Foreign Body Ingestion and Food Impaction Management in Adults: A Cross-sectional study

Abstract

BACKGROUND: The management of food impaction and foreign body ingestion in the upper gastrointestinal tract requires careful evaluation and timely intervention. This study was a retrospective evaluation of the management of adult patients with such a history. METHODS: This study included adult patients admitted to a tertiary medical center with foreign body ingestion or food impaction between January 2012 and January 2018. The demographic and clinical data were recorded pro forma for statistical analysis. RESULTS: Of the 122 patients included in this study, 53.2% were male, and the mean age was 46.68±18.64 years. In 84 of the patients (68.8%), the ingested object was food. Thirty patients were managed solely through laryngoscopy, while 61 patients (50%) underwent a flexible endoscopy. The patients with a foreign body ingestion were older than those with a food impaction (mean age: 51.3±17.4 vs. 36.5±17.4 years; p<0.001) and a plain radiograph showed the ingested material more often in those patients (36.8% vs 10.7%; p<0.001). Two patients underwent surgery due to perforations caused by the impacted material. No mortality was observed. CONCLUSION: The management of a foreign body ingestion or food impaction in an emergency setting requires a stepwise, algorithmic approach.

The Enigma in Management of Complicated Foreign Body Ingestion Impacted Distal to Oesophagus: A Case Series and Literature Review

“…Impaction at these sites is frequently managed by endoscopic retrieval. Less frequently, surgery may be required to retrieve these foreign bodies owing to the large dimensions, endoscopic inaccessibility or when dealing with complications such as perforation (3). In contrary to impaction at upper gastrointestinal tract, distal impaction is less commonly observed.…”

A Hard Case to Swallow: Crucifix Esophageal Foreign Body in a Nonverbal Patient

“…Expedient removal is crucial for emergency management of esophageal foreign bodies. Up to 20% of adult patients with esophageal foreign bodies will ultimately necessitate endoscopic intervention; 2.7% of whom may require surgical intervention for foreign body extraction [3].…”

“…Expedient removal is crucial for emergency management of esophageal foreign bodies. Up to 20% of adult patients with esophageal foreign bodies will ultimately necessitate endoscopic intervention; 2.7% of whom may require surgical intervention for foreign body extraction [ 3 ]. While not all endoscopic intervention may be considered emergent, emergency physicians should know that either the inability to handle secretions (indicating a possible complete esophageal blockage) or the presence of disc batteries or any sharp foreign bodies in the esophagus do necessitate emergent intervention [ 1 ].…”

“…The adult population that is most associated with foreign body ingestion includes individuals diagnosed with psychiatric conditions, neurological or intellectual disability, and those seeking secondary gain [2]. Esophageal foreign bodies are more common in male patients, and the most common chief complaint when these patients present to the emergency department (ED) is dysphagia [3]. However, esophageal foreign bodies may also masquerade as dyspnea and upper respiratory complaints in these high-risk populations.…”

Analysis of foreign body ingestion in childhood: Our five-year experience

“…The objects in the esophagus may lead to clinical findings such as dysphagia, drooling, near-drowning, and nutritional rejection, as well as breathing problems such as wheezing and coughing when the object is in the middle esophagus. [8,9] A good history should be taken from the parents and a complete physical examination should be performed for the diagnosis. Plain anteroposterior and lateral radiographs may yield useful findings in the case of radiopaque bodies.…”