Foreign body ingestion and food impaction in adults: better to scope than to wait

United European Gastroenterology Journal
Diogo LibânioRicardo Marcos-Pinto

Abstract

To assess clinical outcomes after foreign body ingestion and food impaction; to identify predictors of foreign body presence at the time of endoscopy. A prospective study including consecutive adult patients with foreign body ingestion or suspected food impaction between May 2014 and August 2016. In total, 521 patients were included, 320 with foreign body ingestion and 201 with suspected food impaction. Food impaction patients were significantly older and more frequently had a history of oesophageal disease. The foreign body was encountered in the upper digestive tract in 43% of the patients with foreign body ingestion, and food impaction was confirmed in 87%. Older age (odds ratio (OR)year 1.04, 95% confidence interval (CI) 1.02-1.06) and early presentation (ORfirst six hours 4.41, 95% CI 2.24-8.66) were independent predictors of foreign body presence, while a history of psychiatric disease was an independent predictor of food impaction (OR 6.69, 95% CI 1.66-26.9). Successful endoscopic treatment was achieved in more than 90% of the cases, with adverse events occurring in fewer than 5%. Foreign body forceps was the preferred device in foreign body ingestion, while retrieval basket and mobilisation were preferred in food impact...Continue Reading

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Citations

Feb 9, 2020·ANZ Journal of Surgery·Yao C HuangDavid Mitchell
Mar 29, 2019·World Journal of Gastrointestinal Endoscopy·Brian M FungJames H Tabibian
Apr 8, 2020·BMC Gastroenterology·Ye ZongYongjun Wang
Sep 17, 2020·Geriatrics·Patrick MarquardtNeha Patel
Aug 9, 2021·The American Journal of Emergency Medicine·Xinyue WangDuyin Jiang

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Methods Mentioned

BETA
sedation
biopsies
X-ray

Software Mentioned

SPSS

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