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:: Volume 19, Issue 3 (10-2017) ::
J Gorgan Univ Med Sci 2017, 19(3): 86-91 Back to browse issues page
Prevalence of esophageal foreign bodies and its complications in Gorgan, northern Iran (2004-14)
A Sharafi1 , MH Taziki * 2, S Razaei3
1- General Physician, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
2- Associate Professor, Department of Surgery, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran , hoseinta@yahoo.com
3- Assistant Professor, Department of Surgery, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
Abstract:   (12515 Views)
Background and Objective: Foreign body ingestion is one of the most common problems in otolarygyology in the world. Many kind of foreign body is lodged in esophagus and cause symptoms and complication. Information about patient age and type of foreign bodies and symptoms can help in management and treatment of patients. This study was done to determine the Prevalence of esophageal foreign body and its complications in Gorgan, northern Iran.
Methods: This descriptive retrospective study was done on 145 patients (61 males and 84 females) with foreign body ingestion whom admitted in 5thAzar hospital in Gorgan, northern Iran during 2004-14. Age and type of foreign body and symptoms was recorded for each patient. X-Ray in 41.4% of patients detected foreign body and esophagoscopy in others were used for definitive diagnosis.
Results: Most common chief complaint was dysphagia (42.8%). The most common foreign body was chikenbone (25.5%). Under 15 year’s old patients, coine was the most common. Most common site of lodged was 1/3 upper esophagus (62.63%). In all causes rigid esophaguscopy was used for removal of foreign body. In 56 causes foreign body in esophagus had not any complication.Complications due to foreign bodies were erision (24.82%), ulcer (21.37%), rapture of mucosal layer (6.2%), recurrent refer (4.82%), perforation of esophagus (5 cases, 3.44%) and obsess esophagus(0.68%). Mortality was seen in one patient due to fish bone ingestion.
Conclusion: Dysphagia was the most common chief complaint and coine was the most common foreign body in children. Also, erision and ulcer were the most common complications and upper one third of upper esophagus was the most common site of lodged foreign bodies.
Keywords: Esophagus, Foreign body, Dysphagia, Erision, Ulcer
Full-Text [PDF 225 kb] [English Abstract]   (14187 Downloads) |   |   Abstract (HTML)  (1003 Views)  
Type of Study: Original Articles | Subject: Surgery
References
1. Guirgis M, Nguyen R, Pokorny C. Accidental ingestion of plastic from takeaway containers--food for thought. Med J Aust. 2011 Mar; 194(5): 245-46.
2. Okhakhu AL, Ogisi FO. An unusual foreign body in human oesophagus – case report. Benin Journsl of Postgraduate Medicine. 2007 Dec; 9(1): 41-43.
3. Baraka A, Bikhazi G. Oesophageal foreign bodies. Br Med J. 1975 Mar; 1(5957): 561-63.
4. Akenroye MI, Osukoya AT. Uncommon, undeclared oesophageal foreign bodies. Niger J Clin Pract. 2012 Apr-Jun; 15(2): 244-46. doi:10.4103/1119-3077.97339
5. Vyas K, Sawant P, Rathi P, Das HS, Borse N. Foreign bodies in gut. J Assoc Physicians India. 2000 Apr; 48(4): 394-96.
6. Shivakumar AM, Naik AS, Parashonth KB, Hongal GF, Chaturvedy G. Foreign bodies in upper digestive tract. Indian J Otolaryngol Head Neck Surg. 2006 Jan; 58(1): 63–68. doi:10.1007/BF02907744
7. Pak MW, Lee WC,Fung HK, van Hassect CA. A prospective study of foreign- body ingestion in 311 children. Int J Pediatr Otorhinolaryngol. 2001 Apr; 58(1): 37-45. https://doi.org/10.1016/S0165-5876(00)00464-X
8. Cheng W, Tam PK. Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg. 1999 Oct; 34(10): 1472-76.
9. Pirzadeh A, Mahdavi A, Charkhtab J. [A survey on the esophagus foreign bodies among patients in Fatemy hospital, Ardabil, 1998-2001]. J Ardabil Univ Med Sci. 2003; 3(1): 13-17. [Article in Persian]
10. Dahshan A. Management of ingested foreign bodies in children. J Okla State Med Assoc. 2001 Jun; 94(6): 183-86.
11. Farahmand F, Fallahi GhH, Yourdkhani F. Frequency, clinical findings and outcome of foreign bodies in the upper gastrointestinal tract. Iran J Pediatr. 2007 Mar; 17(1): 107-12.
