Risk factors for complications associated with upper gastrointestinal foreign bodies
Identifieur interne : 000249 ( Pmc/Corpus ); précédent : 000248; suivant : 000250Risk factors for complications associated with upper gastrointestinal foreign bodies
Auteurs : Kyong Hee Hong ; Yoon Jae Kim ; Jae Hak Kim ; Song Wook Chun ; Hee Man Kim ; Jae Hee ChoSource :
- World Journal of Gastroenterology : WJG [ 1007-9327 ] ; 2015.
Abstract
AIM: To investigate predictive risk factors associated with complications in the endoscopic removal of foreign bodies from the upper gastrointestinal tract.
METHODS: We retrospectively reviewed the medical records of 194 patients with a diagnosis of foreign body impaction in the upper gastrointestinal tract, confirmed by endoscopy, at two university hospital in South Korea. Patient demographic data, including age, gender, intention to ingestion, symptoms at admission, and comorbidities, were collected. Clinical features of the foreign bodies, such as type, size, sharpness of edges, number, and location, were analyzed. Endoscopic data those were analyzed included duration of foreign body impaction, duration of endoscopic performance, endoscopic device, days of hospitalization, complication rate, 30-d mortality rate, and the number of operations related to foreign body removal.
RESULTS: The types of upper gastrointestinal foreign bodies included fish bones, drugs, shells, meat, metal, and animal bones. The locations of impacted foreign bodies were the upper esophagus (57.2%), mid esophagus (28.4%), stomach (10.8%), and lower esophagus (3.6%). The median size of the foreign bodies was 26.2 ± 16.7 mm. Among 194 patients, endoscopic removal was achieved in 189, and complications developed in 51 patients (26.9%). Significant complications associated with foreign body impaction and removal included deep lacerations with minor bleeding (
CONCLUSION: In cases of longer than 12 h since foreign body ingestion or sharp-pointed objects, rapid endoscopic intervention should be provided in patients with ingested foreign bodies.
Url:
DOI: 10.3748/wjg.v21.i26.8125
PubMed: 26185385
PubMed Central: 4499356
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Risk factors for complications associated with upper gastrointestinal foreign bodies</title><author><name sortKey="Hong, Kyong Hee" sort="Hong, Kyong Hee" uniqKey="Hong K" first="Kyong Hee" last="Hong">Kyong Hee Hong</name></author><author><name sortKey="Kim, Yoon Jae" sort="Kim, Yoon Jae" uniqKey="Kim Y" first="Yoon Jae" last="Kim">Yoon Jae Kim</name></author><author><name sortKey="Kim, Jae Hak" sort="Kim, Jae Hak" uniqKey="Kim J" first="Jae Hak" last="Kim">Jae Hak Kim</name></author><author><name sortKey="Chun, Song Wook" sort="Chun, Song Wook" uniqKey="Chun S" first="Song Wook" last="Chun">Song Wook Chun</name></author><author><name sortKey="Kim, Hee Man" sort="Kim, Hee Man" uniqKey="Kim H" first="Hee Man" last="Kim">Hee Man Kim</name></author><author><name sortKey="Cho, Jae Hee" sort="Cho, Jae Hee" uniqKey="Cho J" first="Jae Hee" last="Cho">Jae Hee Cho</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26185385</idno><idno type="pmc">4499356</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4499356</idno><idno type="RBID">PMC:4499356</idno><idno type="doi">10.3748/wjg.v21.i26.8125</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000249</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000249</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Risk factors for complications associated with upper gastrointestinal foreign bodies</title><author><name sortKey="Hong, Kyong Hee" sort="Hong, Kyong Hee" uniqKey="Hong K" first="Kyong Hee" last="Hong">Kyong Hee Hong</name></author><author><name sortKey="Kim, Yoon Jae" sort="Kim, Yoon Jae" uniqKey="Kim Y" first="Yoon Jae" last="Kim">Yoon Jae Kim</name></author><author><name sortKey="Kim, Jae Hak" sort="Kim, Jae Hak" uniqKey="Kim J" first="Jae Hak" last="Kim">Jae Hak Kim</name></author><author><name sortKey="Chun, Song Wook" sort="Chun, Song Wook" uniqKey="Chun S" first="Song Wook" last="Chun">Song Wook Chun</name></author><author><name sortKey="Kim, Hee Man" sort="Kim, Hee Man" uniqKey="Kim H" first="Hee Man" last="Kim">Hee Man Kim</name></author><author><name sortKey="Cho, Jae Hee" sort="Cho, Jae Hee" uniqKey="Cho J" first="Jae Hee" last="Cho">Jae Hee Cho</name></author></analytic><series><title level="j">World Journal of Gastroenterology : WJG</title><idno type="ISSN">1007-9327</idno><idno type="eISSN">2219-2840</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>AIM: To investigate predictive risk factors associated with complications in the endoscopic removal of foreign bodies from the upper gastrointestinal tract.