Endoscopic Treatment of Esophageal Foreign Bodies in Adult: Management of 257 Cases / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 51-57, 2004.
Article
in Korean
| WPRIM
| ID: wpr-71934
ABSTRACT
BACKGROUND/AIMS:
The majority of foreign body ingestions occur in pediatric population. We assessed the characteristics and endoscopic treatment outcome of esophageal foreign bodies in adults.METHODS:
Medical records of consecutive 257 patients who received trial of endoscopic treatment for esophageal foreign bodies, from January 1998 through November 2003 in Gyeongsang National University Hospital, were analyzed retrospectively.RESULT:
Among 257 cases, 132 were male. The incidence was highest in 5th decade, and mean age was 54.6 years. Most common location was upper esophagus (84.6%). Accidental ingestion accounted for 92.2%. Twenty cases (7.8%) of voluntary ingestion were all prisoners or in psychiatric problems. Fish bone was the most common type. Endoscopic treatment was successful in 253 cases (98.4%) and 4 were managed with rigid esophagoscopy. Four cases who complicated by acute mediastinitis or pneumomediastinum at presentation had sharp-pointed or long objects lodged in upper esophagus, and almost presented at 48 hours after the ingestion. Full esophagogastroduodenoscopy could find 37 organic lesions in 35 cases.CONCLUSIONS:
Majority of esophageal foreign bodies in adults developed accidentally during meals. Voluntary ingestion of foreign bodies was not related to meals, and developed by prisoners or psychiatric patients. The sharp-pointed or long objects lodged in upper esophagus with delayed presentation may cause complication. Endoscopic treatment is safe and beneficial, and a full endoscopic evaluation should be recommended for the evaluation of a synchronous organic disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prisons
/
Prisoners
/
Medical Records
/
Incidence
/
Retrospective Studies
/
Endoscopy, Digestive System
/
Esophagoscopy
/
Treatment Outcome
/
Eating
/
Esophagus
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2004
Type:
Article
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