Kasıtlı ve Kaza ile Yabancı Cisim Yutulması: Retrospektif Tek Merkez Deneyim

Abstract

Amaç: Yabancı cisim (YC) yutulması ve bunun gastrointestinal sistem üzerindeki etkisi, gastrointestinal pratikte en yaygın sağlık sorunlarından ve acil durumlardan biridir. YC yönetimi endoskopist için büyük bir zorluk olabilir. Bu çalışmada gastrointestinal sistemdeki YC'ler ve onların yönetiminin değerlendirmesi amaçlanmıştır. Araçlar ve Yöntem: Bu retrospektif çalışma, üst sindirim sisteminde yabancı cisim yutma şikayetiyle başvuran yetişkin hastaları içermektedir. Hastaların demografik bulgularını, YC'nin özelliklerini; endoskopik tedavi yöntemlerini ve gelişen komplikasyonları tıbbi kayıtlardan incelenmiştir. Bulgular: YC yutma şikayeti olan toplam 85 hastaya gastroskopi yapıldı. Hastaların ortalama yaşı 46.69 (19-87 yıl) idi. Erkek/kadın oranı %66.7 / %33.3 idi. Hastaların %36’sında YC yutma kasıtlı iken, %64’ünde YC kazara yutmuştu. Kasıtlı YC yutan vakalarda, YC'lerin çoğunluğu çakmak, jilet, pil gibi metalik nesnelerdi. Özofagus perforasyonu(%1.3), mikroperforasyon (%1.3), mukozaya sınırlı kanama (%1.3), ülser ve özofagustaki yüzeysel laserasyonlar (%4), 6 hastada (%8) gözlemlenen en önemli komplikasyonlardı. Sonuç: Çalışmamız, kasıtlı veya kazara yutulan YC lerde büyük bir değişkenlik olduğunu ortaya koymuştur. Bu nesnelerin çıkarılması için yapılan endoskopik girişimlerin önemli komplikasyonlar olmaksızın hem etkili hem güvenli olduğu görülmüştür.

Keywords

• endoskopi
• yabancı cisim
• yutma

Intentional and Accidental Ingestion of Foreign Body: A Retrospective Single Center Experience

Abstract

Purpose: Foreign body (FB) ingestion and its impact on gastrointestinal system is one of the most common health problems and emergency situations in gastrointestinal practice. Management of FB may be a great challenge for the endoscopist. We aimed to evaluate the FB in gastrointestinal system and their management. Materials and Methods: This retrospective study included adult patients with the complaint of FB in upper digestive system. We evaluated the demographic findings of the patients, characteristic of the FB, endoscopic treatment methods and complications from medical records. Results: Total of 85 patients with the complaint of FB ingestion underwent gastroscopy. The mean age of the patients was 46.69 (19-87 years). The ratio of males/females was 66.7% / 33.3%. In 36% of patients, the ingestion of FB was intentionally, whereas 64 % ingested FB accidentally. In cases who ingested FB intentionally, the majority of FB were metallic objects such as lighter, razor blade, battery. Esophageal perforation (1.3%), micro perforation (1.3%), mucosal self-limited bleeding (1.3%), ulcers and superficial lacerations (4%) in esophagus were most important complications which were observed in 6 patients (8%). Conclusion: Our study showed a great variability of FB ingested either intentional or accidentally. The endoscopic approach for retrieval of these subjects is both effective and safe, without significant complications.

Keywords

• endoscopy
• foreign body
• ingestion

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