Detection and endoscopic treatment of foreign bodies in the upper gastrointestinal system of the geriatric patients

Year 2022, , 377 - 383, 15.03.2022

Orhan Coşkun , Mustafa Çapraz , Ahmet Kaya , Zeynep Çetin

https://doi.org/10.16899/jcm.985835

Cited By: 1

Abstract

Abstract
Introduction: Ingestion of foreign bodies is a worldwide problem associated with severe morbidity and mortality. The incidence of foreign bodies ingestion increases in the elderly population due to impaired intraoral sensitivity and swallowing reflex, visual problems, tooth loss, and mental disorders.
Material and Method: All patients admitted with foreign body ingestion were retrospectively screened and patients over 65 years of age were included. All patients were managed by a flexible endoscope.
Results: 49 patients referred with the diagnosis of foreign body ingestion between January 2016 and May 2020 were retrospectively screened. Geriatric population consisted of 24 (49%) patients, mean age was 77.4±7.8 years and 15 (62.5%) were male.The most common symptom at admission was dysphagia in 41.7% of patients. The most common ingested foreign bodies are meat and food in 58.3% of the patients (p<0.01). Foreign bodies were most often stuck at the upper esophageal sphincter level (50%). Our average time to perform endoscopic intervention is approximately 3 hours after patients are admitted to the emergency room. Perforation due to chicken bones was detected in two patients, and both patients recovered after follow-up without the need for surgical intervention, and additive endoscopic intervention. Our success rate is 100% after endoscopic procedures, and no complications or death secondary to the procedure were observed in none of the patients.
Conclusion: Endoscopic foreign body removal is a highly effective procedure with relatively low complication and mortality rates. Immediate endoscopic intervention should be performed in patients who ingest foreign body to reduce the risk of complications.

Keywords

elderly, endoscopy, foreign bodies, upper gastrointestinal tract

Project Number

yok

References

• Referans1 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(2):105-109.
• Referans2 HC Lin, CJ Chen, HH Lin, HH Lin, JT Huang, MJ Chen. Endoscopic Treatment of Esophageal Foreign Bodies in the Elderly. International Journal of Gerontology. 2013; 7:35-39.
• Referans3 Craig RM, Vanagunas AD. Foreign bodies in the eosophagus. In: Shields TW, ed. General Thoracic Surgery. 5th eds Lippincott Williams & Wilkins, Philadelphia, USA 2000; p.1763-7.
• Referans4 Yao CC, Wu IT, Lu LS, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract of adults. Biomed Res Int. 2015: 658602.
• Referans5 U Çobanoğlu, S Asker, F Sayır. Esophageal Foreign Bodies. J Clin Anal Med 2014; 5 (suppl 2): 234-9.
• Referans6 Ali A. Review of esophageal foreign bodies in Harare central hospital. Eat Afr Med J 1999; 76 :355-7. PMID: 10750527
• Referans7 Stevoff CG, Craig RM. In Foreign Bodies in the Esophagus. In Shields TW, Locicero J, Ponn RB, Rusch VW (eds). General Thoracic Surgery, vol 2, 6th edition, Lippincott Williams and Wilkins, Philadelphia, USA 2005, p.2095-100.
• Referans8 Li ZS, Sun ZX, Zou DW, Xu GM, Wu RP, Liao Z. Endoscopic management of foreign bodies in the upper-GI tract: experience with 1088 cases in China. Gastrointest Endosc 2006; 64: 485-92.
• Referans9 F Sayır. Esophageal Foreign Bodies: Analysis of 329 Cases. Eurasian J Med 2007; 39:112-114 .
• Referans10 Birk M, Bauerfeind P, Deprez, 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- 496.
• Referans11 Akan P, Erdinçler D, TezcanV, Beğer T. Drug use in elderly. Turkish Journal of Geriatrics. Geriatri 1999;2 (1): 33-38.
• Referans12 Swan MP, Bourke MJ, Hopper AD, Moss A, Walker SL et al. Endoscopic treatment of a transversely impacted perforating fish bone in the esophagus with pneumomediastinum. Endoscopy. 2010; 42:E75eE76.
• Referans13 J. Liu, X. Zhang, D. Xie et al. Acute mediastinitis associated with foreign body erosion from the hypopharynx and esophagus. Otolaryngol Head Neck Surg 2012 Jan;146(1): 58- 62.
• Referans14 Wu WT, Chiu CT, Kuo CJ et al. Endoscopic management of suspected esophageal foreign body in adults. Dis Esophagus. 2011; 24:131–7.
• Referans15 de Souza Silva JE, Santos Souza CA, da Silva TB, et al. Use of herbal medicines by elderly patients: A systematic review. Arch Gerontol Geriatr. 2014;59(2):227-33.
• Referans16 Kaplan M, Arıhan S.K. A healing source of antiquity to the present: Us age of olive and olive oil in folk medicine. Ankara University the Journl of the Faculty of Languages and History-Geography. 2012; 52(2):1-15.