Predictive factors for complications associated with penetrated fish bones outside the upper gastrointestinal tract
| Autor: | Yun Liu, Liyan Peng, Hanqi Chu, Liangqiang Zhou, Jin Chen, Qingguo Chen, Ting Tong, Yanling Tao |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis Bone and Bones Upper Gastrointestinal Tract Foreign-Body Migration Risk Factors Internal medicine Diabetes mellitus Animals Humans Medicine Aged Retrospective Studies Fish bone Univariate analysis Chi-Square Distribution business.industry General Medicine Middle Aged medicine.disease Dysphagia Logistic Models Seafood Otorhinolaryngology Multivariate Analysis Female Neurosurgery medicine.symptom business Complication Follow-Up Studies |
| Zdroj: | European Archives of Oto-Rhino-Laryngology. 276:185-191 |
| ISSN: | 1434-4726 0937-4477 |
| Popis: | To investigate predictive risk factors for complications associated with migrating fish bones in the surrounding tissue of upper gastrointestinal tract. A retrospective analysis over 12 years was conducted of 45 cases of buried fish bones in the surrounding tissue of upper gastrointestinal tract with complications. Meanwhile, a control group, including 39 cases of prolonged buried fish bones in the surrounding tissue of upper gastrointestinal tract without complications, was set. Patient clinical data were collected and analyzed to predict the risk factors for complications. The results of Chi-square test and univariate analysis both showed a significant difference in length of fish bone (> 2 cm), a history of concurrent medical illness (diabetes mellitus and renal hypofunction), symptoms (medium or heavy pain and dysphagia), and duration of significant symptoms (> 7 days) between the complication group and non-complication group. Multivariate analysis further identified length (> 2 cm), diabetes mellitus, medium or heavy pain, dysphagia, and duration of significant symptoms (> 7 days) as independent risk factors for complications. The consequences of fish bones migrating outside the upper gastrointestinal tract are various in different people. Awareness should be raised when encountering a patient ingesting a long fish bone, having a history of diabetes mellitus, presenting with significant discomforts, or these discomforts lasting for a long time. This study will help practitioners counsel their patients on the risks and `benefits of surgery versus observation of this condition. |
| Databáze: | OpenAIRE |
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