Emergency admissions due to swallowed foreign bodies in adults
| Autor: | Mehmet Ali Aslaner, Mehmet Mahir Özmen, Zaur İbrahimov, Mehmet Mahir Kunt, Bülent Erbil, Mehmet Ali Karaca, Erhan Akpinar |
|---|---|
| Přispěvatelé: | Acil Tıp |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Brief Article Young Adult Patient Admission Predictive Value of Tests Fiber Optic Technology Humans Medicine Ingestion Foreign Bodies Aged Retrospective Studies Aged 80 and over Gastroenterology & Hepatology medicine.diagnostic_test business.industry General surgery digestive oral and skin physiology Gastroenterology General Medicine Middle Aged Prognosis medicine.disease humanities Deglutition Endoscopy Surgery Radiography body regions Plain radiography Female Foreign body Emergency Service Hospital business |
| Popis: | AIM: To study a retrospective analysis of patients who presented to the emergency departments (ED) with complaints related to foreign body ingestions. METHODS: Patients older than 16 years of age who presented to the ED between January 1st and December 31st of 2010 with complaints related to swallowed foreign bodies were identified from electronic health records and patient charts. RESULTS: A total of 100 patients presented with a complaint of foreign body ingestion during the study period. Overall, an X-ray was performed on 75 patients, and a fiberoptic evaluation was performed on 45 patients. A foreign body was detected in 46 (46%) patients. The diagnostic yield of the X-ray was 27 (36%) out of 75 patients, while the diagnostic yield of the fiberoptic evaluations was 21 (47%) out of 45 patients. The detected foreign bodies were mostly located in the esophagus (17 out of 46 foreign bodies detected). When the types of ingested foreign bodies were evaluated, 52 (52%) patients reported ingesting food, and 19 (19%) patients reported swallowing pins. An X-ray was performed on 33 patients with accidental food ingestions but yielded a positive result in only two cases. In 12 out of 21 patients with accidental food ingestion who underwent fiberoptic evaluation, the foreign material was detected and removed. CONCLUSION: Plain radiography is helpful in the localization of radiopaque swollen foreign bodies, while fiberoptic methods are useful as both diagnostic and therapeutic tools, regardless of radiopacity. (C) 2013 Baishideng. All rights reserved. |
| Databáze: | OpenAIRE |
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