Open Access

Endoscopic management of foreign bodies in the upper gastrointestinal tract: An analysis of 846 cases in China

  • Authors:
    • Fangfang Yuan
    • Xiaowei Tang
    • Wei Gong
    • Lei Su
    • Yali Zhang
  • View Affiliations

  • Published online on: November 24, 2017     https://doi.org/10.3892/etm.2017.5561
  • Pages: 1257-1262
  • Copyright: © Yuan et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Foreign body ingestion is a relatively common occurrence, which may lead to morbidity and mortality. The aim of the present study was to report the experience of management of upper gastrointestinal foreign bodies by endoscopy in a large center. All patients who presented at the Department of Gastroenterology at Nanfang Hospital (Guangzhou, China) with complaints regarding upper gastrointestinal (GI) foreign body ingestion from December 1987 to December 2013. Hospital medical charts and endoscopic records were examined to evaluate etiology, treatment, and outcomes for these patients. A total of 846 patients were enrolled in the present study, from which foreign bodies were detected in 737 (87.1%) patients via X‑ray or endoscopy. The objects most frequently ingested were bones (n=395, 53.6%). The detected foreign bodies were predominantly located in the cervical esophagus (n=325, 44.1%). Endoscopic foreign body extraction was successful in 92.5% of cases, whereas surgery was required in 6 patients. The most frequently used endoscopic accessory devices were retrieval forceps (n=480, 65.1%). The complication rate was 6.9%, including mucosal laceration (n=10) and others, all of which were managed conservatively. Associated GI diseases were reported in 74 (10.0%) patients, including postesophagectomy (n=34) and others. In conclusion, the endoscopic procedure was safe and effective for the removal of foreign bodies from the upper gastrointestinal tract, with a high success rate and low complication rate.

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February 2018
Volume 15 Issue 2

Print ISSN: 1792-0981
Online ISSN:1792-1015

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APA
Yuan, F., Tang, X., Gong, W., Su, L., & Zhang, Y. (2018). Endoscopic management of foreign bodies in the upper gastrointestinal tract: An analysis of 846 cases in China. Experimental and Therapeutic Medicine, 15, 1257-1262. https://doi.org/10.3892/etm.2017.5561
MLA
Yuan, F., Tang, X., Gong, W., Su, L., Zhang, Y."Endoscopic management of foreign bodies in the upper gastrointestinal tract: An analysis of 846 cases in China". Experimental and Therapeutic Medicine 15.2 (2018): 1257-1262.
Chicago
Yuan, F., Tang, X., Gong, W., Su, L., Zhang, Y."Endoscopic management of foreign bodies in the upper gastrointestinal tract: An analysis of 846 cases in China". Experimental and Therapeutic Medicine 15, no. 2 (2018): 1257-1262. https://doi.org/10.3892/etm.2017.5561