Risk factors for complications associated with upper gastrointestinal foreign bodies

BACKGROUND: Gastrointestinal foreign bodies are commonly encountered; however, little knowledge exists as to the causes of foreign body ingestions and why they occur repeatedly in some patients.OBJECTIVE: To identify and define patients at high risk for recurrent foreign body ingestion.METHODS: A retrospective chart review of foreign body ingestion was conducted at a tertiary care medical centre over an 11-year period. Variables analyzed included age, sex, incarceration status,Diagnostic and Statistical Manual of Mental Disorders-IVdiagnosis, success of endoscopy, type of sedation used, method of extraction, complications, presence of gastrointestinal pathology, and incidence of recurrent food impaction or foreign body.RESULTS: A total of 159 patients with a foreign body ingestion were identified. One hundred fourteen (77%) experienced a single episode of ingestion and 45 (23%) experienced multiple ingestions. Of the patients with multiple ingestions, 27 (60%) had recurrent food impactions while 18 (40%) ingested foreign objects. In the recurrent ingestor group, a psychiatric disorder had been diagnosed in 16 patients (35.6%) and there were 13 incarcerated individuals (28.9%). The average number of recurrences was 2.6 per patient (117 total recurrences). Individuals with a psychiatric disorder experienced 3.9 recurrences per patient, while prisoners averaged 4.1 recurrences per patient. The combination of a psychiatric disorder and being incarcerated was associated with the highest recurrence rate (4.33 per patient). Multivariable logistic regression revealed that male sex (OR 2.9; P=0.022), being incarcerated (OR 3.0; P=0.024) and the presence of a psychiatric disorder (OR 2.5; P=0.03) were risk factors for recurrent ingestion.CONCLUSION: Risk factors for recurrent ingestion of foreign bodies were male sex, being incarcerated and the presence of a psychiatric disorder.

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Upper Gastrointestinal Foreign Bodies - A Five Year Experience from a Cosmopolitan Hospital in UAE

The American Journal of Gastroenterology ◽

10.14309/00000434-201010001-01406 ◽

2010 ◽

Vol 105 ◽

pp. S523-S524

Author(s):

Virendra Tewari ◽

Deepali Tewari ◽

Gerald Posner

Keyword(s):

Foreign Bodies ◽

Gastrointestinal Foreign Bodies ◽

Upper Gastrointestinal

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Patients with upper gastrointestinal foreign bodies are more likely to consult later and with a higher rate of hospitalization during the COVID-19 pandemic

Revista Española de Enfermedades Digestivas ◽

10.17235/reed.2020.7593/2020 ◽

2020 ◽

Author(s):

Meihong Yu ◽

Deliang Liu ◽

Yuyong Tan

Keyword(s):

Foreign Bodies ◽

Gastrointestinal Foreign Bodies ◽

Upper Gastrointestinal

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Diagnosis and Endoscopic Management of Upper Gastrointestinal Foreign Bodies

The American Journal of the Medical Sciences ◽

10.1097/maj.0b013e3182263035 ◽

2012 ◽

Vol 343 (3) ◽

pp. 192-195 ◽

Cited By ~ 32

Author(s):

Yu-Hui Chiu ◽

Chorng-Kuang How ◽

Wei-Fong Kao ◽

David Hung-Tsang Yen ◽

Mu-Shun Huang ◽

...

Keyword(s):

Foreign Bodies ◽

Endoscopic Management ◽

Gastrointestinal Foreign Bodies ◽

Upper Gastrointestinal

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Overview on Gastrointestinal Foreign Bodies in Children

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i57a33967 ◽

2021 ◽

pp. 49-58

Author(s):

Ahmed Abdelsamie Fadl ◽

Asma Awad M. Alhazmi ◽

Tariq Mohammed Alyami ◽

Najla jaber Alkhaldi ◽

Abdulshaheed Salman Alhamdan ◽

...

Keyword(s):

Risk Factors ◽

Foreign Body ◽

Psychiatric Illness ◽

Foreign Bodies ◽

Food Bolus ◽

Pass Through ◽

Food Bolus Impaction ◽

Bolus Impaction ◽

Gastrointestinal Foreign Bodies ◽

Swallowed Foreign Bodies

Introduction: Greatest percentage of the upper gastro intestinal accidently swallowed foreign bodies in adults are related to food bolus impaction with meat. Most patients who swallow a true foreign body typically are younger, however young children were recorded to accidently swallow other objects rather than food poluses. Males are more often recorded, and often have significant psychiatric illness and/or drug abuse. Foreign body (FB) ingestion is a very common problem in children. FB may pass through gastrointestinal (GI) system silently without any indication, or it may need an intervention to prevent complications. The diagnosis, decision for involvement and management may have some difficulties, and it’s usually decided according to the case, especially in cases with protracted lodgment. Complications caused by lodgment of ingested GI FBs varies according to many factors and are associated with important morbidity and mortality in children. Objectives: to show an overview of gastrointestinal foreign bodies in children, its epidemiology, risk factors, hazards and management.

