Factors Associated with Development of Complications After Endoscopic Foreign Body Removal

Title
Factors Associated with Development of Complications After Endoscopic Foreign Body Removal
Author(s)
김경옥박유경[박유경]양재홍[양재홍]이시형장병익
Keywords
UPPER GASTROINTESTINAL-TRACT; MANAGEMENT; BODIES; CHILDREN; EXTRACTION; INGESTION; ESOPHAGUS
Issue Date
201309
Publisher
MEDKNOW PUBLICATIONS & MEDIA PVT LTD
Citation
SAUDI JOURNAL OF GASTROENTEROLOGY, v.19, no.5, pp.230 - 234
Abstract
Background/Aims: We analyzed the clinical characteristics of patients who underwent endoscopic foreign body removal and the risk factors of complications. Patients and Methods: The medical records of 415 patients treated from January 2000 to August 2011 for suspected foreign bodies were retrospectively reviewed. Patient characteristics, endoscopic findings, clinical outcomes, and risk factors of complications were analyzed. Results: Foreign bodies were detected endoscopically in 315 patients. Fish bone fragment (36.9%) and coins (15.3%) were the most common type of foreign bodies in adults and children, respectively. Complications associated with endoscopic procedure occurred in 26 patients (8.3%); 20 of the patients were treated conservatively and the other six patients underwent surgical treatment. Perforation (14%) was the most common complication. By univariate and multivariate analysis, the risk factors associated with complication after endoscopic foreign body removal were long duration from ingestion to endoscopy ( P = 0.009) and existence of initial mucosal injury ( P = 0.018). Conclusions: Most foreign bodies were successfully removed by endoscopy without complication, but long duration from ingestion to endoscopy and mucosal injury were risk factors of complications of endoscopic foreign body removal. Patients with these risk factors could require more careful treatment.
URI
http://hdl.handle.net/YU.REPOSITORY/29016http://dx.doi.org/10.4103/1319-3767.118136
ISSN
1319-3767
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의과대학 > 내과학교실 > Articles
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