Comparative Study of Swallowed Foreign Body Extraction between Oesophagoscope and Conservative Management

Document Type : Original Article

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Abstract

Background: Bolus impaction of food or other foreign bodies is common. Most foreign bodies that are accidentally swallowed will be expelled without medical intervention. Evidence from pre-endoscopic series suggests that eighty percent or more of foreign bodies will pass naturally. Aim of the study: The aim of this study was to compare between the outcome of management of foreign body in esophagus by oesophagoscopy and by conservative management. Patients and Methods: This was prospective research involving 40 patients with foreign body ingestion. In Cardiothoracic Unit at Al-Azhar University, Assiut Hospital and Cardiothoracic Department Assiut University Hospital, 20 patients underwent extract foreign body by oesophagoscope and 20 patients underwent conservative management. Results: highly statistically significant (p-value < 0.001) increased percentage of infection in conservative group (15 patients, 75%) when compared with endoscopic group (1 patient, 5%). No statistically significant (p-value > 0.05) difference between endoscopic and conservative treatment as regard laceration of mucosa, esophageal perforation, retropharyngeal abscess, esophageal obstruction, esophageal necrosis, esophageal stricture and tracheoesophageal fistula, Conclusion: Children under the age of three are disproportionately affected by the common occurrence of foreign body (FB) ingestion. Eighty to ninety percent of gastrointestinal (GI) FBs are expelled normally without intervention (i.e., without problems), ten to twenty percent are removed endoscopically, and one percent necessitate open surgery. Thus, FB swallowing is a major clinical challenge for pediatric gastroenterologists.
 

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The Egyptian Journal of Hospital Medicine
Volume 91, Issue 1
April 2023
Pages 4718-4724

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