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. 2013 Oct 14;19(38):6447-52.
doi: 10.3748/wjg.v19.i38.6447.

Emergency admissions due to swallowed foreign bodies in adults

Bülent Erbil  1 , Mehmet Ali Karaca, Mehmet Ali Aslaner, Zaur Ibrahimov, Mehmet Mahir Kunt, Erhan Akpinar, Mehmet Mahir Özmen
Affiliations

Emergency admissions due to swallowed foreign bodies in adults

Bülent Erbil et al. World J Gastroenterol. .

Abstract

Aim: To study a retrospective analysis of patients who presented to the emergency departments (ED) with complaints related to foreign body ingestions.

Methods: Patients older than 16 years of age who presented to the ED between January 1(st) and December 31(st) of 2010 with complaints related to swallowed foreign bodies were identified from electronic health records and patient charts.

Results: A total of 100 patients presented with a complaint of foreign body ingestion during the study period. Overall, an X-ray was performed on 75 patients, and a fiberoptic evaluation was performed on 45 patients. A foreign body was detected in 46 (46%) patients. The diagnostic yield of the X-ray was 27 (36%) out of 75 patients, while the diagnostic yield of the fiberoptic evaluations was 21 (47%) out of 45 patients. The detected foreign bodies were mostly located in the esophagus (17 out of 46 foreign bodies detected). When the types of ingested foreign bodies were evaluated, 52 (52%) patients reported ingesting food, and 19 (19%) patients reported swallowing pins. An X-ray was performed on 33 patients with accidental food ingestions but yielded a positive result in only two cases. In 12 out of 21 patients with accidental food ingestion who underwent fiberoptic evaluation, the foreign material was detected and removed.

Conclusion: Plain radiography is helpful in the localization of radiopaque swollen foreign bodies, while fiberoptic methods are useful as both diagnostic and therapeutic tools, regardless of radiopacity.

Keywords: Emergency; Endoscopy; Foreign body; Gastrointestinal tract; Ingestion.

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Figures

Figure 1
Figure 1
Diagnostic approach to patients presenting with foreign body ingestions.
Figure 2
Figure 2
Plain abdominal X-ray showing a pin (white arrow) in the bowel in an adult. The pin passed spontaneously.
Figure 3
Figure 3
Lateral neck X-ray showing a bone fragment (white arrow). The fragment was removed by fiberoptic means.
See this image and copyright information in PMC

References

    1. Katsinelos P, Kountouras J, Paroutoglou G, Zavos C, Mimidis K, Chatzimavroudis G. Endoscopic techniques and management of foreign body ingestion and food bolus impaction in the upper gastrointestinal tract: a retrospective analysis of 139 cases. J Clin Gastroenterol. 2006;40:784–789. - PubMed
    1. Lee JH, Kim HC, Yang DM, Kim SW, Jin W, Park SJ, Kim HJ. What is the role of plain radiography in patients with foreign bodies in the gastrointestinal tract? Clin Imaging. 2012;36:447–454. - PubMed
    1. Ayantunde AA, Oke T. A review of gastrointestinal foreign bodies. Int J Clin Pract. 2006;60:735–739. - PubMed
    1. Anderson KL, Dean AJ. Foreign bodies in the gastrointestinal tract and anorectal emergencies. Emerg Med Clin North Am. 2011;29:369–400, ix. - PubMed
    1. Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF, Mallery JS, Raddawi HM, Vargo JJ, Waring JP, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc. 2002;55:802–806. - PubMed

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