Gastrointestinal Yabancı Cisim Olgularının incelenmesi

Year 2019, Volume: 5 Issue: 2, 1620 - 1627, 15.08.2019

Safiye Kafadar , Hüseyin Kafadar

https://doi.org/10.30569/adiyamansaglik.593467

Cited By: 2

Abstract

Amaç-
giriş.
Gastrointestinal yabancı cisimler tüm dünyada ciddi morbidite ve mortaliteye
yol açabilen acil ve adli tıp pratiğinde sıkça karşılaşılan durumlardır. Bu
çalışmada 18 yaş altı gastrointestinal sisteme kaçan yabancı cisim olgularını
incelemeyi amaçladık. 

Yöntem. Adıyaman Üniversitesi Eğitim ve
Araştırma Hastanesi Radyoloji Kliniğine 15.01.2013 ile 15.01.2019 tarihleri
arasında radyolojik tetkikleri (Direk grafi, BilgisayarlıTomografi ve Manyetik
rezonans görüntüleme) geriye dönük olarak incelendi. Çalışmaya dahil edilen 18
yaş altı olgular dört grupta incelemeye alındı. 1. Grupta 0-4 yaş, 2. Grupta
5-9 yaş, 3. Grupta 10-14 yaş ve 4. Grupta 15-18 olarak belirlendi. Yaş grupları
arasında fark olup olmadığı, hangi yaş gruplarında sindirim sistemine en sık kaçan
yabancı cisim türünün ne olduğu araştırıldı. Ayrıca olgular; yaş, cinsiyet, anatomik
lokalizasyon ve yutulan yabancı cisim türüne göre incelendi. Yabancı cisimlerin
niteliği;gıda içerikli, metal, plastik cisim vs. gözden geçirildi. Olgular
radyolojik bulgular eşliğinde adli tıp ve adli radyoloji açısından değerlendirildi. 

Bulgular: Çalışma kriterlerine uygun olduğu
tespit edilen (0-18 yaş) 191 olgu incelendi. Olgulardan 112’sinin(58,64) erkek ve
79 olgunun (41,36) ise kadın olduğu, yaş ortalamasının 10,3± 5,72 olduğu
belirlendi. En sık gastrointestinal sisteme kaçan yabancı cismin 159 (83,25) olgu
ile metalik yabancı cisimler olduğu belirlendi. Metalik cisimlerden metal paralar
78 (49,05) olgu ile ilk sırada yer aldığı tespit edildi. Yaş grupları açısından
en sık 0-4 yaş grubundaki olgularda sindirim sistemine yabancı cismin kaçtığı
belirlendi. 

Sonuç:
Sindirim sistemine
kaçan yabancı cisimler acil tanı ve tedavi gerektiren durumlar arasında yer
almaktadır. Tanının doğrulanması için uygun radyolojik görüntüleme yöntemleri
kullanılmalıdır. Özellikle risk grubundaki 0-4 yaş grubunda daha dikkatli
olunması ile sindirim sistemine kaçan yabancı cisim olgularının
azaltılabileceği kanaatindeyiz.

Keywords

Yabancı cisim yutma, Bilgisayarlı tomografi, yabancı cisimler, adli tıp

Evaluation of Gastrointestinal Foreign Body Cases

Abstract

Aim: Gastrointestinal foreign
bodies are frequently encountered in emergency and forensic medicine practice
which can lead to serious morbidity and mortality worldwide. In this study, we
aimed to investigate cases of foreign bodies ingestion to the gastrointestinal
tract under the age of 18 years. 

Method: The radiological imaging
(direct radiography, computed tomography and magnetic resonance imaging) of
Adiyaman University Training and Research Hospital Radiology Clinic between
15.01.2013 and 15.01.2019 were retrospectively analyzed. Patients under 18
years of age were included in the study. Group 1 was 0-4 years, Group 2 was 5-9
years, Group 3 was 10-14 years and Group 4 was 15-18 years. The difference
between the age groups and the age group in which the most frequently escaping
to the digestive system was investigated what type of foreign body. Cases were
ingested age, sex,  anatomic localization
and foreign body types; such as food, metal, plastic, etc. The cases were
evaluated in terms of forensic medicine and forensic radiology with the help of
radiological findings.

Results: 191 patients (0-18 years)
who were found to comply with the study criteria were evaluated.  Of 79 (%41.36) cases were male and 12
(%58.64) female. It was determined that the mean age was 10.3 ± 5.72. The most
common foreign body that determined in the gastrointestinal tract was metallic
foreign bodies with 159 (%83.25) cases. It was determined that most frequently
with 78 (%49,05) cases metal coin in gastrointestinal system. In the
distribution according to age groups, 
the most frequently foreign body in digestive system was  found 0-4 age group.

Conclusion: Foreign bodies escaping
to the digestive system are among the conditions requiring immediate diagnosis
and treatment. Appropriate radiological imaging methods should be used to
confirm the diagnosis. Especially, we considered that being more careful in the
risk group, 0-4 age group, will reduce foreign body ingestion cases.

 

Keywords

Foreign body ingestion, tomography, foreign bodies, forensic medicine

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