Wang Xin, Su Shuai, Chen Yiming, Wang Zelan, Li Ying, Hou Junjie, Zhong Weilong, Wang Yuming, Wang Bangmao
Department of Gastroenterology and Hepatology, General Hospital of Tianjin Medical University, Tianjin, China.
Ann Transl Med. 2021 Mar;9(6):502. doi: 10.21037/atm-21-829.
Foreign body (FB) ingestion in the gastrointestinal tract is a common and urgent problem observed in children and adults. However, there may be difficulty locating FBs and complications associated with their removal. This study aimed to identify risk factors and complications correlated to the presence and removal of FBs.
This 5-year retrospective study enrolled 1,311 patients between June 2014 and April 2019. Demographic and endoscopic data were collected, containing age, gender, types and location of FBs, duration of FB ingestion, accessory devices, endoscopic methods, and complications. Logistic regression analysis was applied to evaluate the predictive risk factors.
Among 1,131 patients, FBs were found in 90.16% of cases. A major predictor for the presence of FB was a presentation of less than 24 hours (h). The types of FBs were jujube pits (36.72%) and fish bones (22.00%), and over 80% of the FBs were discovered in the esophagus. Complications were found in 239 cases (20.22%), of which hemorrhage (162/239, 67.78%) was the most frequent. Age ≥60, duration ≥24 h, and FBs ingested in the esophagus were considered as risk factors for developing complications.
In conclusion, the longer duration, age ≥60, and impaction in the esophagus were risk factors for developing complications following the ingestion of FBs. These factors should be considered when developing assessment and treatment plans in the management of FB ingestion.
胃肠道异物（FB）摄入是儿童和成人中常见且紧急的问题。然而，定位FB可能存在困难以及与取出相关的并发症。本研究旨在确定与FB存在和取出相关的危险因素及并发症。
这项为期5年的回顾性研究纳入了2014年6月至2019年4月期间的1311例患者。收集了人口统计学和内镜数据，包括年龄、性别、FB的类型和位置、FB摄入持续时间、辅助设备、内镜方法及并发症。应用逻辑回归分析评估预测危险因素。
在1311例患者中，90.16%的病例发现了FB。FB存在的一个主要预测因素是就诊时间少于24小时（h）。FB的类型为枣核（36.72%）和鱼骨（22.00%），超过80%的FB在食管中被发现。239例（20.22%）出现并发症，其中出血（162/239，67.78%）最为常见。年龄≥60岁、持续时间≥24小时以及食管内摄入FB被认为是发生并发症的危险因素。
总之，持续时间较长、年龄≥60岁以及食管内异物嵌顿是FB摄入后发生并发症的危险因素。在制定FB摄入管理的评估和治疗计划时应考虑这些因素。
