Volume : 6, Issue : 8, August - 2017

A study on Upper GI foreign body presentation and Management in a Tertiary Care Centre

Dr. K. Caroline Selvi, Dr. A. Senthil Vadivu, Dr. E. Kandasamy Alias Kumar

Abstract :

<p>&nbsp;<span style="font-size:9.0pt;mso-bidi-font-size:10.0pt;&#10;line-height:115%;font-family:&quot;Calii&quot;,&quot;sans-serif&quot;;mso-ascii-theme-font:minor-latin;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-theme-font:minor-fareast;&#10;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi;mso-ansi-language:EN-US;mso-fareast-language:&#10;EN-US;mso-bidi-language:AR-SA">Aim:To evaluate the presentation and out come of accidentally ingested&nbsp; foreign bodies of upper GI tract. Methods: Retrospective analysis of patients&nbsp; with GI foreign bodies from 2014 to 2017 in the Department&nbsp; of&nbsp; Medical Gastroenterology, Governmentt Mohan Kumaramangalam Medical college, Salem,Tamilnadu .Patients age, sex , type of objects , site of objects, time of presentation to hospital , associated comorbid illness endoscopic accessories used, failed rate, negative endoscopy, complications, and surgical requirements were analysed..Observation: Total 51 patients pediatric&nbsp; 16 (31.3%) ,&nbsp; male&nbsp; 24 ( 47.05%) and female 27 (52.9%). Dentures were the common foreign body encountered in esophagus 13 (25.4%) , Sharp objects, 8 (15.6%) . youngest age was one year old male child . oldest was 75 year old male. Two cases of &nbsp;button battery removed&nbsp; under GA . Esophagus was the commonest site . Rat tooth foreign body forceps used in 37cases (72.5%). Snare was used in 7 cases (13.7%). Endoscopic removal&nbsp; 44 (86.2%) Negative endoscopy 3 (5.8%)&nbsp; ENT region impaction one. No endoscopic complication. Surgical removal&nbsp; 4 cases&nbsp; (7.8%).Conclusion: Most of&nbsp; Upper GI&nbsp; foreign bodies were removed by flexible endoscope by using endoscopic accessories with relatively low failure rate and low surgical requirement</span></p>