Approach to foreign bodies in the upper Gastrointestinal system

Yıl 2019, Cilt: 11 Sayı: 4, 504 - 508, 01.12.2019

Mustafa Şentürk , Halil Özer , Yusuf Yavuz

https://doi.org/10.21601/ortadogutipdergisi.545267

Öz

Objective: The aim of this study is to reveal the clinical presentations and treatment approaches to the patients applied with foreign body ingestion and food residue accompanied by literature.
Materials and Methods: Patients who were admitted to the general surgery clinic of Ceylanpinar State Hospital between March 2018 and March 2019 with the suspicion of ingestion of foreign bodies in the upper gastrointestinal tract and food residue were evaluated retrospectively.
Findings: The mean age of our patients was 31.3 (min-max: 18-76). Endoscopy without sedation was performed to 3 patients (37.5%) due to the feeling of stuck. In 2 patients, the bone fragments detected in the esophagus were excised with the help of endoscopic forceps. One of the three endoscopic procedures have failed. Patient whose endoscopy was unsuccessful and five other patients were followed-up medically in order to let foreign bodies or food residues to leave the digestive tract spontaneously. None of the patients had esophageal disease or a known psychiatric disorder. The mean duration of admission to the hospital was 12.5 (min-max: 6-36) hours. Three patients (37.5%) had foreign body feeling and dysphagia. Four of the patients (50%) had foreign bodies and the rest of the patients had food residue. The localization of foreign bodies or food residues were detected as; stomach in 1 patient (12.5%), esophagus in 3 patients (37.5%) and intestines in other 4 patients (50%). None of the patients required surgical intervention.
Conclusion: In the early period, endoscopic procedures show a high success rate without complications in the treatment of foreign bodies in the upper gastrointestinal tract. However, it is an appropriate approach to wait for the spontaneous exit of the foreign body in cases that the foreign body have already passed the upper gastrointestinal system.

Anahtar Kelimeler

endoscopy, foreign body, food residue

Üst Gastrointestinal sistemdeki yabancı cisimlere yaklaşım

Öz

Amaç: Bu çalışma ile amacımız yabancı cisim yutulması ve gıda artığı ile başvuran hastalara kliniğimizin tedavi yaklaşımını ve klinik prezentasyonlarını literatür eşliğinde ortaya koymaktır.
Gereç ve Yöntem: Mart 2018 ve Mart 2019 tarihleri ​​arasında Ceylanpınar Devlet Hastanesi genel cerrahi kliniğine üst gastrointestinal sistem yolunda yabancı cisim yutulması ve gıda artığı şüphesi ile başvuran hastalar retrospektif olarak değerlendirildi
Bulgular: Hastalarımızın ortalama yaşı 31,3 (min-max: 18-76) idi. 3 hastaya (%37,5) takılma hissi nedeniyle sedasyonsuz endoskopi yapıldı. 2 hastada özofagusta tespit edilen kemik parçası endoskopik foreps yardımıyla eksize edildi. Üç endoskopik işlemden biri başarısızlıkla sonuçlandı. Endoskopisi başarısızlıkla sonuçlanan hasta ile birlikte 6 hasta yabancı cisim veya gıda artıklarının sindirim kanalını spontan terk etmesi için medikal takip edildi. Hastaların hiçbirinde özofageal hastalık veya bilinen bir psikiyatrik hastalık yoktu. Hastaneye ortalama başvuru süresi 12,5 (min-max:6-36) saat olarak tespit edildi. 3 hastada (%37,5) yabancı cisim algısı ve disfaji mevcuttu. Hastaların 4’ünde (%50) yabancı cisim, geri kalanında ise gıda artığı izlendi. İlk başvuruda yabancı cisim veya gıda artıklarının lokalizasyonu 1 hastada midede (%12,5), 3 hastada özofagusta (%37,5), diğer 4 hasta ise bağırsaklarda (%50) tespit edildi. Hiçbir hastada cerrahi müdahale gerektirecek bir durum gelişmedi.
Sonuç: Erken dönemde başvurular endoskopik prosedürlerin, üst GI kanaldaki yabancı cisimlerin tedavisinde komplikasyonlar olmadan yüksek bir başarı oranı göstermektedir. Ancak üst gastrointestinal sistemi geçmiş olan yabancı cisim vakalarında yabancı cismin sponta çıkışını beklemek uygun bir yaklaşımdır.

Anahtar Kelimeler

endoskopi, yabancı cisim, gıda artığı

Kaynakça

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