Rigid versus flexible endoscopy for managing ingested foreign bodies-can we improve pathways?
Eur Arch Otorhinolaryngol
; 279(5): 2695-2700, 2022 May.
Article
em En
| MEDLINE
| ID: mdl-35122508
ABSTRACT
PURPOSE:
This study aims to evaluate management pathways, outcomes and safety of rigid endoscopy (RE) and flexible endoscopy (FE) for the treatment of impacted foreign bodies of the upper gastrointestinal tract (UGIT) in adults.METHODS:
Retrospective study, included all patients undergoing RE or FE for impacted UGIT foreign body over an 11-year-period.RESULTS:
A total of 144 patients were included (95 FE and 49 RE). FE were performed under local anaesthetic or sedation, and RE under GA. Success rate of FE and RE were 95.8% and 95.9% respectively. During FE an intra-procedural biopsy was performed in 45/95 (47.3%); with 26/95(27.4%) identifying mucosal pathology. Complications was significantly higher in patients having RE (40.8% versus 6.3%, p = .001).CONCLUSION:
FE and RE are effective for the therapeutic management of impacted UGIT foreign bodies. However, FE can be performed under LA and was associated with fewer complications, favouring FE where possible as a first line option.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esôfago
/
Corpos Estranhos
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Adult
/
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article