Factors associated with development of complications after endoscopic foreign body removal

Background/Aims: We analyzed the clinical characteristics of patients who underwent endoscopic foreign body removal and the risk factors of complications. Patients and Methods: The medical records of 415 patients treated from January 2000 to August 2011 for suspected foreign bodies were retrospectiv...

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Main Authors: Yu-Kyung Park, Kyeong-Ok Kim, Jae-Hong Yang, Si-Hyung Lee, Byung-Ik Jang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:The Saudi Journal of Gastroenterology
Subjects:
Online Access:http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2013;volume=19;issue=5;spage=230;epage=234;aulast=Park
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author Yu-Kyung Park
Kyeong-Ok Kim
Jae-Hong Yang
Si-Hyung Lee
Byung-Ik Jang
author_facet Yu-Kyung Park
Kyeong-Ok Kim
Jae-Hong Yang
Si-Hyung Lee
Byung-Ik Jang
author_sort Yu-Kyung Park
collection DOAJ
description Background/Aims: We analyzed the clinical characteristics of patients who underwent endoscopic foreign body removal and the risk factors of complications. Patients and Methods: The medical records of 415 patients treated from January 2000 to August 2011 for suspected foreign bodies were retrospectively reviewed. Patient characteristics, endoscopic findings, clinical outcomes, and risk factors of complications were analyzed. Results: Foreign bodies were detected endoscopically in 315 patients. Fish bone fragment (36.9%) and coins (15.3%) were the most common type of foreign bodies in adults and children, respectively. Complications associated with endoscopic procedure occurred in 26 patients (8.3%); 20 of the patients were treated conservatively and the other six patients underwent surgical treatment. Perforation (14%) was the most common complication. By univariate and multivariate analysis, the risk factors associated with complication after endoscopic foreign body removal were long duration from ingestion to endoscopy ( P = 0.009) and existence of initial mucosal injury ( P = 0.018). Conclusions: Most foreign bodies were successfully removed by endoscopy without complication, but long duration from ingestion to endoscopy and mucosal injury were risk factors of complications of endoscopic foreign body removal. Patients with these risk factors could require more careful treatment.
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spelling doaj.art-ffbccf4820cc4451a6955d30b22703e22022-12-21T20:38:00ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492013-01-0119523023410.4103/1319-3767.118136Factors associated with development of complications after endoscopic foreign body removalYu-Kyung ParkKyeong-Ok KimJae-Hong YangSi-Hyung LeeByung-Ik JangBackground/Aims: We analyzed the clinical characteristics of patients who underwent endoscopic foreign body removal and the risk factors of complications. Patients and Methods: The medical records of 415 patients treated from January 2000 to August 2011 for suspected foreign bodies were retrospectively reviewed. Patient characteristics, endoscopic findings, clinical outcomes, and risk factors of complications were analyzed. Results: Foreign bodies were detected endoscopically in 315 patients. Fish bone fragment (36.9%) and coins (15.3%) were the most common type of foreign bodies in adults and children, respectively. Complications associated with endoscopic procedure occurred in 26 patients (8.3%); 20 of the patients were treated conservatively and the other six patients underwent surgical treatment. Perforation (14%) was the most common complication. By univariate and multivariate analysis, the risk factors associated with complication after endoscopic foreign body removal were long duration from ingestion to endoscopy ( P = 0.009) and existence of initial mucosal injury ( P = 0.018). Conclusions: Most foreign bodies were successfully removed by endoscopy without complication, but long duration from ingestion to endoscopy and mucosal injury were risk factors of complications of endoscopic foreign body removal. Patients with these risk factors could require more careful treatment.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2013;volume=19;issue=5;spage=230;epage=234;aulast=ParkComplicationsforeign bodyrisk factors
spellingShingle Yu-Kyung Park
Kyeong-Ok Kim
Jae-Hong Yang
Si-Hyung Lee
Byung-Ik Jang
Factors associated with development of complications after endoscopic foreign body removal
The Saudi Journal of Gastroenterology
Complications
foreign body
risk factors
title Factors associated with development of complications after endoscopic foreign body removal
title_full Factors associated with development of complications after endoscopic foreign body removal
title_fullStr Factors associated with development of complications after endoscopic foreign body removal
title_full_unstemmed Factors associated with development of complications after endoscopic foreign body removal
title_short Factors associated with development of complications after endoscopic foreign body removal
title_sort factors associated with development of complications after endoscopic foreign body removal
topic Complications
foreign body
risk factors
url http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2013;volume=19;issue=5;spage=230;epage=234;aulast=Park
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AT sihyunglee factorsassociatedwithdevelopmentofcomplicationsafterendoscopicforeignbodyremoval
AT byungikjang factorsassociatedwithdevelopmentofcomplicationsafterendoscopicforeignbodyremoval