Analysis of the surgical management of gastrointestinal foreign bodies
10.3760/cma.j.cn113855-20250407-00211
- VernacularTitle:消化道异物的外科诊疗分析
- Author:
Sixian WANG
1
;
Tao LIU
;
Yingchao WU
;
Tao WU
;
Guowei CHEN
;
Yong JIANG
;
Lie SUN
;
Jingui WANG
;
Yiming LIU
;
Weidong DOU
;
Xiao CHEN
;
Tianye LIU
;
Junling ZHANG
;
Xin WANG
Author Information
1. 北京大学第一医院胃肠外科，北京 100034
- Publication Type:Journal Article
- Keywords:
Foreign bodies;
Intestinal perforation;
Digestive system surgical procedures
- From:
Chinese Journal of General Surgery
2025;40(11):874-878
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Analyze the risk factors of gastrointestinal perforation caused by foreign body and summarize the experience of surgical treatment of foreign bodies.Method:From Jan 2008 to Dec 2023, 89 patients with foreign bodies in the digestive tract were admitted to the Department of Gastrointestinal Surgery, Peking University First Hospital. Relevant data were collected and binary logistic regression was used to analyze the independent risk factors for intestinal perforation, resection and anastomosis of intestine or enterostomy/colostomy.Results:The mean age of 89 patients was (60.1±16.2) years old, 65 patients (73%) had unintentionally ingested foreign bodies. The most common foreign bodies were jujube pits (40 cases). Thirty-nine patients diagnosed with gastrointestinal perforation. Binary Logistic regression analysis showed that the total number of leukocytes ( OR=4.085, 95% CI: 1.214-13.745, P=0.023), sharp foreign body ( OR=26.124, 95% CI: 5.194-131.392, P<0.001), and the location of foreign body ( OR=3.980, 95% CI: 1.178-13.465, P=0.026) were the independent risk factors for gastrointestinal perforation. Thirty-three patients underwent gastrointestinal repair surgery, and 36 patients underwent resection and anastomosis of intestine or enterostomy/colostomy. Binary Logistic regression analysis showed that the foreign body located in the colorectum ( OR=71.928, 95% CI: 4.646-1 113.479, P=0.002) and the length of the foreign body ≤2.5 cm ( OR=5.791, 95% CI: 1.606-20.882, P=0.007) were the independent risk factors for resection and anastomosis of intestine or enterostomy/colostomy. Conclusions:Leukocyte count ≥10×10 9/L, sharp foreign body, and location of foreign body are independent risk factors for gastrointestinal perforation. Foreign body located in the colorectum and foreign body length ≤2.5 cm are risk factors for resection and anastomosis of intestine or enterostomy/colostomy.
