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Foreign body ingestion: Management of 167 cases

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Abstract

We reviewed the management of 167 patients with foreign body ingestion from 1980 to 1986. Two patients (1.1%) refused treatment. Nonoperative management was attempted in 14 (8.4%) patients. Endoscopy was performed on 117 patients with an overall success rate of 85.5% and a complication rate of 1.7%. Surgical treatment was required in 51 (30.0%) patients, 14 of whom had previous unsuccessful endoscopy.

Résumé

Les résultats de notre expérience du traitement de 167 cas de corps étranger ingérés entre 1980 et 1986 ont été revus. Deux patients ont refusé le traitement proposé (1.1%). Une attitude conservatrice a pu Être adoptée chez 14 patients (8.4%). Une endoscopie à visée thérapeutique a été pratiquée chez 117 patients: elle a été efficace dans 85.5% des cas, avec un taux de complications de 1.7%, sans mortalité. La chirurgie a été nécessaire chez 51 patients (30.0%), dont 14 échecs de l'endoscopie. Il y a eu un taux de 17.6% de complications et un complications de 1.7%, sans mortalité. La chirurgie a été nécessaire chez 51 patients (30.0%), dont 14 échecs de reposer sur l'utilisation judicieuse de l'endoscopie et/ou de la chirurgie.

Resumen

En una revisión del manejo de 167 casos de ingestion de cuerpos extraños en el período 1980–86 se observaron los siguientes resultados. Dos pacientes rehusaron tratamiento (1.1%); tratamiento conservador fue intentado en 14 (8.4%); se realizó endoscopia en 117, con una tasa global de éxito de 85.5%, una tasa de complicaciones de 1.7% y ninguna muerte. El tratamiento quirÚrgico fue necesario en 51 pacientes (30.0%); 14 habían tenido endoscopia no exitosa, con una tasa de complicaciones de 17.6% y 1 muerte (1.9%) debida a fistula aortoesofágica. Se plantean conclusiones relativas al manejo de cuerpos extranos combinando la técnica de endoscopia de fibra óptica con cirugía.

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Correspondence to J. C. Rueda M.D..

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Barros, J.L., Caballero, A., Rueda, J.C. et al. Foreign body ingestion: Management of 167 cases. World J. Surg. 15, 783–788 (1991). https://doi.org/10.1007/BF01665320

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Keywords

  • Public Health
  • Success Rate
  • Complication Rate
  • Foreign Body
  • Nonoperative Management