Gastrointestinal Foreign Bodies: 14 Years of Experience in a University Clinic

Authors

  • Diego Mauricio Aponte Martín Fundación Universitaria Sanitas https://orcid.org/0000-0001-5901-7163
  • Jesús E Nuñez Renza Clínica Universitaria de Colombia
  • Andrea Carolina Córdoba Guzmán Clínica Universitaria Colombia
  • Viviana Parra Vargas Clínica Universitaria de Colombia
  • Margarita María Huertas Quintero Clínica Universitaria de Colombia
  • Fanny Acero Clínica Universitaria de Colombia
  • Johanna Paipilla Sierra Clínica Universitaria de Colombia
  • Nicolás Rocha Cortés Clínica Universitaria de Colombia
  • Claudia Corso Bernal Clínica Universitaria de Colombia
  • Juan David Linares Clínica Universitaria de Colombia
  • Javier Preciado Clínica Universitaria de Colombia
  • Germán Carvajal Clínica Universitaria de Colombia
  • Fabio Leonel Gil Parada Clínica Universitaria de Colombia
  • Carlos Arturo González Salazar Clínica Universitaria de Colombia
  • Carlos Bernardo Sánchez Clínica Universitaria de Colombia
  • Juan Carlos Marulanda Gómez Clínica Universitaria de Colombia
  • Fabian Emura Clínica Universitaria de Colombia
  • Luis Carlos Sabbaggh Colsanitas

DOI:

https://doi.org/10.22516/25007440.1086

Keywords:

Foreign Bodies, Endoscopy, Radiology, Complications

Abstract

Introduction: Ingesting foreign bodies is a common medical problem, especially in the emergency department. Some small studies describe experiences in this regard.

Materials and methods: A descriptive retrospective study included patients with suspected ingestion of foreign bodies admitted to the gastroenterology and GI endoscopy service of the Clínica Universitaria Colombia between January 2007 and August 2020.

Results: The age of occurrence of the event was 18 to 95 years, and the average age was 45 years. The foreign bodies ingested and found were variable. The most frequent was fish bones, representing 64.11% of the cases, followed by chicken bones and dietary impaction. Thirty-eight percent of patients required foreign body removal; the most frequently used tool was the foreign body forceps. The primary location was the esophagus in 12.53% of cases, followed by the cricopharynx in 11.18% and the hypopharynx in 10%.

Conclusions: The Clínica Universitaria Colombia is a referral site for many gastroenterology emergencies due to its high technological level and extensive human resources. This paper probably describes the largest number of patients with this reason for consultation, which is why this retrospective descriptive study was designed. It shows the demographic characteristics, foreign body types, radiological and endoscopic findings, and associated complications, which help to provide a more accurate knowledge of this pathology.

Downloads

Download data is not yet available.

Author Biographies

Diego Mauricio Aponte Martín, Fundación Universitaria Sanitas

Gastroenterólogo. Coordinador Posgrado de gastroenterología. Bogotá, Colombia.

Jesús E Nuñez Renza, Clínica Universitaria de Colombia

Gastroenterólogo. Bogotá, Colombia.

Andrea Carolina Córdoba Guzmán, Clínica Universitaria Colombia

Gastroenteróloga. Bogotá, Colombia.

Viviana Parra Vargas, Clínica Universitaria de Colombia

Gastroenteróloga. Bogotá, Colombia.

Margarita María Huertas Quintero, Clínica Universitaria de Colombia

Gastroenteróloga. Bogotá, Colombia.

Fanny Acero, Clínica Universitaria de Colombia

Gastroenteróloga. Bogotá, Colombia.

Johanna Paipilla Sierra, Clínica Universitaria de Colombia

Gastroenteróloga. Bogotá, Colombia.

Nicolás Rocha Cortés, Clínica Universitaria de Colombia

Gastroenterólogo. Bogotá, Colombia.

Claudia Corso Bernal, Clínica Universitaria de Colombia

Gastroenteróloga. Bogotá, Colombia.

Juan David Linares, Clínica Universitaria de Colombia

Gastroenteróloga. Bogotá, Colombia.

Javier Preciado, Clínica Universitaria de Colombia

Gastroenterólogo. Bogotá, Colombia.

Germán Carvajal, Clínica Universitaria de Colombia

Gastroenterólogo. Bogotá, Colombia.

Fabio Leonel Gil Parada, Clínica Universitaria de Colombia

Gastroenterólogo. Bogotá, Colombia.

Carlos Arturo González Salazar, Clínica Universitaria de Colombia

Gastroenterólogo. Bogotá, Colombia.

Carlos Bernardo Sánchez, Clínica Universitaria de Colombia

Gastroenterólogo. Bogotá, Colombia.

