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Related Experiment Videos

Conservative management of ingested foreign bodies.

Steven T Weiland1, Michael J Schurr

  • 1Department of Surgery, University of Wisconsin Hospital, Madison, Wisconsin 53792, USA.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|May 23, 2002
PubMed
Summary

Foreign body ingestion in prison inmates often resolves with conservative management. Endoscopic removal has a high failure rate, and surgery should be reserved for acute abdominal conditions or large bezoars.

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Area of Science:

  • Gastroenterology
  • Gastrointestinal Endoscopy
  • Surgical Gastroenterology

Background:

  • Ingested foreign bodies present a significant clinical challenge, particularly in specific populations.
  • Understanding the efficacy and risks of various management strategies is crucial for patient outcomes.

Purpose of the Study:

  • To evaluate the clinical benefits of hospitalization, esophagogastroduodenoscopy, and surgical intervention for ingested foreign bodies in adult prison inmates.
  • To analyze the outcomes of conservative management versus endoscopic and surgical interventions.

Main Methods:

  • Retrospective review of 75 hospitalizations for ingested foreign bodies in 22 male prison inmates over 10 years.
  • Analysis of physical examination findings, white blood cell count, hospitalization duration, foreign body characteristics, endoscopic and surgical interventions, and complications.

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Main Results:

  • 256 foreign bodies were ingested, resulting in 281 hospitalization days. Conservative management led to spontaneous passage of 97% of foreign bodies in one cohort.
  • Esophagogastroduodenoscopy had a 48% success rate in removing 79 of 163 foreign bodies, with significant complications in some cases.
  • Surgical intervention was required for acute abdominal conditions, large bezoars, or surgeon preference, with 71 foreign bodies removed surgically.

Conclusions:

  • Foreign body ingestion is a recurring issue in prison populations, with conservative management being highly effective.
  • Esophagogastroduodenoscopy demonstrates a high failure rate and considerable complications in this patient group.
  • Surgical intervention should be reserved for specific indications such as acute abdomen or large bezoars, rather than routine removal.