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Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi

Year 2020, , 88 - 94, 30.12.2020

Ferit Çelik Ali Şenkaya Nalan Ünal Seymur Aslanov Ahmet Özütemiz

https://doi.org/10.17940/endoskopi.830146

Abstract

Giriş ve Amaç: Gastrointestinal sistemde yabancı cisimler dünyada ve ülkemizde ciddi mortalite ve morbidite nedenidir. Genellikle endoskopi ile çoğu vakada tedavi sağlanır. Bu çalışmada amaç üst gastrointestinal sistemde yabancı cisimlerin klinik, epidemiyolojik karakteristiklerinin tanımlanması, yerleşim özelliklerinin belirlenmesi, yapılan endoskopik tedaviler ve sonuçlarının incelenmesidir. Gereç ve Yöntem: Çalışma Ocak 2016-Aralık 2019 tarihleri arasında Gastroenteroloji Bilim Dalında üst gastrointestinal sistemde yabancı cisim nedeniyle endoskopi yapılan hastaları içermektedir. Yabancı cismin özelliği, lokalizasyonu, komplikasyon varlığı ve tedavi şekline hastalara ait özofagogastroduodenoskopi raporlarından ulaşılmıştır. Hastane elektronik veritabanı kullanılarak hastaların; yaş, cinsiyet, mental durumu, endoskopinin yapılma zamanı, semptomları, mortalite durumu ile ilgili bilgilere ulaşılmıştır. Bulgular: Çalışmadaki 43 hastanın 16’sı kadın (%37.2), yaş ortalaması 52.2 yıl (22-86) idi. Hastaların 16'sında disfaji (%45.7) en sık semptom olarak saptanmıştır. Yabancı cisimler en sık olarak; 29 hastada özofagusta (%67.4) ve 8 hastada (%18.6) midede saptanmıştır. Endoskopi sırasında saptanan yabancı cisimlerin 28’i gıda (%65.1), 6'sı metal (%14) ve 9'u diğer (%20.9) yapıda görülmüştür. En sık tercih edilen endoskopik tedavi hastaların 21’inde fare dişli forseps (%48.8) ile yabancı cisim çıkarılmasıdır. Hastaların 13’ünde komplikasyon gelişmiş olup (%30.2), en sık komplikasyon olarak laserasyon saptanmıştır. Sonuç: Gastrointestinal sistemdeki yabancı cisimler genellikle cerrahi müdahale gerek¬tirmeyip, erken endoskopik müdahale, yutulan yabancı cismin tanı ve tedavisinde en sık kullanılan, güvenli ve etkili yöntemdir.

