Tu1086 ENDOSCOPIC MANAGEMENT OF FOREIGN BODIES IN THE UPPER-GASTROINTESTINAL TRACT: EXPERIENCE WITH 1182 ADULT PATIENTS IN CHINA WITH FOUCS ON ELDERLY PEOPLE WITH VARIOUS DIAGNOSES AND COMPLICATIONS

Abstract

Foreign body ingestion is a problem frequently encountered in both children and adults. Many papers in the literature report the experience and outcome of a large number of adult cases of foreign body ingestion at a tertiary care hospital in China. The aim is to report and update the management and the outcomes in adult patients admitted for suspected ingestion of foreign bodies, and to identify the risk factors of foreign body presence and related complications. Our five-year study included 1311 patients between June 2014 and April 2019. Demographic and endoscopic data, including age, sex, types, number and location of foreign bodies, accessory devices, complications rate, and endoscopic methods were collected and analyzed. 1.Patients with foreign bodies (n=1182) are significantly older than those without foreign bodies (n=129) with p<0.0005. 2.The types of foreign bodies varied greatly and included date stones (35.86%), fish bones (21.49%), other bones (10.25%) and dental prostheses (6.45%). 3.239 patients (239/1182, 20.22%) had complications, including hemorrhage (n=162, 162/239, 67.78%).Patients with complications were significantly older than those without with p<0.05. Most patients with perforations or hemorrhages had the foreign body inside them for in excess of 24 hours. Our conclusion is that age and gender are risk factors for the presence of foreign bodies. Additionally, the elderly are at an increased risk of experiencing complications such as hemorrhages. Foreign bodies should be removed in no more than 24 hours to ensure the best possible outcome, particularly in elderly patients.