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Use of fiber optic endoscopy for removal of upper gastrointestinal foreign bodies

Ceylon Journal of Otolaryngology ◽

10.4038/cjo.v4i1.5224 ◽

2015 ◽

Vol 4 (1) ◽

pp. 17

Author(s):

J. M. R. G Jayaweera ◽

W. A. S. Weerasinghe ◽

P. M. D. Jinasena ◽

A. L. Ranasinghe ◽

G. H. N. R. Weerasooriya

Keyword(s):

Foreign Bodies ◽

Fiber Optic ◽

Optic Endoscopy ◽

Gastrointestinal Foreign Bodies ◽

Upper Gastrointestinal

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Clinical characteristics and risk factors of gastroesophageal reflux disease in Vietnamese patients with upper gastrointestinal symptoms undergoing esophagogastroduodenoscopy

JGH Open ◽

10.1002/jgh3.12536 ◽

2021 ◽

Author(s):

Duc T Quach ◽

Quyen T T Pham ◽

Truc L T Tran ◽

Nhu T H Vu ◽

Quang D Le ◽

...

Keyword(s):

Risk Factors ◽

Gastroesophageal Reflux Disease ◽

Gastroesophageal Reflux ◽

Reflux Disease ◽

Clinical Characteristics ◽

Gastrointestinal Symptoms ◽

Upper Gastrointestinal Symptoms ◽

Upper Gastrointestinal

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Peripheral atherosclerosis and abdominal aortic aneurysm as a new risk factors of upper gastrointestinal bleeding in patients with stable CAD receiving long-term antithrombotic therapy

European Journal of Preventive Cardiology ◽

10.1093/eurjpc/zwab061.130 ◽

2021 ◽

Vol 28 (Supplement_1) ◽

Author(s):

V Korobkova ◽

AL Komarov ◽

OO Shakhmatova ◽

MV Andreevskaya ◽

EB Yarovaya ◽

...

Keyword(s):

Risk Factors ◽

Risk Assessment ◽

Antithrombotic Therapy ◽

Upper Gastrointestinal Bleeding ◽

Atherosclerotic Burden ◽

Abdominal Aortic ◽

Stable Cad ◽

Upper Gastrointestinal

Abstract Funding Acknowledgements Type of funding sources: None. Background Upper gastrointestinal bleeding (UGIB) is the most common hemorrhagic complication in stable CAD patients receiving antithrombotic therapy. It seems that atherosclerotic burden may increase the overall bleeding frequency. However, this factor has never been taken into account with UGIB risk assessment. We aimed to assess the predictive value of atherosclerotic burden (peripheral atherosclerosis – PAD and abdominal aortic aneurysm - AAA) for UGIB in patients with stable CAD receiving long-term antithrombotic therapy. Patients and Methods. A single center prospective Registry of Long-term AnTithrombotic TherApy (REGATTA-1 NCT04347200) included 934 pts with stable CAD (78.6% males, median age 61 [IQR 53-68] yrs). 77,3 % of patients received dual antiplatelet therapy due to recent PCI with a switch to aspirin monotherapy after 6 months. 17,6% of patients received aspirin only, 5,1 % of patients received oral anticoagulants because of concomitant atrial fibrillation. Risk assessment of UGIB was performed according to the 2015 European Society of Cardiology guidelines (we were not able to identify only Helicobacter pylori infection). Additional ultrasound screening for PAD (lower limbs and cerebrovascular beds) and AAA was applied. The primary outcome was any overt UGIB (BARC ≥2). Results The frequency of PAD was 18,8%, AAA – 2,4%, PAD and/or AAA - 20,5%. In a total 2335 person-years of follow-up (median follow-up - 2,5 yrs, IQR 1,1 – 5.1), UGIB occurred in 51 patients (incidence at 1 year 1,9 per 100 patients). The median time to first occurrence of UGIB was 72 [IQR 13-214] days. Comparing the Kaplan-Meyer curves, the UGIB developed three times more often in patients with coexisted PAD and/or AAA vs isolated CAD (19.8% vs 6.5%, Log-Rank p = 0.00006). The difference remains consisted in regression model taking in account 2015 ESC panel of UGIB risk factors (OR 3.4; CI 1.7–6.9, p = 0,0005). Conclusions Atherosclerotic burden (concomitant PAD and/or AAA) is an independent predictor of UGIB in patients with stable CAD receiving long-term antithrombotic therapy.

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