</p><p>METHODS: We retrospectively reviewed the medical records of 194 patients with a diagnosis of foreign body impaction in the upper gastrointestinal tract, confirmed by endoscopy, at two university hospital in South Korea. Patient demographic data, including age, gender, intention to ingestion, symptoms at admission, and comorbidities, were collected. Clinical features of the foreign bodies, such as type, size, sharpness of edges, number, and location, were analyzed. Endoscopic data those were analyzed included duration of foreign body impaction, duration of endoscopic performance, endoscopic device, days of hospitalization, complication rate, 30-d mortality rate, and the number of operations related to foreign body removal.</p><p>RESULTS: The types of upper gastrointestinal foreign bodies included fish bones, drugs, shells, meat, metal, and animal bones. The locations of impacted foreign bodies were the upper esophagus (57.2%), mid esophagus (28.4%), stomach (10.8%), and lower esophagus (3.6%). The median size of the foreign bodies was 26.2 ± 16.7 mm. Among 194 patients, endoscopic removal was achieved in 189, and complications developed in 51 patients (26.9%). Significant complications associated with foreign body impaction and removal included deep lacerations with minor bleeding (<italic>n</italic> = 31, 16%), ulcer (<italic>n</italic> = 11, 5.7%), perforation (<italic>n</italic> = 3, 1.5%), and abscess (<italic>n</italic> = 1, 0.5%). Four patients underwent operations because of incomplete endoscopic foreign body extraction. In multivariate analyses, risk factors for endoscopic complications and failure were sharpness (HR = 2.48, 95%CI: 1.07-5.72; <italic>P</italic> = 0.034) and a greater than 12-h duration of impaction (HR = 2.42, 95%CI: 1.12-5.25, <italic>P</italic> = 0.025).</p><p>CONCLUSION: In cases of longer than 12 h since foreign body ingestion or sharp-pointed objects, rapid endoscopic intervention should be provided in patients with ingested foreign bodies.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Gastroenterol</journal-id><journal-id journal-id-type="iso-abbrev">World J. Gastroenterol</journal-id><journal-id journal-id-type="publisher-id">WJG</journal-id><journal-title-group><journal-title>World Journal of Gastroenterology : WJG</journal-title></journal-title-group><issn pub-type="ppub">1007-9327</issn><issn pub-type="epub">2219-2840</issn><publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26185385</article-id><article-id pub-id-type="pmc">4499356</article-id><article-id pub-id-type="other">jWJG.v21.i26.pg8125</article-id><article-id pub-id-type="doi">10.3748/wjg.v21.i26.8125</article-id><article-categories><subj-group subj-group-type="heading"><subject>Retrospective Study</subject></subj-group></article-categories><title-group><article-title>Risk factors for complications associated with upper gastrointestinal foreign bodies</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hong</surname><given-names>Kyong Hee</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kim</surname><given-names>Yoon Jae</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kim</surname><given-names>Jae Hak</given-names></name></contrib><contrib contrib-type="author"><name><surname>Chun</surname><given-names>Song Wook</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kim</surname><given-names>Hee Man</given-names></name></contrib><contrib contrib-type="author"><name><surname>Cho</surname><given-names>Jae Hee</given-names></name></contrib><aff>Kyong Hee Hong, Jae Hak Kim, Division of Gastroenterology, Department of Internal