Selective endoscopy in management of ingested foreign bodies of the upper gastrointestinal tract: is it safe?
Affiliation
Department of Surgery, Cork University Hospital, Ireland.Issue Date
2012-02-03T15:15:00ZMeSH
AdolescentAdult
Aged
Aged, 80 and over
Child
Child, Preschool
*Endoscopy, Gastrointestinal
Female
Foreign Bodies/*therapy
Humans
Infant
*Intestines
Male
Middle Aged
Metadata
Show full item recordCitation
Int J Clin Pract. 1997 Jul-Aug;51(5):289-92.Journal
International journal of clinical practicePubMed ID
9489086Abstract
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
engISSN
1368-5031 (Print)1368-5031 (Linking)
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