Management of ingested foreign bodies. How justifiable is a waiting policy?
Τίτλος | Management of ingested foreign bodies. How justifiable is a waiting policy? |
Publication Type | Journal Article |
Year of Publication | 2008 |
Authors | Pavlidis, T. E., Marakis G. N., Triantafyllou A., Psarras K., Kontoulis T. M., & Sakantamis A. K. |
Journal | Surg Laparosc Endosc Percutan Tech |
Volume | 18 |
Issue | 3 |
Pagination | 286-7 |
Date Published | 2008 Jun |
ISSN | 1530-4515 |
Λέξεις κλειδιά | Adolescent, Adult, Aged, Decision Making, Emergency Medical Services, Endoscopy, Female, Foreign Bodies, Foreign-Body Migration, Humans, Male, Middle Aged, Time Factors |
Abstract | Foreign body ingestion is a commonly seen accident in emergencies, usually in children (80%), elderly, mentally impaired, or alcoholic individuals, whereas it may occur intentionally in prisoners or psychiatric patients. According to the literature, 90% of ingested foreign bodies pass through the gastrointestinal tract without complications, 10% to 20% necessitate endoscopic removal, whereas only 1% of them will finally need surgical intervention. In clinical practice, we often face the dilemma of choosing the appropriate treatment modality. We present 13 cases treated in our department, emphasizing in a "waiting and close observation" policy. Among these cases, only 1 patient needed to be operated because of obstruction of ileocecal valve by a large coin. Indications for treatment where applicable are also being discussed. |
DOI | 10.1097/SLE.0b013e31816b78f5 |
Alternate Journal | Surg Laparosc Endosc Percutan Tech |
PubMed ID | 18574418 |