Year 2019 / Volume 111 / Number 3
Original
Evaluation of the medical economics and safety: two methods for the endoscopic removal of jujube pits

209-213

DOI: 10.17235/reed.2018.5794/2018

Chunmei Guo, Jing Wu, Haiyan He, Hong Liu, Yadan Wang, Nan Wei, Canghai Wang, Wu Lin, Hui Su,

Abstract
Objective: to evaluate the medical economics and safety of two methods for the endoscopic removal of jujube pits, one with a transparent cap combined with a stone basket and the other with a transparent cap combined with foreign body forceps. Methods: consecutive patients with a suspected jujube pit ingestion in the esophagus between January 2008 and December 2017 were enrolled into the study. Fifty-three patients who met the criteria were divided into two groups. Group A patients were treated by a transparent cap combined with a stone basket and group B patients were treated by a transparent cap combined with foreign body forceps. The following clinical data were collected: age, sex, location of jujube pits, complications, operation time, extraction success and average hospital costs. Results: a total of 53 patients who met the criteria were enrolled into the study; 29 cases in group A and 24 cases in group B. Endoscopic removal was successful in 98.1% (52/53) of the patients and the remaining 1.9% (1/53) required surgery. Severe complications were less frequent in group A than in group B (p = 0.017). Surgery time was not significantly different between the two groups (p = 0.647). The extraction success in group A was higher than in group B (p = 0.001). The medical costs including the total cost, inspection, treatment, radiation and drug cost were not significantly different between the two groups (p > 0.05 in all cases). Conclusion: endoscopic baskets are suitable for cases of jujube pit ingestion and have a higher extraction success and a lower proportion of severe complications. Surgery time was not significantly extended and the medical costs did not increase.
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References
[1] Birk M, Bauerfeind P, Deprez PH, et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2016; 48:489–496.
[2] Wahid F, Rehman HU, Khan IA, et al. Management of foreign bodies of upper digestive tract. Indian J Otolaryngol Head Neck Surg.2014. Jan;66(Suppl 1):203-206 doi: 10.1007/s12070-011-0426-0. Epub 2011 Dec 24.
[3] Zhang S, Cui Y, Gong X, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract in South China: a retrospective study of 561 cases. Dig Dis Sci. 2010; 55:1305–1312.
[4] Nandi P, Ong GB. Foreign body in the oesophagus: review of 2394 cases. Br J Surg. 1978; 65:5–9.
[5] Chiu YH, Hou SK, Chen SC, et al. Diagnosis and endoscopic management of upper gastrointestinal foreign bodies. Am J Med Sci. 2012; 343:192–195.
[6] Ofosu A, Ramai D, Reddy M. Overtube-Assisted Foreign Body Removal: A Review of Endoscopic Management and Case Illustration. Cureus.2017 Sep 29 ;9(9): e1730. doi: 10.7759/cureus.1730.
[7] Zhong Q, Jiang R, Zheng X, et al. Esophageal foreign body ingestion in adults on weekdays and holidays: A retrospective study of 1058 patients. Medicine(Baltimore). 2017 Oct;96(43): e8409. doi: 10.1097/MD.0000000000008409.
[8] Zhang X, Jiang Y, Fu T, et al. Esophageal foreign bodies in adults with different durations of time
from ingestion to effective treatment. J Int Med Res.2017 Aug;45(4):1386-1393. doi: 10.1177/0300060517706827. Epub 2017 Jun 12.
[9] Sugawa C, Ono H, Taleb M, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: a review. World J Gastrointest Endosc 2014; 6:475–481.
[10] Genga C, Lia X, Luo R, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: a retrospective study of 1294 cases. Scand J Gastroenterol. 2017 Nov;52(11):1286-1291. doi: 10.1080/00365521.2017.1350284. Epub 2017 Jul 10.
[11] Emara MH, Darwiesh EM, Refaey MM, et al. Endoscopic removal of foreign bodies from the upper gastrointestinal tract: 5-year experience. Cli Exp Gastroenterology.2014 Jul 16;7:249-53. doi: 10.2147/CEG.S63274. eCollection 2014.
[12] Li Z-S, Sun Z-X, Zou D-W, et al. Endoscopic management of foreign bodies in the upper-GI tract: experience with 1088 cases in China. Gastrointest Endosc 2006; 64:485–92.
[13] Longstreth GF, Longstreth KJ, Yao JF. Esophageal food impaction: epidemiology and therapy. A retrospective, observational study. Gastro- intest Endosc 2001; 53:193–8.
[14]
Chen T, Wu H, Shi Q, et al. Endoscopic management of impacted esophageal foreign bodies. Diseases of the Esophagus (2012) DOI: 10.1111/j.1442-2050.2012. 01401.x
[15] Vicari JJ, Johanson JF, Frakes JT: Outcomes of acute esophageal food impaction: success of the push technique. Gastrointest Endosc. 2001, 53:178–181. 10.1067/mge.2001.111039
[16] Birk M, Bauerfeind P, Deprez PH, et al.: Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2016, 48:489–496. 10.1055/s-0042-100456.
[17] McKechnie JC. Gastroscopic removal of a phytobezoar. Gastroenterology 1972; 62:1047–51.
[18] Longstreth GF, Longstreth KJ, Yao JF. Esophageal food impaction: epidemiology and therapy. A retrospective, observational study. Gastrointest Endosc 2001; 53:193–8.
[19] Kim JK, Kim SS, Kim JI, et al. Management of foreign bodies in the gastrointestinal tract: an analysis of 104 cases in children. Endoscopy 1999; 31:302–4.
[20]  Berggreen PJ, Harrison E, Sanowski RA, et al. Techniques and complications of esophageal foreign body extraction in children and adults. Gastrointestinal Endoscopy 1993; 39:626–30.
[21] Ginsberg GG: Management of ingested foreign objects and food bolus impactions. Gastrointest Endosc. 1995, 41:33–38. 10.1016/S0016-5107(95)70273-3.
[22] Chauvin A, Viala J, MarteauP, et al. Management and endoscopic techniques for digestive foreign body and food bolus impaction. Dig Liver Dis. 2013 Jul;45(7):529-42. doi: 10.1016/j.dld.2012.11.002. Epub 2012 Dec 23.
[23] Eroglu A, Can Kurkcuogu I, Karaoganogu N, et al. Esophageal perforation: the importance of early diagnosis and primary repair. Dis Esophagus 2004; 17: 91–94.
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Guo C, Wu J, He H, Liu H, Wang Y, Wei N, et all. Evaluation of the medical economics and safety: two methods for the endoscopic removal of jujube pits. 5794/2018


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Publication history

Received: 25/06/2018

Accepted: 30/09/2018

Online First: 19/11/2018

Published: 04/03/2019

Article revision time: 90 days

Article Online First time: 147 days

Article editing time: 252 days


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