Year 2023 / Volume 115 / Number 9
Original
Time trends and endoscopic management of foreign body ingestion in the upper GI tract: a retrospective analysis of 1,152 cases in China

488-495

DOI: 10.17235/reed.2023.9426/2022

Miaoxin Zhang, Junchen Wan, Qi Zhou,

Abstract
Objectives: foreign body ingestions are encountered in the clinical practice and sometimes require endoscopic management. However, time trends and epidemiology of these cases have not been fully clarified. Whether seasons and festivals have an effect on the occurrence has been poorly described. Method: from 2009 to 2020, 1,152 consecutive foreign body ingestion cases were enrolled in our endoscopic center. Case records were reviewed for demographic data, foreign body type and location, outpatient or hospitalization, adverse events and dates. Annual time trends and seasonal variation were analyzed as well as the influence of Chinese legal festivals on the incidence. The impact of SARS-CoV-2 pandemic on the potential delay for clinical consultation of these cases was preliminarily explored. Clinical features of these cases were demonstrated. Results: the overall success rate was 99.7 % and the adverse events rate was 2.4 %. There was an uptrend in the annual frequency of food foreign body ingestion endoscopic extraction from 0.65 in 2009 to 8.86 in 2020 per 1,000 esophagogastroduodenoscopy patients (r = 0.902, p < 0.001). Furthermore, the frequency of endoscopic extraction significantly increased in winter (p < 0.001) and during Chinese New Year celebratory season (p = 0.003). The duration of hospitalization may be longer in the pandemic period (p = 0.0049). Conclusion: considering the uptrend of the annual frequency of food related foreign body endoscopic extraction, the publicity about the danger of foreign body ingestion should be enhanced. Arrangement of endoscopic physicians and assistants during the high-incidence season should be emphasized.
Lay Summary
Foreign body ingestions in upper gastrointestinal tract are relatively infrequent and usually treated as emergency. Endoscopic removal has been recommended by the guidelines as the mainstay of foreign body ingestion. Our study collected consecutive such cases over a 12-year time frame. Through the retrospective analysis, we demonstrated the time trend of endoscopic removal application and it reflect the incidence of foreign body ingestion in some extent. Meanwhile, the season of winter and Chinese New Year were indicated to be the high-incidence period for these harmful accidents. The conclusion may help to make a more reasonable arrangement of the skillful endoscopic physicians and assistants. Besides, clinical characteristics such as average age, most often impacted area and foreign body type were demonstrated. And we investigated on the potential delay for clinical consultation of foreign body ingestions due to the SARS-CoV2 pandemics preliminarily.
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19/09/2023 17:18:22
Hay repetición de frases !


References
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Zhang M, Wan J, Zhou Q. Time trends and endoscopic management of foreign body ingestion in the upper GI tract: a retrospective analysis of 1,152 cases in China. 9426/2022


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Publication history

Received: 14/12/2022

Accepted: 15/02/2023

Online First: 10/03/2023

Published: 06/09/2023

Article revision time: 50 days

Article Online First time: 86 days

Article editing time: 266 days


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