Selective endoscopy in management of ingested foreign bodies of the upper gastrointestinal tract: is it safe?
O'Sullivan, S T McGreal, G T Reardon, C M Hehir, D J Kirwan, W O Brady, M P
O'Sullivan, S T
McGreal, G T
Reardon, C M
Hehir, D J
Kirwan, W O
Brady, M P
Advisors
Editors
Other Contributors
Date
2012-02-03T15:15:00Z
Date Submitted
Keywords
Other Subjects
Subject Mesh
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
*Endoscopy, Gastrointestinal
Female
Foreign Bodies/*therapy
Humans
Infant
*Intestines
Male
Middle Aged
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
*Endoscopy, Gastrointestinal
Female
Foreign Bodies/*therapy
Humans
Infant
*Intestines
Male
Middle Aged
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
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
ISSN
1368-5031 (Print)
1368-5031 (Linking)
1368-5031 (Linking)
eISSN
ISBN
DOI
PMID
9489086