Diagnosis and Endoscopic Management of Upper Gastrointestinal Foreign Bodies

Background: Foreign body ingestion and food bolus impaction is a common clinical scenario and can present as an endoscopic emergency. Though majority of them pass spontaneously 10-20% require endoscopic intervention. Flexible endoscopy is recommended as therapeutic measure with minimal complications. The aim of our study is to present 2 years’ experience in dealing with foreign bodies in the upper gastrointestinal tract.Methods: Cases of foreign body (FB) ingestion admitted to department of general surgery from January 2015 to December 2016 were evaluated. The patients were reviewed with details on age, sex, type of FB, its location in gastrointestinal tract, treatment and outcome.Results: A total of 23 cases were studied. Age range was 2-75 years. Males were predominant (60.87%). Coins were found most commonly (52.17%). Esophagus was the commonest site of FB lodgment (65.22%). Upper esophagus being the most common (39.13%). Upper gastrointestinal flexible endoscopy was useful in retrieving FB in all the 23 cases. There were no complications throughout the study period.Conclusions: Flexible endoscopy should be used as definitive treatment and endoscopic treatment is safe and effective.

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Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: Report on a Series of 414 Adult Patients

Endoscopy ◽

10.1055/s-2001-16212 ◽

2001 ◽

Vol 33 (8) ◽

pp. 692-696 ◽

Cited By ~ 109

Author(s):

S. Mosca ◽

G. Manes ◽

R. Martino ◽

L. Amitrano ◽

V. Bottino ◽

...

Keyword(s):

Gastrointestinal Tract ◽

Foreign Bodies ◽

Adult Patients ◽

Upper Gastrointestinal Tract ◽

Endoscopic Management ◽

Upper Gastrointestinal

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Endoscopic Management of Foreign Body Impaction in the Upper Gastrointestinal Tract in a Tertiary Care Centre of Nepal

Kathmandu University Medical Journal ◽

10.3126/kumj.v18i2.33223 ◽

2020 ◽

Vol 18 (2) ◽

pp. 36-40

Author(s):

A. Shrestha ◽

R.B. Gurung ◽

P. Sharma ◽

R. Shrestha ◽

P. Shrestha

Keyword(s):

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Tertiary Care ◽

Upper Gastrointestinal Tract ◽

Endoscopic Management ◽

Tertiary Care Centre ◽

Male Predominance ◽

Foreign Body Impaction ◽

Upper Gastrointestinal

Background Ingested foreign body impaction on upper gastrointestinal tract is common incidence among children, older age group, mentally challenged individuals, and people the influence of alcohol. In most cases, the foreign bodies pass spontaneously and uneventfully but when this does not occur; endoscopic management to ensure removal under direct visualization is required. Relief upon removal of foreign body and prevention of complications is essential. Objective To assess the endoscopic management and outcome of foreign body impacted in the upper gastrointestinal tract. Method This is a hospital based observational retrospective cross sectional study involving 165 patients at Endoscopy Department of Dhulikhel Hospital in Nepal between November 2015 and October 2019. The data regarding the demographic profile, clinical characteristics and endoscopic findings were retrieved and analyzed to determine endoscopic interventions performed, complications and outcomes. Result One hundred and sixty five patients presenting with history of ingestion of foreign body were included in the study. The mean age of the patients was 46.8 ± 19.1 years with male predominance (60%). The most common site of foreign body impaction was oesophagus (70%). The most common foreign body encountered was bone (62.2%) among which chicken bones (91.1%) were most frequent. For the retrieval of sharp-pointed foreign bodies, rat forceps and graspers (45.7%) were most commonly used. Total 14 cases required rigid oesophagoscopy as the foreign body could not be retrieved by flexible endoscopy. Conclusion Foreign body ingestion and its impaction in the upper gastrointestinal tract has been found to be common in endoscopic practise. Early detection and timely removal of foreign bodies is of utmost importance to avoid discomfort to the patient as well as to ensure successful removal without complications.

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Clinical outcomes of endoscopic removal of foreign bodies from the upper gastrointestinal tract

BMC Gastroenterology ◽

10.1186/s12876-021-01959-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Dong Ryeol Yoo ◽

Chang Bin Im ◽

Baek Gyu Jun ◽

Hyun Il Seo ◽

Jong Kyu Park ◽

...

Keyword(s):

Gastrointestinal Tract ◽

Adverse Events ◽

Clinical Outcomes ◽

Foreign Bodies ◽

Early Recognition ◽

Upper Gastrointestinal Tract ◽

Endoscopic Management ◽

Endoscopic Removal ◽

Foreign Objects ◽

Upper Gastrointestinal

Abstract Background Ingested foreign objects frequently require emergency removal. This study aimed to investigate the clinical outcomes of endoscopic removal of foreign bodies from the upper gastrointestinal tract and the risk factors for adverse events. Methods Adults (> 18 years) who underwent endoscopic management of ingested foreign bodies at two centers, one inland and one on the coast, between January 2008 and December 2017 were eligible. Clinical characteristics and procedure-related outcomes were retrospectively reviewed. Patients were divided into two groups, based on whether the foreign bodies were sharp or blunt in shape. Results A total of 853 patients aged 19–96 years were analyzed. Ingestion of fish bones was more common in the coastal area, whereas ingestion of food boluses was more common in the inland area. The duration of impaction ranged from 1 h to over 1 month and was significantly longer in patients who ingested blunt than sharp foreign bodies (15 vs. 5 h, p < 0.001). Most (98.9%) foreign bodies were successfully removed. Adverse events occurred in 31.2 % of patients, including ulcers (4.0%) and perforations (3.3 %). Multivariate analysis showed that age (odds ratio [OR] 1.015, p = 0.012), sharp foreign bodies (OR 5.133, p < 0.001), location in the esophagus (OR 2.723, p = 0.018), and duration of impaction (OR 1.431, p < 0.001) were factors associated with adverse events. Conclusions Early recognition and timely endoscopic removal of ingested foreign bodies, particularly in elderly patients and those with sharp foreign bodies, may improve clinical outcomes.

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