Medicine, Dongguk University Ilsan Hospital, Graduate School, Goyang 410-773, South Korea</aff><aff>Yoon Jae Kim, Jae Hee Cho, Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon 405-760, South Korea</aff><aff>Song Wook Chun, Division of Gastroenterology, Department of Internal Medicine, Myongji Hospital, Goyang 412-270, South Korea</aff><aff>Hee Man Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju 220-701, South Korea</aff></contrib-group><author-notes><fn><p>Author contributions: Hong KH and Kim YJ equally contributed to this work, they performed the majority of the work including collecting, analyzing, and interpreting the data and writing the report; Chun SW was also participated in analyzing and interpreting the data; Kim JH, Kim HM and Cho JH designed and coordinated the study.</p><p>Correspondence to: Jae Hee Cho, MD, Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, 21 Namdong-daero 774 beon-gil, Namdong-gu, Incheon 405-760, South Korea. <email>jhcho9328@gmail.com</email></p><p>Telephone: +82-32-4602187 Fax: +82-32-4603408</p></fn></author-notes><pub-date pub-type="ppub"><day>14</day><month>7</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>14</day><month>7</month><year>2015</year></pub-date><volume>21</volume><issue>26</issue><fpage>8125</fpage><lpage>8131</lpage><history><date date-type="received"><day>10</day><month>12</month><year>2014</year></date><date date-type="rev-recd"><day>23</day><month>2</month><year>2015</year></date><date date-type="accepted"><day>28</day><month>4</month><year>2015</year></date></history><permissions><copyright-statement>©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.</copyright-statement><copyright-year>2015</copyright-year></permissions><abstract><p>AIM: To investigate predictive risk factors associated with complications in the endoscopic removal of foreign bodies from the upper gastrointestinal tract.</p><p>METHODS: We retrospectively reviewed the medical records of 194 patients with a diagnosis of foreign body impaction in the upper gastrointestinal tract, confirmed by endoscopy, at two university hospital in South Korea. Patient demographic data, including age, gender, intention to ingestion, symptoms at admission, and comorbidities, were collected. Clinical features of the foreign bodies, such as type, size, sharpness of edges, number, and location, were analyzed. Endoscopic data those were analyzed included duration of foreign body impaction, duration of endoscopic performance, endoscopic device, days of hospitalization, complication rate, 30-d mortality rate, and the number of operations related to foreign body removal.</p><p>RESULTS: The types of upper gastrointestinal foreign bodies included fish bones, drugs, shells, meat, metal, and animal bones. The locations of impacted foreign bodies were the upper esophagus (57.2%), mid esophagus (28.4%), stomach (10.8%), and lower esophagus (3.6%). The median size of the foreign bodies was 26.2 ± 16.7 mm. Among 194 patients, endoscopic removal was achieved in 189, and complications developed in 51 patients (26.9%). Significant complications associated with foreign body impaction and removal included deep lacerations with minor bleeding (<italic>n</italic> = 31, 16%), ulcer (<italic>n</italic> = 11, 5.7%), perforation (<italic>n</italic> = 3, 1.5%), and abscess (<italic>n</italic> = 1, 0.5%). Four patients underwent operations because of incomplete endoscopic foreign body extraction. In multivariate analyses, risk factors for endoscopic complications and failure were sharpness (HR = 2.48, 95%CI: 1.07-5.72; <italic>P</italic> = 0.034) and a greater than 12-h duration of impaction (HR = 2.42, 95%CI: 1.12-5.25, <italic>P</italic> = 0.025).</p><p>CONCLUSION: In cases of longer than 12 h since foreign body ingestion or sharp-pointed objects, rapid endoscopic intervention should be provided in patients with ingested foreign bodies.</p></abstract><kwd-group><kwd>Emergency department</kwd><kwd>Foreign body</kwd><kwd>Upper gastrointestinal tract</kwd><kwd>Endoscopy</kwd><kwd>Complication</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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