Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract
ObjectivesFish bone impaction in the upper gastrointestinal tract is a common reason for patients to seek emergent care. The aim of this study was to find a clinical characteristics of patients with fish bone impaction in the upper gastrointestinal tract.MethodsThe study was conducted on 286 fish bo...
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| Format: | Article |
| Language: | English |
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2015-09-01
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| Series: | Clinical and Experimental Otorhinolaryngology |
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| Online Access: | http://www.e-ceo.org/upload/pdf/ceo-8-261.pdf |
| _version_ | 1828238871823908864 |
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| author | Jin Pyeong Kim Oh Jin Kwon Hyun Seok Shim Rock Bum Kim Jin Hyun Kim Seung Hoon Woo |
| author_facet | Jin Pyeong Kim Oh Jin Kwon Hyun Seok Shim Rock Bum Kim Jin Hyun Kim Seung Hoon Woo |
| author_sort | Jin Pyeong Kim |
| collection | DOAJ |
| description | ObjectivesFish bone impaction in the upper gastrointestinal tract is a common reason for patients to seek emergent care. The aim of this study was to find a clinical characteristics of patients with fish bone impaction in the upper gastrointestinal tract.MethodsThe study was conducted on 286 fish bone ingestion patients who complained of dysphagia and irritation after eating fish. The patients were treated according to the hospital protocol regarding the removal of fish bone. The parameters for the analysis included the age and sex of the patients, location and characteristics of the foreign body, method of removal, and type of fish.ResultsThe fish bone could be observed by the physical examination in the oral cavity and laryngopharynx in 198 patients (69.23%). For those patients in whom the foreign body could not be observed in oral cavity and laryngopharynx, noncontrast computed tomography (CT) (from nasopharynx to diaphragm) was performed. The fish bone was discovered in the esophagus of 66 patients (23.08%). The esophageal fish bone was successfully removed by transnasal flexible esophagoscopy (TNE) in 55 patients, the fish bone moved to the stomach in 10 patients and one fish bone was removed by rigid esophagoscopy due to esophageal abscess. The esophageal fish bone was mostly found in patients aged 50 years and older.ConclusionFish bone foreign body ingestion in the esophagus appeared to be more common in older patients. Incorporating noncontrast CT and TNE can facilitate decision-making and adequate treatment for patients with fish bone impactions. |
| first_indexed | 2024-04-12T21:11:53Z |
| format | Article |
| id | doaj.art-a2c2c7cf9b7a46f383aacb3b659c9f31 |
| institution | Directory Open Access Journal |
| issn | 1976-8710 2005-0720 |
| language | English |
| last_indexed | 2024-04-12T21:11:53Z |
| publishDate | 2015-09-01 |
| publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
| record_format | Article |
| series | Clinical and Experimental Otorhinolaryngology |
| spelling | doaj.art-a2c2c7cf9b7a46f383aacb3b659c9f312022-12-22T03:16:34ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202015-09-018326126710.3342/ceo.2015.8.3.261379Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal TractJin Pyeong Kim0Oh Jin Kwon1Hyun Seok Shim2Rock Bum Kim3Jin Hyun Kim4Seung Hoon Woo5Department of Otorhinolaryngology, Gyeongsang National University School of Medicine, Jinju, Korea.Department of Otorhinolaryngology, Gyeongsang National University School of Medicine, Jinju, Korea.Department of Otorhinolaryngology, Gyeongsang National University School of Medicine, Jinju, Korea.Dong-A University Hospital Regional Cardiocerebrovascular Center, Busan, Korea.Biomedical Research Institute, Gyeongsang National University Hospital, Jinju, Korea.Department of Otorhinolaryngology, Gyeongsang National University School of Medicine, Jinju, Korea.ObjectivesFish bone impaction in the upper gastrointestinal tract is a common reason for patients to seek emergent care. The aim of this study was to find a clinical characteristics of patients with fish bone impaction in the upper gastrointestinal tract.MethodsThe study was conducted on 286 fish bone ingestion patients who complained of dysphagia and irritation after eating fish. The patients were treated according to the hospital protocol regarding the removal of fish bone. The parameters for the analysis included the age and sex of the patients, location and characteristics of the foreign body, method of removal, and type of fish.ResultsThe fish bone could be observed by the physical examination in the oral cavity and laryngopharynx in 198 patients (69.23%). For those patients in whom the foreign body could not be observed in oral cavity and laryngopharynx, noncontrast computed tomography (CT) (from nasopharynx to diaphragm) was performed. The fish bone was discovered in the esophagus of 66 patients (23.08%). The esophageal fish bone was successfully removed by transnasal flexible esophagoscopy (TNE) in 55 patients, the fish bone moved to the stomach in 10 patients and one fish bone was removed by rigid esophagoscopy due to esophageal abscess. The esophageal fish bone was mostly found in patients aged 50 years and older.ConclusionFish bone foreign body ingestion in the esophagus appeared to be more common in older patients. Incorporating noncontrast CT and TNE can facilitate decision-making and adequate treatment for patients with fish bone impactions.http://www.e-ceo.org/upload/pdf/ceo-8-261.pdfForeign BodiesFishesBone and BonesEndoscopyAged |
| spellingShingle | Jin Pyeong Kim Oh Jin Kwon Hyun Seok Shim Rock Bum Kim Jin Hyun Kim Seung Hoon Woo Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract Clinical and Experimental Otorhinolaryngology Foreign Bodies Fishes Bone and Bones Endoscopy Aged |
| title | Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract |
| title_full | Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract |
| title_fullStr | Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract |
| title_full_unstemmed | Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract |
| title_short | Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract |
| title_sort | analysis of clinical feature and management of fish bone ingestion of upper gastrointestinal tract |
| topic | Foreign Bodies Fishes Bone and Bones Endoscopy Aged |
| url | http://www.e-ceo.org/upload/pdf/ceo-8-261.pdf |
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