Analysis of gastroscopic diagnosis and treatment in 37 cases of incarcerated foreign bodies at duodenum

Abstract

Objective To evaluate the therapeutic approach, feasibility, efficacy and safety of endoscopic diagnosis and therapy in different incarcerated foreign bodies at duodenum. Methods From January 2005 to December 2013, 37 patients with incarcerated foreign bodies at duodenum and with complete clinical data were enrolled. The successful rate of foreign bodies removed by gastroscope, the location, type and length of the foreign bodies, and the complications of the 37 patients were retrospectively analyzed. Results Among 37 patients with incarcerated foreign bodies at duodenum, the foreign bodies of 35 cases were successfully removed by gastroscope and the other two were transferred to surgery department for operation, and the successful rate of gastroscopic treatment was 94.6%. Eight cases with incarcerated foreign bodies were at duodenal bulb, 16 cases at descendent duodenum, eight cases at horizontal portion of the duodenum and five cases at ascending portion of the duodenum. Nine cases were penetrating foreign bodies. The types of foreign bodies included toothpicks (one case), ball–point pens (three cases), plastics spoons (two cases), earpick (one case), toothbrushes (seven cases), food blocks (six cases), chicken bones (two cases), pegwoods (about 40 pieces, one case), dentures with hook (three cases), iron wires (three cases), glass plate (one case), iron nails (five cases) and razor blades (two cases). There were no complications such as bleeding and perforation during and after endoscopic diagnosis and therapy. Conclusions The incarcerated foreign bodies at duodenum could be diagnosed and treated by endoscope with the andvantage of easy handling, little injury, less complication, exact curative effect and less need for surgery. It is an effective approach to the diagnosis and treatment of incarcerated foreign bodies at duodenum. Key words: Duodenum; Foreign bodies; Endoscopes; Therapy