujube pits (36.72%) and fish bones (22.00%), and over 80% of the FBs were discovered in the esophagus. Complications were found in 239 cases (20.22%), of which hemorrhage (162/239, 67.78%) was the most frequent. Age ≥60, duration ≥24 h, and FBs ingested in the esophagus were considered as risk factors for developing complications. Conclusions:In conclusion, the longer duration, age ≥60, and impaction in the esophagus were risk factors for developing complications following the ingestion of FBs. These factors should be considered when developing assessment and treatment plans in the management of FB ingestion.

Fish Hook as Foreign Body: Not All Foreign Bodies Can Be Fished Out of the Esophagus With Endoscopy Alone

“…The majority of ingested FBs pass spontaneously through the gastrointestinal tract, with 10-20% of them requiring endoscopic removal and <1% requiring surgical intervention [12]. Endoscopic management is the first choice in the treatment of EFBs because it is safe, effective, cost-efficient, and avoids the need for surgery [13]. Moreover, a retrospective analysis of 188 inpatient cases with EFBs between 1996-2006 revealed that the majority of cases of FBs were removed via rigid esophagoscopy, with only five cases of FBs removed via surgery [14].…”

An 18-year-old girl with retrosternal burning discomfort: a bitter pill to swallow

“…2 The oesophagus is the most common site of foreign body impaction typically occurring at one of four classical points of narrowing, the upper oesophageal sphincter, the aortic arch, adjacent to the left Open access main bronchus and the oesophageal hiatus through the diaphragm. 3 The clinical presentation of impacted oesophageal batteries is variable and depends on the impaction site and time since ingestion. Early symptoms include retrosternal discomfort, heartburn, vomiting, dysphagia and odynophagia.…”

“… 2 The oesophagus is the most common site of foreign body impaction typically occurring at one of four classical points of narrowing, the upper oesophageal sphincter, the aortic arch, adjacent to the left main bronchus and the oesophageal hiatus through the diaphragm. 3 …”

Foreign Body: Uncommon Cause of a Catastrophic Upper GI Bleeding: a Case Report

“…The Complication of foreign body ingestion depends on the site and type of foreign body. Moreover, a partial denture with sharp metal hooks, metal springs, and sharp bone pieces are among the most common and hazardous foreign bodies that result in stula formation or esophagus puncture (2).…”