Study of pharyngeal and esophageal foreign bodies in adults in Tabriz Imam Khomeini hospital during 10 years [1373-1383]

ABSTRACT

Foreign body swallowing is a common problem in adults and because of its complications, it is an emergency case. The rate of mortality due to foreign body swallowing has decreased by medical developments. Because of its complications, it requires to be diagnosed and treated earlier and this is provide by history, physical examination, radiological studies. The aim of this study was to evaluate pharyngeal and eophageal foreign bodies in Adults in Tabriz Imam Khomeini Hospital. This study has been done on the base of medical documents of patients in the hospital. 210 patients hospitalized in Tabriz Imam Khomeini hospital with foreign body swallowing during 10 years [1373-1383] have been studied. In this study there were 210 patients, 100 women [47.6%] and 110 men [52.3%], ranging in age from 19 to 79 years. The most symptoms were Dysphagia [76.1%] and odynophagia [68.06%]. The most involved site was the proximal of esophagus under cricopharyngeal muscle and occurred in 137[65.2%] cases. The most common foreign body was bone in this study, 4.2% of cases had underlying esophageal disease. We found that delay in diagnosis or the reference of patients cause many complications such as perforation of esophagus, mediastinitis or abcess that occurred in 2 [0.9%] Cases. The complications related to endoscopy occurred in 3 [14%] Cases that were the vascular injuries, pneumothorax and mediastinitis. Our study has some similarities and differences with other studies carried out in the developed countries. We found that rigid endoscopy is reliable and cost- effective technique. The early references of patients, necessary facilities and more attention in special techniques such as endoscopy cause to decrease the secondary complication such as perforation of esophagus. We expect that physician select the true and sufficient way to treat patients with foreign body swallowing