Evaluation of the medical economics and safety: two methods for the endoscopic removal of jujube pits
Rev. esp. enferm. dig
; 111(3): 209-213, mar. 2019. ilus, tab, graf
Artigo
em Inglês
| IBECS
| ID: ibc-189827
Biblioteca responsável:
ES1.1
Localização: BNCS
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 increaseRESUMEN
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Espanha
Base de dados:
IBECS
Assunto principal:
Sementes
/
Migração de Corpo Estranho
/
Esofagoscopia
/
Ziziphus
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Rev. esp. enferm. dig
Ano de publicação:
2019
Tipo de documento:
Artigo
Instituição/País de afiliação:
Beijing Institute of Space Mechanics and Electricity/PR China
/
Capital Medical University/PR China