Selective endoscopy in management of ingested foreign bodies of the upper gastrointestinal tract: is it safe?
AffiliationDepartment of Surgery, Cork University Hospital, Ireland.
Aged, 80 and over
MetadataShow full item record
CitationInt J Clin Pract. 1997 Jul-Aug;51(5):289-92.
JournalInternational journal of clinical practice
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.
- Management of ingested foreign bodies in childhood: our experience and review of the literature.
- Authors: Hachimi-Idrissi S, Corne L, Vandenplas Y
- Issue date: 1998 Sep
- Selective upper endoscopy for foreign body ingestion in children: an evaluation of management protocol after 282 cases.
- Authors: Wong KK, Fang CX, Tam PK
- Issue date: 2006 Dec
- Removal of a foreign body from the upper gastrointestinal tract with a flexible endoscope: a prospective study.
- Authors: Chaves DM, Ishioka S, Félix VN, Sakai P, Gama-Rodrigues JJ
- Issue date: 2004 Oct
- Endoscopic management of foreign bodies in the upper-GI tract: experience with 1088 cases in China.
- Authors: Li ZS, Sun ZX, Zou DW, Xu GM, Wu RP, Liao Z
- Issue date: 2006 Oct
- A review of gastrointestinal foreign bodies.
- Authors: Ayantunde AA, Oke T
- Issue date: 2006 Jun