Endoscopic management of intentional foreign body ingestion: experience from a UK centre.

Autor:	Yadollahi S; Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK., Buchannan R; Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.; Faculty of Medicine, University of Southampton, Southampton, UK., Tehami N; Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK., Stacey B; Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK., Rahman I; Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK., Boger P; Gastroenterology, Southampton General Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, UK., Wright M; Hepatology, University Hospital Southampton, Southampton, Hampshire, UK.
Jazyk:	angličtina
Zdroj:	Frontline gastroenterology [Frontline Gastroenterol] 2021 Apr 08; Vol. 13 (2), pp. 98-103. Date of Electronic Publication: 2021 Apr 08 (Print Publication: 2022).
DOI:	10.1136/flgastro-2021-101776
Abstrakt:	Objective: We report on the increasing incidence and outcomes from intentional foreign body ingestion (iFoBI) presenting to our hospital over a 5-year period. The aim was to assess the impact on services and to identify ways to safely mitigate against this clinical challenge. Design/method: We performed a retrospective observational study of all patients presenting to a university hospital between January 2015 and April 2020 with iFoBI with a focus on objects swallowed, timing of endoscopy and clinical outcomes. Results: 239 episodes of iFoBI in 51 individuals were recorded with a significant increase in incidence throughout the study period (Welch (5, 17.3)=15.1, p<0.001), imposing a high burden on staff and resources. Items lodged in the oesophagus were more likely to lead to mucosal injury (p=0.009) compared with elsewhere. Ingested item type and timing of endoscopy were not related to complications (p=0.78) or length of stay (p=0.8). In 12% of cases, no objects were seen at endoscopy. Conclusion: In all except those patients with oesophageal impaction of the object on radiograph, there is no need to perform endoscopic extraction out of hours. A subset of cases can avoid endoscopy with an X-ray immediately prior to the procedure as a significant proportion have passed already. We discuss more holistic approaches to deal with recurrent attendances. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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