J Korean Soc Emerg Med.  2015 Oct;26(5):379-386. 10.0000/jksem.2015.26.5.379.

Observation of Emergency Department Adult Patient Presenting Primary Symptoms of Upper Digestive Tract Oreign Body Ingestion

Affiliations
  • 1Department of Emergency Medicine, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Korea. galen97@chamc.co.kr

Abstract

PURPOSE
The purpose of this study is to search for factors which can help in deciding on proper treatment for patients who visit the Emergency department (ED) with symptoms of foreign body ingestion.
METHODS
This study was a retrospective review of medical records of ED patients with primary symptoms of foreign body ingestion. The patients' demographic data, elapsed time since the ingestion, type of foreign body, symptoms, and the method of removal were analyzed. Receiver operating characteristic (ROC) curve was used for analysis of whether these factors can be used to decide on proper treatment.
RESULTS
Among 321 patients, a foreign body was removed successfully in 285 patients and the foreign body was not found in the remaining 36 patients. Of the successfully treated cases, 76 were removed grossly, 133 were removed using a laryngoscope, 74 were removed with endoscopy, and 2 were removed spontaneously. Comparing the group in which a foreign body was found and the other group, there was a significant difference in elapsed time since the onset of symptoms (p=0.013) and the type of foreign body (p=0.001). There was no significant reliable factor which can predict the existence of a foreign body.
CONCLUSION
There was no significant factor which can predict the existence of a foreign body. Considering that the foreign body was found in most suspected patients, and that numerous patients in which a foreign body was not found had shown signs of complications due to foreign body, constructive treatment should be advocated.

Keyword

Foreign bodies; Remove; Factor; Endoscopes

MeSH Terms

Adult*
Eating*
Emergencies*
Emergency Service, Hospital*
Endoscopes
Endoscopy
Foreign Bodies
Gastrointestinal Tract*
Humans
Laryngoscopes
Medical Records
Retrospective Studies
ROC Curve
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