Endoscopic management of foreign bodies in the upper gastrointestinal tract

Authors

  • Pramod Mirji Department of General Surgery, S. N. Medical College Bagalkot, Karnataka, India
  • Vikas Daddenavar Department of General Surgery, S. N. Medical College Bagalkot, Karnataka, India
  • Eshwar Kalburgi Department of General Surgery, S. N. Medical College Bagalkot, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20174105

Keywords:

Endoscopy, Foreign body, Upper gastrointestinal tract

Abstract

Background: Foreign body ingestion and food bolus impaction is a common clinical scenario and can present as an endoscopic emergency. Though majority of them pass spontaneously 10-20% require endoscopic intervention. Flexible endoscopy is recommended as therapeutic measure with minimal complications. The aim of our study is to present 2 years’ experience in dealing with foreign bodies in the upper gastrointestinal tract.

Methods: Cases of foreign body (FB) ingestion admitted to department of general surgery from January 2015 to December 2016 were evaluated. The patients were reviewed with details on age, sex, type of FB, its location in gastrointestinal tract, treatment and outcome.

Results: A total of 23 cases were studied. Age range was 2-75 years. Males were predominant (60.87%). Coins were found most commonly (52.17%). Esophagus was the commonest site of FB lodgment (65.22%). Upper esophagus being the most common (39.13%). Upper gastrointestinal flexible endoscopy was useful in retrieving FB in all the 23 cases. There were no complications throughout the study period.

Conclusions: Flexible endoscopy should be used as definitive treatment and endoscopic treatment is safe and effective. 

Author Biography

Pramod Mirji, Department of General Surgery, S. N. Medical College Bagalkot, Karnataka, India

Dept of Surgery

Associate Professor

References

Sugawa C, Ono H, Taleb M, Lucas CE. Endoscopic management of foreign bodies in the upper gastrointestinal tract- a review. World J Gastro Endo. 2014;6(10):475-81.

Pauf P. Ingested foreign objects and food bolus impaction in clinical gastrointestinal endoscopy, GG Ginsberg ML, Kochman I Norton. Saunders, Elsevier; 2005:291-304.

Yao CC, Wu IT, Lu LS, Lin SC. Endoscopic management of foreign bodies in the upper gastrointestinal tract of adults. Biomed Res Int. 2015:658602.

Pedro MC, Carvalho L, Jose PR, Maria AT. Endoscopic management of foreign bodies in the upper gastrointestinal tract: an evidence based review article. GE Port J Gastroenterol. 2016;23(3):142-52.

Bekkeraman M, Sachdev AH, Andrade J, Twersky Y. Endoscopic management of foreign bodies in the gastrointestinal tract: A review of the literature” Gastroenterology Res Pract. 2016:Article ID8520767.

Shew M, Jiang ZD, Bruegger, Arganbright J. Migrated esophageal foreign body presents as acute onset dysphagia years later: a case report. Int J Pediatr Otorhinolaryngol. 2001;79(12):2460-2.

Ginsberg. Management of ingested foreign bodies and food bolus impactions. Gastroint Endosc. 1995;41:33-8.

Steven O, Ikenberry, Terry L, Jue. Management of ingested foreign bodies and food impaction. Gastro Endo. 2011;73(6).

Birk M. Bauerfeind P, Deprez PH, Hafner M, Hartmann D. Removal of foreign bodies in the upper gastrointestinal tract in adults. Eu Soci Gastro Endo Clin Guide Endo. 2016:48:489-96.

Soprano JV, Mandl. Four strategies for the management of esophageal coins in children. Pediatr. 2000;105(1):106-7.

Hunter TB, Taljanovic MS. Foreign bodies. Radiograph. 2003;23(3):731-57.

Webb WA. Management of foreign bodies of the upper gastrointestinal tract-Update. Gastro Endo. 1995;41(1):39-51.

Ikenberry SO, Jue TL, Anderson MA. Management of ingested foreign bodies and food impactions. Gastro Endo. 2011;73(6):1085-91.

Emara MH, Darweish EM, Refaey MM, Galal SM. Endoscopic removal of foreign bodies from the upper gastrointestinal tract: 5 year experience. Clin Exp Gastroenterol. 2014;7:249-53.

Hong KH, Kim YJ, Kim JH, Chun SW. Risk factors for complications associated with upper gastrointestinal foreign bodies. World J Gastroenterol. 2015;21:8125-31.

Downloads

Published

2017-09-27

Issue

Section

Original Research Articles