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[Swallowed foreign bodies: problems, prognosis, and treatment (author's transl]
Langenbecks Archiv Fur Chirurgie
|January 1, 1980
Summary
Most swallowed foreign bodies pass naturally, avoiding surgery. Complications are rare, making endoscopic extraction the preferred approach for ingested objects. Surgical intervention is reserved for severe cases.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
- Abdominal Surgery
Context:
- Analysis of 1465 cases involving ingested foreign bodies.
- Evaluation of clinical outcomes and management strategies for foreign body ingestion.
- Review of spontaneous passage, endoscopic extraction, and surgical intervention.
Purpose:
- To determine the necessity of surgical intervention for swallowed foreign bodies.
- To assess the efficacy and indications for endoscopic extraction versus surgery.
- To report on the incidence of complications and long-term outcomes.
Summary:
- Swallowed foreign bodies are common, with 90% passing spontaneously.
- Complications such as perforation and ileus occur in only 0.5% of cases.
- Endoscopic extraction is recommended; surgery is reserved for acute abdominal symptoms or ileus.
Impact:
- Highlights the low complication rate associated with foreign body ingestion.
- Supports a conservative management approach, prioritizing endoscopic intervention over immediate surgery.
- Informs clinical decision-making for managing patients with ingested foreign bodies.