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Ulus Travma Acil Cerrahi Derg. 2019 Mar;25(2):159-166. doi: 10.5505/tjtes.2018.67240.

Management of foreign body ingestion and food impaction in adults: A cross-sectional study.

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1
Department of General Surgery, Gaziosmanpaşa University Faculty of Medicine, Tokat-Turkey.

Abstract

BACKGROUND:

The management of food impaction and foreign body ingestion in the upper gastrointestinal tract requires careful evaluation and timely intervention. This study was a retrospective evaluation of the management of adult patients with such a history.

METHODS:

This study included adult patients admitted to a tertiary medical center with foreign body ingestion or food impaction between January 2012 and January 2018. The demographic and clinical data were recorded pro forma for statistical analysis.

RESULTS:

Of the 122 patients included in this study, 53.2% were male, and the mean age was 46.68+-18.64 years. In 84 of the patients (68.8%), the ingested object was food. Thirty patients were managed solely through laryngoscopy, while 61 patients (50%) underwent a flexible endoscopy. The patients with a foreign body ingestion were older than those with a food impaction (mean age: 51.3+-17.4 vs. 36.5+-17.4 years; p<0.001) and a plain radiograph showed the ingested material more often in those patients (36.8% vs 10.7%; p<0.001). Two patients underwent surgery due to perforations caused by the impacted material. No mortality was observed.

CONCLUSION:

The management of a foreign body ingestion or food impaction in an emergency setting requires a stepwise, algorithmic approach.

PMID:
30892677
DOI:
10.5505/tjtes.2018.67240
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