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Published on: September 11, 2018
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.
Abstract:
A retrospective study of 20 cases diagnosed as "swallowed foreign body" seen over a five-year period (July 1993-June 1998) at Asir Central Hospital was performed. Six (30%) were children and 14 (70%) adults. In the children, five were boys and one was a girl. Objects swallowed included metal nails. coins, hair pins and a chain pendant. In the adult group, eight (57%) were males and six (43%) females. Objects swallowed included sewing needles, sharp blades, pieces of glass, paper clips and gravel. The swallowed foreign body in all the patients passed innocuously through the gastrointestinal tract in two to ten (average 4.7) days. Our method of treatment consisted of giving high fiber diet, Metamucil or lactulose and liquid paraffin. There was no mortality.
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