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[Fiber endoscopy in the extraction of foreign bodies from the gastrointestinal tract]
A Celestino1, T Castillo, C Contardo
1Hospital Nacional Edgardo Rebagliati Martins-IPSS, Facultad de Medicina-Universidad Nacional Mayor de San Marcos, Lima, Peru.
Abstract:
23 patients that they swallowed foreign bodies, were treated. There were 16 male and 7 female, between 3 and 85 years old; 6 children and 17 adults. Of all, 7 were psychiatric patients. 15 foreign bodies were removed by upper digestive fiberendoscopy and 2, by procto/colonoscopy, without early nor late complications. 8 foreign bodies were eliminated spontaneously through the rectum/anus. Fiberendoscopy is an excellent method for treatment in these clinical problems.
Insights
This study treated 23 patients for swallowed foreign bodies. Upper digestive fiberendoscopy successfully removed most objects, proving it an excellent treatment method with no complications.
Area of Science:
- Gastroenterology
- Endoscopy
- Foreign Body Ingestion
Background:
- Foreign body ingestion is a common clinical problem, particularly in children and psychiatric patients.
- Management strategies range from conservative observation to endoscopic or surgical removal.
- Timely and safe removal is crucial to prevent complications.
Purpose of the Study:
- To evaluate the efficacy and safety of upper digestive fiberendoscopy for foreign body removal.
- To analyze patient demographics and characteristics associated with foreign body ingestion.
- To assess the outcomes of endoscopic versus spontaneous foreign body elimination.
Main Methods:
- Retrospective analysis of 23 patients treated for foreign body ingestion.
- Inclusion of patients treated with upper digestive fiberendoscopy, procto/colonoscopy, or spontaneous elimination.
- Documentation of patient age, sex, psychiatric history, foreign body type, and treatment outcomes.
Main Results:
- Fifteen foreign bodies were successfully removed via upper digestive fiberendoscopy.
- Two foreign bodies were removed using procto/colonoscopy.
- Eight foreign bodies were spontaneously eliminated, with no early or late complications reported for any treatment method.
Conclusions:
- Upper digestive fiberendoscopy is a highly effective and safe treatment modality for foreign bodies in the digestive tract.
- Endoscopic removal offers a minimally invasive approach with excellent outcomes.
- Spontaneous elimination can occur, but endoscopic intervention ensures timely resolution.