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. 2014 Jul 16:7:249-53.
doi: 10.2147/CEG.S63274. eCollection 2014.

Endoscopic removal of foreign bodies from the upper gastrointestinal tract: 5-year experience

Mohamed H Emara  1 , Ehab M Darwiesh  1 , Mohamed M Refaey  1 , Sherif M Galal  1
Affiliations

Endoscopic removal of foreign bodies from the upper gastrointestinal tract: 5-year experience

Mohamed H Emara et al. Clin Exp Gastroenterol. .

Abstract

Background: Foreign bodies (FBs) in the upper gastrointestinal tract are produced chiefly by accidental swallowing but rarely produce symptoms. Removal of FBs is not an infrequent challenge for upper gastrointestinal endoscopy. The aim of this study is to elicit our experience in a 5-year period in dealing with FBs in the upper gastrointestinal tract using upper endoscopy.

Methods: This retrospective study was conducted at Zagazig University Hospitals, Egypt, over a 5-year period. We reviewed all patients' files with full notations on age, sex, type of FB and its anatomical location, treatments, and outcomes (complications, success rates, and mortalities). Patients with incomplete files and those with FBs not identified at the endoscopic examination were excluded.

Results: A total of 45 patients were identified. Their ages ranged from 6 months to 102 years. Slight male predominance was noticed (53.3%). The most frequent presentation was a history of FB ingestion without any associated manifestations (44.4%). Coins were the most commonly encountered FBs (14/45). Esophagus was the most common site of trapping (27/45). The overall success rate was 95.6% (43/45). Upper endoscopy successfully resolved the problem by either FB removal (41/43) or dislodgment of the impacted fleshy meat to the stomach (2/43). Two cases were referred for surgical removal. The rate of complications was 6.7%. Furthermore, no mortalities due to FB ingestion or removal had been reported throughout the study.

Conclusion: Our experience with FB removal emphasizes its importance and ease when performed by experienced hands, at well-equipped endoscopy units, and under conscious sedation in most cases, with high success rates and minor complications.

Keywords: coins; fleshy meat; forceps; postsclerotherapy esophageal stricture; upper endoscopy.

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Figures

Figure 1
Figure 1
Examples of foreign bodies. Notes: Coins (A) were the most common foreign bodies. Pins (B) were common in females and commonly seen piercing the antrum. A surgical towel after cholecystectomy (C) was encountered in only one patient. A fleshy meat bolus (D) was commonly trapped at esophageal stricture.
Figure 2
Figure 2
Surgical removal (A) of a stomach shaped (B) bezoar in a mentally disabled female.
Figure 3
Figure 3
X-ray was used to localize the foreign body (coin; arrow) in some cases (A), and computed tomography (B) was used to describe the huge gastric bezoar (arrow) in the case of a mentally disabled patient.
See this image and copyright information in PMC

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