Juan Carlos Marulanda Gómez, Clínica Universitaria de Colombia

Gastroenterólogo. Bogotá, Colombia.

Fabian Emura, Clínica Universitaria de Colombia

Gastroenterólogo. Bogotá, Colombia.

Luis Carlos Sabbaggh, Colsanitas

Jefe nacional de gastroenterología. Bogotá, Colombia.

References

Bekkerman M, Sachdev AH, Andrade J, Twersky Y, Iqbal S. Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature. Gastroenterol Res Pract. 2016;2016:8520767. https://doi.org/10.1155/2016/8520767

Sugawa C, Ono H, Taleb M, Lucas CE. Endoscopic management of foreign bodies in the upper gastrointestinal tract: A review. World J Gastrointest Endosc. 2014;6(10):475-81. https://doi.org/10.4253/wjge.v6.i10.475

Lee CY, Kao BZ, Wu CS, Chen MY, Chien HY, Wu LW, 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. https://doi.org/10.1097/JCMA.0000000000000010

Birk M, Bauerfeind P, Deprez PH, Häfner M, Hartmann D, Hassan C, et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2016;48(5):489-96. https://doi.org/10.1055/s-0042-100456

Jaan A, Mulita F. Gastrointestinal Foreign Body. [Actualizado el 28 de mayo de 2022]. En: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK562203/

von Rahden BH, Feith M, Dittler HJ, Stein HJ. Cervical esophageal perforation with severe mediastinitis due to an impacted dental prosthesis. Dis Esophagus. 2002;15(4):340-4. https://doi.org/10.1046/j.1442-2050.2002.00290.x

Okan İ, Akbaş A, Küpeli M, Yeniova AÖ, Esen M, Özsoy Z, et al. Management of foreign body ingestion and food impaction in adults: A cross-sectional study. Ulus Travma Acil Cerrahi Derg. 2019;25(2):159-66. https://doi.org/10.5505/tjtes.2018.67240

González M, Gómez M, Otero W. Cuerpos extraños en esófago. Rev Col Gastroenterol. 2006;21(3):150-61.

Geng C, Li X, Luo R, Cai L, Lei X, Wang C. Endoscopic management of foreign bodies in the upper gastrointestinal tract: a retrospective study of 1294 cases. Scand J Gastroenterol. 2017;52(11):1286-291. https://doi.org/10.1080/00365521.2017.1350284

Magalhães-Costa P, Carvalho L, Rodrigues JP, Túlio MA, Marques S, Carmo J, et al. Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Evidence-Based Review Article. GE Port J Gastroenterol. 2015;23(3):142-52. https://doi.org/10.1016/j.jpge.2015.09.002

Guelfguat M, Kaplinskiy V, Reddy SH, DiPoce J. Clinical guidelines for imaging and reporting ingested foreign bodies. AJR Am J Roentgenol. 2014;203(1):37-53. Erratum in: AJR Am J Roentgenol. 2014;203(3):694. DiPoce, C Jason [corrected to DiPoce, Jason]. https://doi.org/10.2214/AJR.13.12185

Pinto A, Muzj C, Gagliardi N, Pinto F, Setola FR, Scaglione M, et al. Role of imaging in the assessment of impacted foreign bodies in the hypopharynx and cervical esophagus. Semin Ultrasound CT MR. 2012;33(5):463-70. https://doi.org/10.1053/j.sult.2012.06.009

Yao CC, Wu IT, Lu LS, Lin SC, Liang CM, Kuo YH, et al. Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract of Adults. Biomed Res Int. 2015;2015:658602. https://doi.org/10.1155/2015/658602

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(4):485-92. https://doi.org/10.1016/j.gie.2006.01.059

Mosca S, Manes G, Martino R, Amitrano L, Bottino V, Bove A, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: report on a series of 414 adult patients. Endoscopy. 2001;33(8):692-6. https://doi.org/10.1055/s-2001-16212

Figura 1. Anillo plástico ubicado en la hipofaringe; 2007. Tomada de: Atlas personal del Dr. Diego Aponte

Published

2023-12-19

How to Cite

Aponte Martín, D. M., Nuñez Renza, J. E., Córdoba Guzmán, A. C., Parra Vargas, V., Huertas Quintero, M. M., Acero, F., … Sabbaggh, L. C. (2023). Gastrointestinal Foreign Bodies: 14 Years of Experience in a University Clinic. Revista Colombiana De Gastroenterología, 38(4), 472–478. https://doi.org/10.22516/25007440.1086

Issue

Section

Originals articles

Altmetric

Crossref Cited-by logo
Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
QR Code

Some similar items: