Individualized endoscopic management strategy for impacting jujube pits in the upper gastrointestinal tract: a 3-year single-center experience in northern China
| Autor: | Xiao-Hua Chang, Ming-Na Liu, Ying Hu, Jun Xu, Ji-Tao Song, Ji-Feng Wen, Shan-Shan Liu, Jing Chen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty China Endoscope Forceps lcsh:Surgery 03 medical and health sciences 0302 clinical medicine Duodenal bulb medicine Humans Esophagus Retrospective Studies Upper gastrointestinal tract medicine.diagnostic_test business.industry Impaction Ziziphus Endoscopy General Medicine lcsh:RD1-811 Middle Aged medicine.disease Foreign Bodies Surgery Jujube pit Foreign body medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female business Penetrating trauma Research Article |
| Zdroj: | BMC Surgery, Vol 21, Iss 1, Pp 1-7 (2021) BMC Surgery |
| ISSN: | 1471-2482 |
| Popis: | Background Impaction of jujube pits in the upper gastrointestinal (GI) tract is a special clinical condition in the northern Chinese population. Endoscopic removal is the preferred therapy, but there is no consensus on the management strategies. We reported our individualized endoscopic strategies on the jujube pits impacted in the upper GI tract. Methods In this retrospective study, we included 191 patients (male: 57; female: 134) who presented to our hospital with ingestion of jujube pits between January 2015 and December 2017. Demographic information, times of hospital visiting, locations of jujube pits, endoscopic procedures, post-extraction endoscopic characteristics were analyzed. Management strategies including sufficient suction, repeated irrigation, jejunal nutrition and gastrointestinal decompression were given based on post-extraction endoscopic characteristics and impacted locations. Results Peak incidence was in the second quarter of each year (85/191 cases, 44.5%). Among the 191 cases, 169 (88.5%) showed pits impaction in the esophagus, 20 (10.5%) in the prepyloric region and 2 (1.0%) in the duodenal bulb. A total of 185 patients (96.9%) had pits removed with alligator jaw forceps, and 6 (3.1%) underwent suction removal with transparent caps placed over the end of the endoscope to prevent injury on removal of these pits with two sharp painted edges. Post-extraction endoscopic manifestations included mucosal erosion (26.7%), mucosa laceration (24.6%), ulceration with a white coating (18.9%) and penetrating trauma with pus cavity formation (29.8%). All patients received individualized endoscopic and subsequent management strategies and showed good outcomes. Conclusions Individualized endoscopic management for impacted jujube pits in the upper GI tract based on post-extraction endoscopic characteristics and impacted locations was safe, effective, and minimally invasive. |
| Databáze: | OpenAIRE |
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