Outcome of endoscopic removal of foreign body ingestion : 5-year experience at Maharat Nakhonratchasima Hospital

Abstract

Background: Foreign body ingestion is a common problem in both adults and pediatric. Type of foreign body and site of impaction were different among both groups

Objective: To report the experience and outcome of the endoscopic removal of foreign body ingestion at Maharat Nakhonratchasima Hospital

Methods: Retrospective review the medical records of patients with foreign body ingestion whom were treated by endoscopic removal at Maharat Nakhonratchasima Hospital between 1 January 2007 and 31 December 2011.

Results: The analysis included 166 patients of which 62.1 % were men and 37.9% were women. The mean age group was 34.3 years (range 18 months to 88 years). Fifty-nine patients (35.5%) were children and 107 patients (64.5%) were adult. Most common age group is 0-5 year (20.5%). Coin was the most common foreign body in pediatric age group (72.9%) whereas bone was the most common (36.4%) in adults. The most common site of foreign body impaction in both groups was upper esophagus (89.8% in pediatric age group and 71% in adults). Endoscopic removal was successful in all cases. There were no procedure related complications.

Conclusion: There are differences in some aspects of foreign body ingestion between adult and pediatric age group at Maharat Nakhonratchasima Hospital, endoscopic removal of foreign body from gastrointestinal tract could be safely performed with very good result.