Zhong Qian, Jiang Ruiwei, Zheng Xi, Xu Guifang, Fan Xiuqin, Xu Yuanyuan, Liu Fei, Peng Chunyan, Ren Wei, Wang Lei
Department of Gastroenterology, The Affiliated Drum Tower Hospital of Nanjing University Medical School The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China Salem Health Medical Group, Salem, OR Department of Geriatric Medicine, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Medicine (Baltimore). 2017 Oct;96(43):e8409. doi: 10.1097/MD.0000000000008409.
The purpose of this study is to compare the clinicopathological characteristics and outcomes of esophageal foreign body (FB) ingestion in adults between weekdays and holidays. This is a retrospective study including 1058 patients with esophageal FB ingestion from 2012 to 2016. Patient characteristics, the types and locations of FB, and clinical outcomes were compared between patients on weekdays and holidays. Furthermore, independent risk factors of complication on weekdays and holidays respectively were evaluated. The locations of FB, underlying diseases, and complications significantly differed between weekdays and holidays groups, while no difference was found in the types of FB. Patients got higher percentage of erosion complication on holidays than that on weekdays (60.8% vs 47.6%, P < .0001). Multivariate logistic regression analysis revealed that jujube shell was a significant predictor of complication on weekdays (P < .001). However, complication was significantly associated with nonfood bolus FB ingestion on holidays (P < .001). Our data suggest that there were different clinicopathological characteristics of FB ingestion between weekdays and holidays, and more patients got complications on holidays. On holidays, a latex protector hood or an overtube should be applied to patients who swallowed nonfood bolus in order to reduce esophageal mucosal damage.
本研究的目的是比较成人在工作日和节假日期间食管异物（FB）摄入的临床病理特征及结局。这是一项回顾性研究，纳入了2012年至2016年期间1058例食管FB摄入患者。比较了工作日和节假日患者的特征、FB的类型和位置以及临床结局。此外，分别评估了工作日和节假日并发症的独立危险因素。FB的位置、基础疾病和并发症在工作日和节假日组之间存在显著差异，而FB的类型没有差异。节假日患者发生糜烂并发症的百分比高于工作日（60.8%对47.6%，P<0.0001）。多因素逻辑回归分析显示，枣核是工作日并发症的显著预测因素（P<0.001）。然而，节假日并发症与非食物团块FB摄入显著相关（P<0.001）。我们的数据表明，工作日和节假日期间FB摄入的临床病理特征不同，节假日有更多患者发生并发症。在节假日，对于吞咽非食物团块的患者应使用乳胶保护罩或外套管，以减少食管黏膜损伤。