Keywords

Üst gastrointestinal sistem yabancı cisim endoskopik tedavi komplikasyon

References

  • 1. Çobanoğlu U, Yalçınkaya İ. Esophageal foreign bodies: Analysis of 175 patients. Turkish J Thorac Cardiovasc Surg 2008;16:244-9.
  • 2. Obinwa O, Cooper D, O’Riordan JM. Gastrointestinal Foreign Bodies. In: (Eds) Garbuzenko D. Actual Problems of Emergency Abdominal Surgery, Published: September 21st 2016, 2016;75-94.
  • 3. Webb WA. Management of foreign bodies of the upper gastrointestinal tract: Update. Gastrointest Endosc 1995;41:39-51.
  • 4. Longstreth GF, Longstreth KJ, Yao JF. Esophageal food impaction: epidemiology and therapy. A retrospective, observational study. Gastrointest Endosc 2001;53:193-8.
  • 5. ASGE Standards of Practice Committee, Ikenberry SO, Jue TL, Anderson MA, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc 2011;73:1085-91.
  • 6. Mosca S, Manes G, Martino R, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: report on a series of 414 adult patients. Endoscopy 2001;33:692-6.
  • 7. Schwartz GF, Polsky HS. Ingested foreign bodies of the gastrointestinal tract. Am Surg 1976;42:236-8.
  • 8. Dray X, Cattan P. Foreign bodies and caustic lesions. Best Pract Res Clin Gastroenterol 2013;27:679-89.
  • 9. Pfau PR. Removal and management of esophageal foreign bodies. Tech Gastrointest Endosc 2014;16:32-9.
  • 10. Kamal I, Thompson J, Paquette DM. The hazards of vinyl glove ingestion in the mentally retarded patient with pica: new implications for surgical management. Can J Surg 1999;42:201-4.
  • 11. Palta R, Sahota A, Bemarki A, et al. Foreign-body ingestion: characteristics and outcomes in a lower socioeconomic population with predominantly intentional ingestion. Gastrointest Endosc 2009;69:426-33.
  • 12. O'Sullivan ST, Reardon CM, McGreal GT, at al. Deliberate ingestion of foreign bodies by institutionalised psychiatric hospital patients and prison inmates. Ir J Med Sci 1996;165:294-6.
  • 13. Blaho KE, Merigian KS, Winbery SL, et al. Foreign body ingestions in the emergency department: case reports and review of treatment. J Emerg Med 1998;16:21-6.
  • 14. Abdullah BJ, Teong LK, Mahadevan J, et al. Dental prosthesis ingested and impacted in the esophagus and orolaryngopharynx. J Otolaryngol 1998;27:190-4.
  • 15. Craig RM, Vanagunas AD. Foreign bodies in the eosophagus. In: Shields TW (Eds). General thoracic surgery. Philadelphia: Lippincott Williams & Wilkins; 2000;1763-7.
  • 16. Smith MT, Wong RK. Esophageal foreign bodies: types and techniques for removal. Curr Treat Options Gastroenterol 2006;9:75-84.
  • 17. Diaconescu S, Gimiga N, Sarbu I, et al. Foreign bodies ingestion in children: experience of 61 cases in a pediatric gastroenterology unit from Romania. Gastroenterol Res Pract 2016;62;1-6.
  • 18. Guelfguat M, Kaplinskiy V, Reddy SH, et al. Clinical guidelines for imaging and reporting ingested foreign bodies. Am J Roentgenol 2014;203:37-53.
  • 19. Eisen GM, Baron TH, Dominitz JA, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc 2002;55:802-6.
  • 20. Geng C, Li X, Luo R, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: a retrospective study of 1294 cases. Scand J Gastroenterol 2017;52:1286-91.
  • 21. Birk M, Bauerfeind P, Deprez PH, et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2016;48:489-96.
  • 22. Chaves DM, Ishioka S, Felix VN, et al. Removal of a foreign body from the upper gastrointestinal tract with a flexible endoscope: a prospective study. Endoscopy 2004;36: 887-92.
  • 23. Okan İ, Akbaş A, Küpeli M, et al. Management of foreign body ingestion and food impaction in adults: A cross-sectional study. Ulus Travma Acil Cerrahi Derg 2019;25:159-66.
  • 24. Lee CY, Kao BZ, Wu CS, et al. Retrospective analysis of endoscopic management of foreign bodies in the upper gastrointestinal tract of adults. J Chin Med Assoc 2019;82:105-9.
  • 25. Hong KH, Kim YJ, Kim JH, et al. Risk factors for complications associated with upper gastrointestinal foreign bodies. World J Gastroenterol 2015;21:8125-31.
  • 26. Ustaoğlu M, Paköz ZB. Üst gastrointestinal yabancı cisimlerinin analizi. KÜ Tıp Fak Derg 2020;22:1-6.
  • 27. Kefeli A, Başyigit S, Yeniova AÖ, et al. Üst gastrointestinal sistem yabancı cisimleri. Dicle Med J 2014;41:195-8.
  • 28. Chen Q, Huang Y, Wuet Y, et al. A comparative study of small intestinal perforation secondary to foreign body and other non-traumatic causes. Ulus Travma Acil Cerrahi Derg 2015;21:107-12.
  • 29. Tseng HJ, Hanna TN, Shuaib W, et al. Imaging foreign bodies: Ingested, aspirated, and inserted. Ann Emerg Med 2015;66:570-82.
  • 30. Brady PG. Management of esophageal and gastric foreign body. In: Dimarino AJ, Benjamin SB (eds.) Gastrointestinal disease: an endoscopic approach. London; Blackwell Science 1997:407-17.
  • 31. Ginsberg GG. Management of ingested foreign objects and food bolus impactions. Gastrointest Endosc.1995; 41:33-8.
  • 32. Vizcarrondo FJ, Brady PG, Nord HJ. Foreign bodies of the upper gastrointestinal tract. Gastrointest Endosc 1983;29:208-10.
  • 33. Kafadar H, Kafadar S. Gastrointestinal yabancı cisim olgularının incelenmesi. Adıyaman Üni. Sağlık Bilimleri Derg 2019;5:1620-7.
  • 34. Roura J, Morello A, Comas J, et al. Esophageal foreign bodies in adults. J Otorhinolaryngol 1990;52:51-6.

