Selective endoscopy in management of ingested foreign bodies of the upper gastrointestinal tract: is it safe?

Hdl Handle:
http://hdl.handle.net/10147/209204
Title:
Selective endoscopy in management of ingested foreign bodies of the upper gastrointestinal tract: is it safe?
Authors:
O'Sullivan, S T; McGreal, G T; Reardon, C M; Hehir, D J; Kirwan, W O; Brady, M P
Affiliation:
Department of Surgery, Cork University Hospital, Ireland.
Citation:
Int J Clin Pract. 1997 Jul-Aug;51(5):289-92.
Journal:
International journal of clinical practice
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209204
PubMed ID:
9489086
Abstract:
During a four-year period, 308 patients presented following ingestion of foreign bodies. Ingestion was accidental in 272 cases (88.3%) and deliberate in the remainder. Symptoms at presentation included dysphagia, odynophagia, nausea and vomiting, chest pain and pharyngeal discomfort. Sixty-eight patients were asymptomatic. A policy of expectant management and selective endoscopy was employed. Following initial assessment 202 patients (65.6%) were discharged without treatment, 30 (9.7%) of whom were later reviewed as outpatients and did not require admission. Forty-nine patients (16%) were admitted for treatment; 27 had oesophagoscopy, five bronchoscopy and two had foreign body extraction with direct laryngoscopy. In nine patients who were endoscoped, no foreign body was identified. Twenty-seven others were referred to the otorhinolaryngology service in another hospital. There were no deaths in the group and morbidity was 1.2%. We conclude that a policy of selective endoscopy is safe and effective in the management of patients following ingestion of foreign bodies.
Language:
eng
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; *Endoscopy, Gastrointestinal; Female; Foreign Bodies/*therapy; Humans; Infant; *Intestines; Male; Middle Aged
ISSN:
1368-5031 (Print); 1368-5031 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Sullivan, S Ten_GB
dc.contributor.authorMcGreal, G Ten_GB
dc.contributor.authorReardon, C Men_GB
dc.contributor.authorHehir, D Jen_GB
dc.contributor.authorKirwan, W Oen_GB
dc.contributor.authorBrady, M Pen_GB
dc.date.accessioned2012-02-03T15:15:00Z-
dc.date.available2012-02-03T15:15:00Z-
dc.date.issued2012-02-03T15:15:00Z-
dc.identifier.citationInt J Clin Pract. 1997 Jul-Aug;51(5):289-92.en_GB
dc.identifier.issn1368-5031 (Print)en_GB
dc.identifier.issn1368-5031 (Linking)en_GB
dc.identifier.pmid9489086en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209204-
dc.description.abstractDuring a four-year period, 308 patients presented following ingestion of foreign bodies. Ingestion was accidental in 272 cases (88.3%) and deliberate in the remainder. Symptoms at presentation included dysphagia, odynophagia, nausea and vomiting, chest pain and pharyngeal discomfort. Sixty-eight patients were asymptomatic. A policy of expectant management and selective endoscopy was employed. Following initial assessment 202 patients (65.6%) were discharged without treatment, 30 (9.7%) of whom were later reviewed as outpatients and did not require admission. Forty-nine patients (16%) were admitted for treatment; 27 had oesophagoscopy, five bronchoscopy and two had foreign body extraction with direct laryngoscopy. In nine patients who were endoscoped, no foreign body was identified. Twenty-seven others were referred to the otorhinolaryngology service in another hospital. There were no deaths in the group and morbidity was 1.2%. We conclude that a policy of selective endoscopy is safe and effective in the management of patients following ingestion of foreign bodies.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshChilden_GB
dc.subject.meshChild, Preschoolen_GB
dc.subject.mesh*Endoscopy, Gastrointestinalen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshForeign Bodies/*therapyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInfanten_GB
dc.subject.mesh*Intestinesen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.titleSelective endoscopy in management of ingested foreign bodies of the upper gastrointestinal tract: is it safe?en_GB
dc.contributor.departmentDepartment of Surgery, Cork University Hospital, Ireland.en_GB
dc.identifier.journalInternational journal of clinical practiceen_GB
dc.description.provinceMunster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.