Üst gastrointestinal sistemde saptanan yabancı cisimler ve tedavisi

Abstract

Amaç: Bu çalışma, üst gastrointestinal sistemde yabancı cisim yutma şikayeti ile acil kliniğimize başvuran erişkin hastaların değerlendirilmesini amaçlamaktadır. Gereç ve Yöntem: Sabuncuoğlu Şerefeddin Araştırma ve Uygulama Hastanesinde Haziran 2022 ile Kasım 2023 tarihleri arasında üst gastrointestinal sistemde yabancı cisim tanısı konulan 37 hastanın retrospektif verileri incelenmiştir. Hastalar demografik özellikler, semptomlar, yabancı cisim türü ve lokalizasyonu, uygulanan tedavi yöntemleri ve komplikasyonlar açısından değerlendirilmiştir. Bulgular: Çalışmaya katılan hastaların yaş ortalaması 62.7 olup %45.9’u erkek ve %54.1’i kadındır. Yabancı cisimlerin en sık takıldığı bölge üst özofagus sfinkteri (%45.9) olarak belirlenmiştir. En sık rastlanan yabancı cisim türleri et ve gıda (%56.8) ile kemik (%21.6) olmuştur. Endoskopik müdahale ile yabancı cisimlerin %70.3’ü çıkarılmış, %13.5’i mideye itilmiş ve %16.2’sinde yabancı cisim saptanmamıştır. Komplikasyon olarak 10 hastada laserasyon ve 2 hastada perforasyon gözlenmiştir. Sonuç: Üst gastrointestinal sistemde yabancı cisimlerin erken tanı ve tedavisi, ciddi komplikasyonları önlemek açısından kritik öneme sahiptir. Fleksible endoskopi, bu tür olguların yönetiminde etkili ve güvenilir bir yöntemdir. Özellikle geriatrik hastalarda hasta ve yakınlarının eğitimi bu tür durumların önlenmesinde önem taşımaktadır.

Keywords

• Üst Gastrointestinal sistem
• Endoskopi
• Yabancı cisim

Foreign bodies detected in the upper gastrointestinal tract and their treatment

Abstract

Aim: This study aims to evaluate adult patients presenting to our emergency clinic with complaints of foreign body ingestion in the upper gastrointestinal system. Materials and Methods: Retrospective data from 37 patients diagnosed with foreign bodies in the upper gastrointestinal system at Sabuncuoğlu Şerefeddin Research and Training Hospital between June 2022 and November 2023 were analyzed. Patients were assessed based on demographic characteristics, symptoms, types and locations of foreign bodies, treatment methods, and complications. Results: The mean age of the patients was 62.7 years, with 45.9% being male and 54.1% female. The most common site of foreign body impaction was the upper esophageal sphincter (45.9%). The most frequently encountered foreign body types were food and meat (56.8%) and bones (21.6%). Endoscopic intervention successfully removed 70.3% of the foreign bodies, 13.5% were advanced into the stomach, and 16.2% were not detected. Complications included mucosal lacerations in 10 patients and perforations in 2 patients. Conclusion: Early diagnosis and treatment of foreign bodies in the upper gastrointestinal system are critical for preventing severe complications. Flexible endoscopy is an effective and reliable method for managing such cases. Particularly in geriatric patients, education of patients and their caregivers is essential for preventing these incidents.

Keywords

• foreign bodies
• flexible endoscopy
• upper gastrointestinal system

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