12. Emara MH, Darwiesh EM, Refaey MM, Galal SM. Endoscopic removal of foreign bodies from the upper gastrointestinal tract: 5-year experience. Clin Exp Gastroenterol. 2014 Jul; 7: 249-53. doi:10.2147/CEG.S63274
13. Chen HH, Ruan LX, Zhou SH, Wang SQ. The utility of repeated computed tomography to track a foreign body penetrating the esophagus to the level of the thyroid gland. Oral Radiol. 2014; 30: 196-202. doi:10.1007/s11282-013-0156-y
14. Varadharajan K, Magill J, Patel K. An ingested foreign body: two sides of the same coin? BMJ Case Reports. 2014. doi:10.1136/bcr-2014-204431
15. Ruhl DS, Cable BB, Rieth KK. Emergent treatment of button batteries in the esophagus: evolution of management and need for close second-look esophagoscopy. Ann Otol Rhinol Laryngol. 2014 Mar; 123(3): 206-13. doi:10.1177/0003489414522969
16. Lee HJ, Kim HS, Jeon J, Park SH, Lim SU, Jun CH, et al. Endoscopic foreign body removal in the upper gastrointestinal tract: risk factors predicting conversion to surgery. Surg Endosc. 2016 Jan; 30(1): 106-13. doi:10.1007/s00464-015-4167-0
17. Peters NJ, Mahajan JK, Bawa M, Chabbra A, Garg R, Rao KL. Esophageal perforations due to foreign body impaction in children. J Pediatr Surg. 2015 Aug; 50(8): 1260-63. doi:10.1016/j.jpedsurg.2015.01.015
18. Muñoz F MP, Maluje J R, Saitua D F. [Gastrointestinal foreign body in children]. Rev Chil Pediatr. 2014 Dec; 85(6): 682-89. doi:10.4067/S0370-41062014000600005 [Article in Spanish]
19. Bao WK. Study of foreign-body extraction from the upper third of the esophagus in children. Iran J Pediatr. 2014 Apr; 24(2): 214-18.
20. Gilchrist BF, Valerie EP, Nguyen M, Coren C, Klotz D, Ramenofsky ML. Pearls and perils in the management of prolonged, peculiar, penetrating esophageal foreign bodies in children. J Pediatr Surg. 1997 Oct; 32(10): 1429-31. doi:10.1016/S0022-3468(97)90554-6
21. Kruk-Zagajewska A, Szmeja Z, Wójtowicz J, Wierzbicka M, Piatkowski K. [Foreign bodies in the esophagus]. Otolaryngol Pol. 1999; 53(3): 283-88. [Article in Polish]
22. Lemberg PS, Darrow DH, Holinger LD. Aerodigestive tract foreign bodies in the older child and adolescent. Ann Otol Rhinol Laryngol. 1996 Apr; 105(4): 267-71.
23. Brady PG. Esophageal foreign bodies. Gastroenterol Clin North Am. 1991 Dec; 20(4): 691-701.
24. Juarbe C, Mayol PM. Foreign bodies of the esophagus the San Pablo Hospital experience. Bol Asoc Med P R. 1990 Nov; 82(11): 483-86.
25. Karimaneh A, Najafi M. [Esophageal foreign bodies]. Pajhohesh dar Pezeshki. 2004; 28(1): 49-52. [Article in Persian]
26. Conners GP, Chamberlain JM, Ochsenschlager DW. Symptoms and spontaneous passage of esophageal coins. Arch Pediatr Adolesc Med. 1995 Jan; 149(1): 36-39.
27. Derowe A, Ophir D. Negative findings of esophagoscopy for suspected foreign bodies. Am J Otolaryngol. 1994; 15(1): 41-45. https://doi.org/10.1016/ 0196-0709(94)90039-6
28. Kelley JE, Leech MH, Carr MG. A safe and cost-effective protocol for the management of esophageal coins in children. J Pediatr Surg. 1993 Jul; 28(7): 898-900.
29. Güitrón A, Adalid R, Huerta F, Macías M, Sánchez-Navarrete M, Nares J. [Extraction of foreign bodies in the esophagus. Experience in 215 cases]. Rev Gastroenterol Mex. 1996 Jan-Mar; 61(1): 19-26. [Article in Spanish]
30. Yang CY. The management of ingested foreign bodies in the upper digestive tract: a retrospective study of 49 cases. Singapore Med J. 1991 Oct; 32(5): 312-15.
31. Nandi P, Ong GB. Foreign body in the oesophagus: review of 2394 cases. Br J Surg. 1978 Jan; 65(1): 5-9.
32. Herranz-Gonzalez J, Martinez-Vidal J, Garcia-Sarandeses A, Vazquez-Barro C. Esophageal foreign bodies in adults. Otolaryngol Head Neck Surg. 1991 Nov; 105(5): 649-54. doi:10.1177/019459989110500503
33. Braverman I, Gomori JM, Polv O, Saah D. The role of CT imaging in the evaluation of cervical esophageal foreign bodies. J Otolaryngol. 1993 Aug; 22(4): 311-14.
34. Macpherson RI, Hill JG, Othersen HB, Tagge EP, Smith CD. Esophageal foreign bodies in children: diagnosis, treatment, and complications. AJR Am J Roentgenol. 1996 Apr; 166(4): 919-24. doi:10.2214/ajr.166.4.8610574
35. Harned RK 2nd, Strain JD, Hay TC, Douglas MR. Esophageal foreign bodies: safety and efficacy of Foley catheter extraction of coins. AJR Am J Roentgenol. 1997 Feb; 168(2): 443-46. doi:10.2214/ajr.168.2.9016224
36. Lim CT, Quah RF, Loh LE. A prospective study of ingested foreign bodies in Singapore. Arch Otolaryngol Head Neck Surg. 1994 Jan; 120(1): 96-101.
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Sharafi A, Taziki M, Razaei S. Prevalence of esophageal foreign bodies and its complications in Gorgan, northern Iran (2004-14). J Gorgan Univ Med Sci 2017; 19 (3) :86-91
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Volume 19, Issue 3 (10-2017) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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