ABSTRACT
Se realizó una investigación prospectiva observacional descriptiva, para conocer la incidencia de cuerpos extraños en el esófago de adultos ingresadas en el Hospital Provincial Docente Clínico-Quirúrgico 'Manuel Ascunce Domenech', de Camagüey, Cuba, en el período comprendido entre el 1 de septiembre de 1997 y 31 de agosto de 1998. La mayor frecuencia de pacientes con este diagnóstico pertenecía a los grupos de edades de 31 a 50 años, y del sexo masculino. La disfagia y la retención de saliva de los senos periformes fueron el síntoma y el signo predominante; el 82,50 por ciento de los pacientes presentaba un mal estado en la cavidad oral; en las primeras 24 horas se atrajo el cuerpo extraño al 83,33 por ciento de los pacientes; el diagnóstico radiológico fue positivo en el 75 por ciento de los enfermos y el tercio superior fue la localización topográfica del cuerpo extraño másfrecuente en los estudios radiológicos y endoscópicos. Las espinas de pescado fueron el tipo de cuerpo extraño que predominó; el 25 por ciento de los pacientes presentaron complicaciones, y el esofagoscopio rígido se utilizó para extraer los cuerpos extraños en el 96,67 por ciento de los casos (AU)
A prospective descriptive observational study was made to determine the incidence of esophageal foreign bodies in adults who had been admitted to the Manual Ascunce Domenech teaching hospital of Camaguey, Cuba in the period from 1 September 1997 to 31 August 1998. The highest frequency of patients with this diagnosis was in 31 to 50 year-old men. Dysphagia and salivary retention in the pyriform sinuses were the prevalent symptoms. The state of the oral cavity was poor in 82.50% of patients. The foreign body was removed in the first 24 hours in 83.33% of patients. The radiological diagnosis was positive in 75% of patients. The upper third was the most common location in radiological and endoscopic studies. Fish bones were the prevalent foreign body. A quarter of the patients had complications and stable esophagoscopy was used to extract the foreign body in 96.67% of cases (AU)
Subject(s)
Middle Aged , Adult , Male , Female , Humans , Esophagus , Foreign Bodies/epidemiology , Incidence , Sex Distribution , Prospective Studies , Cuba/epidemiologyABSTRACT
A prospective descriptive observational study was made to determine the incidence of esophageal foreign bodies in adults who had been admitted to the Manual Ascunce Domenech teaching hospital of Camaguey, Cuba in the period from 1 September 1997 to 31 August 1998. The highest frequency of patients with this diagnosis was in 31 to 50 year-old men. Dysphagia and salivary retention in the pyriform sinuses were the prevalent symptoms. The state of the oral cavity was poor in 82.50% of patients. The foreign body was removed in the first 24 hours in 83.33% of patients. The radiological diagnosis was positive in 75% of patients. The upper third was the most common location in radiological and endoscopic studies. Fish bones were the prevalent foreign body. A quarter of the patients had complications and stable esophagoscopy was used to extract the foreign body in 96.67% of cases.