Year 2020, , 88 - 94, 30.12.2020

Ferit Çelik Ali Şenkaya Nalan Ünal Seymur Aslanov Ahmet Özütemiz

https://doi.org/10.17940/endoskopi.830146

Abstract

References

  • 1. Çobanoğlu U, Yalçınkaya İ. Esophageal foreign bodies: Analysis of 175 patients. Turkish J Thorac Cardiovasc Surg 2008;16:244-9.
  • 2. Obinwa O, Cooper D, O’Riordan JM. Gastrointestinal Foreign Bodies. In: (Eds) Garbuzenko D. Actual Problems of Emergency Abdominal Surgery, Published: September 21st 2016, 2016;75-94.
  • 3. Webb WA. Management of foreign bodies of the upper gastrointestinal tract: Update. Gastrointest Endosc 1995;41:39-51.
  • 4. Longstreth GF, Longstreth KJ, Yao JF. Esophageal food impaction: epidemiology and therapy. A retrospective, observational study. Gastrointest Endosc 2001;53:193-8.
  • 5. ASGE Standards of Practice Committee, Ikenberry SO, Jue TL, Anderson MA, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc 2011;73:1085-91.
  • 6. Mosca S, Manes G, Martino R, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: report on a series of 414 adult patients. Endoscopy 2001;33:692-6.
  • 7. Schwartz GF, Polsky HS. Ingested foreign bodies of the gastrointestinal tract. Am Surg 1976;42:236-8.
  • 8. Dray X, Cattan P. Foreign bodies and caustic lesions. Best Pract Res Clin Gastroenterol 2013;27:679-89.
  • 9. Pfau PR. Removal and management of esophageal foreign bodies. Tech Gastrointest Endosc 2014;16:32-9.
  • 10. Kamal I, Thompson J, Paquette DM. The hazards of vinyl glove ingestion in the mentally retarded patient with pica: new implications for surgical management. Can J Surg 1999;42:201-4.
  • 11. Palta R, Sahota A, Bemarki A, et al. Foreign-body ingestion: characteristics and outcomes in a lower socioeconomic population with predominantly intentional ingestion. Gastrointest Endosc 2009;69:426-33.
  • 12. O'Sullivan ST, Reardon CM, McGreal GT, at al. Deliberate ingestion of foreign bodies by institutionalised psychiatric hospital patients and prison inmates. Ir J Med Sci 1996;165:294-6.
  • 13. Blaho KE, Merigian KS, Winbery SL, et al. Foreign body ingestions in the emergency department: case reports and review of treatment. J Emerg Med 1998;16:21-6.
  • 14. Abdullah BJ, Teong LK, Mahadevan J, et al. Dental prosthesis ingested and impacted in the esophagus and orolaryngopharynx. J Otolaryngol 1998;27:190-4.
  • 15. Craig RM, Vanagunas AD. Foreign bodies in the eosophagus. In: Shields TW (Eds). General thoracic surgery. Philadelphia: Lippincott Williams & Wilkins; 2000;1763-7.
  • 16. Smith MT, Wong RK. Esophageal foreign bodies: types and techniques for removal. Curr Treat Options Gastroenterol 2006;9:75-84.
  • 17. Diaconescu S, Gimiga N, Sarbu I, et al. Foreign bodies ingestion in children: experience of 61 cases in a pediatric gastroenterology unit from Romania. Gastroenterol Res Pract 2016;62;1-6.
  • 18. Guelfguat M, Kaplinskiy V, Reddy SH, et al. Clinical guidelines for imaging and reporting ingested foreign bodies. Am J Roentgenol 2014;203:37-53.
  • 19. Eisen GM, Baron TH, Dominitz JA, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc 2002;55:802-6.
  • 20. Geng C, Li X, Luo R, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: a retrospective study of 1294 cases. Scand J Gastroenterol 2017;52:1286-91.
  • 21. Birk M, Bauerfeind P, Deprez PH, et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2016;48:489-96.
  • 22. Chaves DM, Ishioka S, Felix VN, et al. Removal of a foreign body from the upper gastrointestinal tract with a flexible endoscope: a prospective study. Endoscopy 2004;36: 887-92.
  • 23. Okan İ, Akbaş A, Küpeli M, et al. Management of foreign body ingestion and food impaction in adults: A cross-sectional study. Ulus Travma Acil Cerrahi Derg 2019;25:159-66.
  • 24. Lee CY, Kao BZ, Wu CS, et al. Retrospective analysis of endoscopic management of foreign bodies in the upper gastrointestinal tract of adults. J Chin Med Assoc 2019;82:105-9.
  • 25. Hong KH, Kim YJ, Kim JH, et al. Risk factors for complications associated with upper gastrointestinal foreign bodies. World J Gastroenterol 2015;21:8125-31.
  • 26. Ustaoğlu M, Paköz ZB. Üst gastrointestinal yabancı cisimlerinin analizi. KÜ Tıp Fak Derg 2020;22:1-6.
  • 27. Kefeli A, Başyigit S, Yeniova AÖ, et al. Üst gastrointestinal sistem yabancı cisimleri. Dicle Med J 2014;41:195-8.
  • 28. Chen Q, Huang Y, Wuet Y, et al. A comparative study of small intestinal perforation secondary to foreign body and other non-traumatic causes. Ulus Travma Acil Cerrahi Derg 2015;21:107-12.
  • 29. Tseng HJ, Hanna TN, Shuaib W, et al. Imaging foreign bodies: Ingested, aspirated, and inserted. Ann Emerg Med 2015;66:570-82.
  • 30. Brady PG. Management of esophageal and gastric foreign body. In: Dimarino AJ, Benjamin SB (eds.) Gastrointestinal disease: an endoscopic approach. London; Blackwell Science 1997:407-17.
  • 31. Ginsberg GG. Management of ingested foreign objects and food bolus impactions. Gastrointest Endosc.1995; 41:33-8.
  • 32. Vizcarrondo FJ, Brady PG, Nord HJ. Foreign bodies of the upper gastrointestinal tract. Gastrointest Endosc 1983;29:208-10.
  • 33. Kafadar H, Kafadar S. Gastrointestinal yabancı cisim olgularının incelenmesi. Adıyaman Üni. Sağlık Bilimleri Derg 2019;5:1620-7.
  • 34. Roura J, Morello A, Comas J, et al. Esophageal foreign bodies in adults. J Otorhinolaryngol 1990;52:51-6.
There are 34 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Ferit Çelik This is me 0000-0003-4459-7657

Ali Şenkaya This is me 0000-0002-5787-3422

Nalan Ünal This is me 0000-0001-8870-2450

Seymur Aslanov This is me 0000-0001-7520-6650

Ahmet Özütemiz This is me 0000-0002-6960-4043

Publication Date December 30, 2020
Published in Issue Year 2020

Cite

APA Çelik, F., Şenkaya, A., Ünal, N., Aslanov, S., et al. (2020). Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi. Endoskopi Gastrointestinal, 28(Sayı: 3), 88-94. https://doi.org/10.17940/endoskopi.830146
AMA Çelik F, Şenkaya A, Ünal N, Aslanov S, Özütemiz A. Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi. Endoskopi Gastrointestinal. December 2020;28(Sayı: 3):88-94. doi:10.17940/endoskopi.830146
Chicago Çelik, Ferit, Ali Şenkaya, Nalan Ünal, Seymur Aslanov, and Ahmet Özütemiz. “Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi”. Endoskopi Gastrointestinal 28, no. Sayı: 3 (December 2020): 88-94. https://doi.org/10.17940/endoskopi.830146.
EndNote Çelik F, Şenkaya A, Ünal N, Aslanov S, Özütemiz A (December 1, 2020) Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi. Endoskopi Gastrointestinal 28 Sayı: 3 88–94.
IEEE F. Çelik, A. Şenkaya, N. Ünal, S. Aslanov, and A. Özütemiz, “Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi”, Endoskopi Gastrointestinal, vol. 28, no. Sayı: 3, pp. 88–94, 2020, doi: 10.17940/endoskopi.830146.
ISNAD Çelik, Ferit et al. “Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi”. Endoskopi Gastrointestinal 28/Sayı: 3 (December 2020), 88-94. https://doi.org/10.17940/endoskopi.830146.
JAMA Çelik F, Şenkaya A, Ünal N, Aslanov S, Özütemiz A. Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi. Endoskopi Gastrointestinal. 2020;28:88–94.
MLA Çelik, Ferit et al. “Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi”. Endoskopi Gastrointestinal, vol. 28, no. Sayı: 3, 2020, pp. 88-94, doi:10.17940/endoskopi.830146.
Vancouver Çelik F, Şenkaya A, Ünal N, Aslanov S, Özütemiz A. Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi. Endoskopi Gastrointestinal. 2020;28(Sayı: 3):88-94.