Swallowed foreign body: Is interventional management always required?

G Y Al Shehri1, T A Al Malki, M Y Al Shehri

  • 1Department of Surgery, Asir Central Hospital, Abha, Saudi Arabia.

Insights

Swallowed foreign bodies in 20 patients, including children and adults, all passed harmlessly through the gastrointestinal tract. Treatment involved high-fiber diets and laxatives, with no reported mortality.

Area of Science:

  • Gastroenterology
  • Pediatric Gastroenterology
  • Emergency Medicine

Background:

  • Foreign body ingestion is a common clinical issue, particularly in children.
  • Accurate diagnosis and management are crucial to prevent complications.

Purpose of the Study:

  • To review the clinical characteristics and outcomes of patients with swallowed foreign bodies.
  • To evaluate the efficacy of conservative management for gastrointestinal foreign bodies.

Main Methods:

  • A retrospective study of 20 cases of swallowed foreign bodies over a five-year period.
  • Data collected included patient demographics, type of foreign body, and treatment methods.

Main Results:

  • The study included 6 children and 14 adults, with various objects ingested.
  • All foreign bodies passed spontaneously through the gastrointestinal tract within 2-10 days (average 4.7 days).
  • Conservative management with high-fiber diet, laxatives, and lubricants was effective, with no mortality.

Conclusions:

  • Swallowed foreign bodies in both children and adults can often be managed conservatively.
  • Prompt and appropriate management ensures safe passage of ingested foreign bodies.
  • High-fiber diet and laxatives are effective in facilitating the passage of gastrointestinal foreign bodies.

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