Management of ingested foreign bodies: a retrospective review of 5240 patients.
This review was carried out to assess the effectiveness of our protocol designed for the management of ingested foreign bodies. It was a retrospective review of 5240 patients with ingested foreign bodies admitted over a five-year period to the Ear Nose and Throat Unit. These patients were managed according to a standardized protocol which was adopted and modified from our previous study. Under his management protocol, the mean hospital stay was 1.6 days. Flexible oesophagoscopy under local anaesthesia, and rigid oesophagoscopy under general anaesthesia, were performed in 1.5 per cent and 7.7 per cent of cases respectively. Major complications including oesophageal perforation and deep neck abscesses occurred in 0.19 per cent of patients. There was no mortality. This management protocol for ingested foreign bodies was both safe and cost-effective when compared to similar studies reported in the literature.
Lam
H C
HC
Division of Otorhinolaryngology, Department of Surgery, Prince of Wales Hospital, Shatin, N.T., Hong Kong.
Woo
J K
JK
van Hasselt
C A
CA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D002985:Clinical Protocols; D004945:Esophagoscopy / Q000009:adverse effects / Q000379:methods; D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007223:Infant; D007828:Laryngoscopy / Q000009:adverse effects / Q000379:methods; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D010614:Pharynx / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000209:etiology; D011237:Predictive Value of Tests; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome