Citation

Palta R, Sahota A, Bemarki A, Salama P, Simpson N, Laine L. Gastrointest. Endosc. 2009; 69(3): 426-433.

Affiliation

Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.

Copyright

(Copyright © 2009, Elsevier Publishing)

DOI

10.1016/j.gie.2008.05.072

PMID

19019363

Abstract

BACKGROUND: Previous reports of foreign-body ingestions focused primarily on accidental ingestions. OBJECTIVE: To describe the characteristics and management of foreign-body ingestions, with predominantly intentional ingestion, in a lower socioeconomic status population. DESIGN: A retrospective case series. SETTING: An urban county hospital. PATIENTS: Patients >/=17 years old, with foreign-body ingestions between 2000 and 2006. MAIN OUTCOME MEASUREMENTS: Characteristics of ingestion cases, endoscopic extraction, need for surgery, and complications. RESULTS: Among 262 cases, 92% were intentional, 85% involved psychiatric patients, and 84% occurred in patients with prior ingestions. The time from ingestion to presentation was >48 hours in 168 cases (64%). The overall success rate for endoscopic extraction was 90% (165/183 cases). Surgery was performed in 30 cases (11%) and was more common for objects beyond the pylorus versus objects above the pylorus (16/43 [37%] vs 10/151 [7%], respectively) and in cases with a greater delay from ingestion to presentation (25/168 [15%] if >48 hours vs 4/77 [5%] if 48 hours vs 14/165 [8%] if

Language: en