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Evaluation of the Incidence and Complications of Foreign Body Ingestion in the Patients Referred to Shiraz Khalili Hospital
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BS Hashemi   , B Gandomi , L Hesamzade |
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Abstract: (4381 Views) |
| Introduction & Objective: Foreign body ingestion is a common and
important condition that can be life threatening if not diagnosed and
treated properly. Diagnosis is especially difficult in patients with
unusual symptoms. This study was performed to determine the
incidence and complications of foreign body ingestion in the patients
referred to Shiraz Khalili Hospital.
Materials & Methods: In this cross-sectional study,153 patients with
foreign body ingestion who underwent esophagoscopy during 18
months period in khalili hospital were evaluated according to:
age,sex, the time from ingestion of the foreign body till referral to the
hospital,type and site of foreign bodies and complications. The
relationship between these factors and complications was analyzed
using SPSS software and x² test.
Results: Male/female ratio was 1.4 to 39.9% of the patients were
less than 15 years old and 60.1% were more than 15 years old.
52.9% of the patients were referred to the hospital in period of less
than 1 day,42.5% in 1-7 days and 4.6% in more than 7 days from
foreign body ingestion . The most common symptom was dysphagia
and the most common sign was pooling of the saliva. Foreign body
was found in 56.4% of the patients with normal physical examination
and the most common site of foreing bodies was upper 3rd of the
esophagus.The most common foreign body was bone and coin and
foreign body was found in 72.7% of patients normal radiography.
Conclusion: Some patients had complications like retropharyngeal
abscess,ulceration (due to foreign body or iatrogenic). There was a
meaningfull relation between complications and age(>15 years)
sharp foreign bodies and referring to the hospital in more than 1day
after foreign body ingestion. Site of the foreign bodies and sex of the
patients had no significant relation with occurrence of complications.
Careful history taking and complete physical physical examination is
important in patients suspected to have foreign body ingestion and a
negative radiography does not rule out the presence of foreign
bodies. |
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| Keywords: Foreign body ingestion, Complications, Esophagoscopy |
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Full-Text [PDF 232 kb]
(6458 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2015/06/13 | Accepted: 2015/06/13 | Published: 2015/06/13
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