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Foreign bodies in gut.

K Vyas1, P Sawant, P Rathi

  • 1Department of Gastroenterology, LT Municipal Medical College and LT Municipal General Hospital, Sion, Mumbai.

The Journal of the Association of Physicians of India
|March 29, 2001
PubMed
Summary
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Foreign body ingestion is common in children and adults. Endoscopic removal is a safe and effective treatment for most ingested foreign bodies, with surgery rarely needed.

Area of Science:

  • Gastroenterology
  • Pediatric Gastroenterology
  • Emergency Medicine

Background:

  • Foreign body ingestion presents a significant challenge for patients and families.
  • This study reviews the experience with 102 cases of foreign body ingestion.

Purpose of the Study:

  • To analyze the characteristics and management outcomes of foreign body ingestion in a mixed pediatric and adult population.
  • To evaluate the efficacy and safety of endoscopic foreign body removal.

Main Methods:

  • Radiological localization of foreign bodies was performed.
  • Endoscopic removal was utilized for specific cases, with general anesthesia and overtube use documented.
  • Surgical intervention was reserved for complex cases.

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Main Results:

  • Children under 12 constituted 76% of patients.
  • Coins were the most frequent foreign bodies in children, while dentures were common in adults.
  • Spontaneous passage occurred in 43.1% of patients; endoscopic removal was successful in 43.6% of children and 54.2% of adults.
  • Surgery was required in only 3.8% of children and 33.3% of adults.

Conclusions:

  • No mortality was observed in this series.
  • Most foreign bodies do not necessitate intervention.
  • Endoscopic removal is the preferred, safe, and effective method for managing ingested foreign bodies.