Abstract
BackgroundGuidelines support endoscopic removal of certain gastric FB and all FB lodged in the esophagus. We aim to report our experience on endoscopic foreign bodies (FB) removal in order to aid in the formation of future guidelines regarding this subject.MethodsRetrospective analysis of one hundred forty-four cases of FB removal involving 43 patients who underwent esophagogastroduodenoscopy (EGD) for FB removal from January 2005 through December 2010 in a university-based hospital. To evaluate to outcome of endoscopic FB removal, cost of procedures and complications.ResultsOf all FB removal cases, 23 (53%) were males, with total mean age of 26.4 ± 11.3 years. Only 20% were performed on an outpatient bases. Abdominal x-ray was obtained to confirm ingestion of FB in 83%, and computed tomography scan was performed in 13%. Most procedures were performed in operation room (59%) while only 21% of the cases were performed in endoscopy lab. General anesthesia was used in 58%, while monitored anesthesia care in 28%. Average time to EGD was 17.14 hours. No major complications due to procedure were reported. Minor trauma and erosions due to FB were reported in 14%. FB extraction was unsuccessful in only three cases, and one case required surgical intervention. Cost of all procedures was over 430, 000 dollars with mean of 2,990 dollars for procedure.ConclusionEndoscopic retrieval is effective and safe procedure, but utilizes significant hospital resources.
Highlights
Foreign body ingestion (FBI) is a common problem in the United States with an incidence of 120 per 1 million population, and accounting for 1500 annual fatalities [1]
Emergent endoscopic removal is recommended for disc batteries and shaped objects lodged in the esophagus [14]
The purpose of our study is to report our experience in a tertiary medical center on endoscopic foreign body removal in order to aid in the formation of future guidelines regarding this subject
Summary
Foreign body ingestion (FBI) is a common problem in the United States with an incidence of 120 per 1 million population, and accounting for 1500 annual fatalities [1]. Management is influenced by several factors including the patient’s age and clinical condition, the type of foreign body as well as the anatomic location in which the object is lodged and the technical abilities of the endoscopist [11, 12]. Emergent endoscopic removal is recommended for disc batteries and shaped objects lodged in the esophagus [14]. Guidelines support endoscopic removal of certain gastric FB and all FB lodged in the esophagus. We aim to report our experience on endoscopic foreign bodies (FB) removal in order to aid in the formation of future guidelines regarding this subject
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