Analysis of ingested foreign bodies according to age, type and location: a retrospective observational study

Kim, So Young; Park, Bumjung; Kong, Il Gyu; Choi, Hyo Geun

doi:10.1111/coa.12576

Cited by 36 publications

(55 citation statements)

References 18 publications

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“…Most studies in Asia and coastal countries reported that bone fragments, especially fish bones, are most commonly encountered. 3,12,13,16,18,24 While studies in the United States showed that meat comprised the majority type. 13,25 A systematic review including 13 092 patients all over the world revealed sharp-pointed FB (38.1%) as the most common FB.…”

Section: Discussionmentioning

confidence: 99%

Management of Sharp-Pointed Esophageal Foreign-Body Impaction With Rigid Endoscopy: A Retrospective Study of 130 Adult Patients

et al. 2020

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Objectives: To propose a management algorithm for adult patients with sharp-pointed esophageal foreign-body impaction (EFBI) who have rigid endoscopy (RE) indications and to conduct a retrospective analysis of their data. Methods: All adult patients who received RE at the Department of Otorhinolaryngology in Beijing Shijitan Hospital between January 2017 and May 2019 were enrolled. The demographics, clinical characteristics, and management data were collected and analyzed. Results: A total of 130 patients were identified, 56.9% were female with median age 60 years. More than half (56.9%) of patients had foreignbody (FB) ingestion on holidays. The most frequent FBs were jujube pits (66.9%) and bones (23.8%). There is a significant female predominance in ingestion of jujube pits (65.5%, P ¼ .005). The most common symptoms were odynophagia (49.2%) and sore throat (47.7%). The majority (96.8%) of FB founded were lodged at upper esophagus. In all, 74 patients were categorized as having mild complications and 54 having significant complications. Time interval from ingestion to presentation longer than 15 hours was an independent risk factor for significant complications, while esophagogram with barium as a protective factor. Conclusions: Long-time interval from ingestion to presentation will lead to high risk of significant complications. Computed tomography should be a prioritized imaging method for all patients suspected with EFBI, and multidisciplinary collaboration is recommended. Besides, mass education on eating habits is necessary.

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Section: Discussionmentioning

confidence: 99%

Management of Sharp-Pointed Esophageal Foreign-Body Impaction With Rigid Endoscopy: A Retrospective Study of 130 Adult Patients

et al. 2020

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“…Foreign-body ingestion is a common encounter during pediatric emergencies or in general practice; importantly, however, it may lead to mortality [1][2][3][4][5]. The 2016 American Association of Poison Control Centers' National Poison Data System reported 1,810,030 incidents of foreign-body ingestion in a year [2].…”

Section: Introductionmentioning

confidence: 99%

Age-Specific Differences in Foreign Bodies Ingested by Children: A Cohort Study of 252 Japanese Cases

et al. 2020

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Background and Objectives: When children accidentally ingest foreign bodies, they may be unable to communicate adequately; it is often difficult to identify the causative foreign body unless someone is watching over them. In such instances, to identify the causative foreign body during clinical practice, we aimed to determine if it varies according to age. Materials and Methods: From April 2013 to June 2018, 252 records of pediatric patients with a confirmed diagnosis of foreign-body ingestion were retrospectively examined in a Japanese university hospital. Comparisons among multiple age groups, according to type of ingested foreign body, were analyzed using Kruskal‒Wallis tests. The differences between the individual data were tested using the Steel‒Dwass test. Results: The median age of the patients was 15 months, and of the total patients, 140 were boys (55.5%). The types of foreign bodies ingested were as follows, in order of frequency: cigarettes (n = 44, 17%, median age: 12 months), plastics (n = 43, 17%, median age: 11 months), chemicals (n = 27, 11%, median age: 13 months), internal medicines (n = 26, 10%, median age: 33 months), and metals (n = 26, 10%, median age: 35 months). The median age was significantly different among the types of causative foreign bodies (p < 0.01). The patient age for the ingestion of cigarettes was significantly younger than that for ingesting metals or coins. The age for ingesting internal medicines was significantly older than that for ingesting plastics, cigarettes, paper, or chemicals (p < 0.01). Conclusions: The causative foreign body ingested differed according to age. This will be valuable information for physicians that encounter pediatric patients who may have ingested an unknown foreign body in Japanese pediatric emergency or general practice settings.

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“…Foreign body ingestion (FBI) is often accidental ingestion of teeth, dentures, plastic, fish-or chicken bones in the elderly population (>65 years) [1]. However, in a study of Palta et al they investigated an adult population with a mean age of 45 years and found that 92% of the cases were intentional.…”

Section: Introductionmentioning

confidence: 99%

A novel approach to removal of ingested sharp objects in a 25-year old patient with 23 prior procedures

Ellesøe¹

2019

JCRM

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Recurrent ingestion of sharp foreign body ingestion is a rare phenomenon but it challenges the surgeon since the patient often has been operated on several times before, making a simple gastrotomy a high risk procedure. Here we report a patient with 23 prior procedures due to foreign body ingestion of which 15 were knives. In the case presented she had an 18 cm long steak knife embedded in the esophageal mucosa. An overtube was not available why a rigid endoscope was successfully used in combination with a colon polypectomy snare.

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Analysis of ingested foreign bodies according to age, type and location: a retrospective observational study

Abstract: The frequency of foreign body ingestion was highest in young children. However, we observed specific age-based characteristics that indicate specific precautions to take to avoid foreign body ingestion.

Cited by 36 publications

References 18 publications

Management of Sharp-Pointed Esophageal Foreign-Body Impaction With Rigid Endoscopy: A Retrospective Study of 130 Adult Patients

Management of Sharp-Pointed Esophageal Foreign-Body Impaction With Rigid Endoscopy: A Retrospective Study of 130 Adult Patients

Age-Specific Differences in Foreign Bodies Ingested by Children: A Cohort Study of 252 Japanese Cases

A novel approach to removal of ingested sharp objects in a 25-year old patient with 23 prior procedures

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