Failure of removing upper gastrointestinal foreign bodies with endosccpy: a systematic analysis
10.3760/cma.j.issn.1007-5232.2012.06.011
- VernacularTitle:中国上消化道异物内镜取出失败的系统评价
- Author:
Yangbei ZHU
;
Yu BAI
;
Duowu ZOU
;
Zhaoshen LI
- Publication Type:Journal Article
- Keywords:
Endoscopes;
Upper gastrointestinal foreign bodies;
Romove
- From:
Chinese Journal of Digestive Endoscopy
2012;29(6):332-335
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo systematically review endoscopic failure to remove upper gastrpintestinal foreign bodies in China,MethodsWe searched literature in Chinese database ( 1975 ～ October,2010) according to inclusion and exclusion criteria,and then data of 215 studies (904 patients) were extracted,summarized and analyzed.ResultsPatients in 24-hour group accounted for a higher proportion than the within 24-bour group (97.5％ v.s.2.5％ ).The failure rate for esophageal incarceration (49.8％ ) was higher than those for stomach (29.0％ ),duodenum ( 17.0％ ) and epiglottis headquarter (4.2％ ).In mental or psychiatric patients,the failure rate was higher than that of common people ( 8.4 ％ v.s.4.2％ ; P =0.0001 ).Failure rate for those who underwent chest X-rays and CT (3.7％) was lower than that for those who underwent X-rays (4.3％ ) or barium meal examination (5.1％ ) only.There were 9 deaths and the types of the foreign bodies were all bones,in which 8 were located in the upper esophagus and 6 were beyond 24 hours.ConclusionForeign body type,size,incarceration time,location and population characteristics of patients are closely related to the failure of removing foreign bodies with endoscopy.It is suggested that we should improve the management of special population and offer timely treatment.
