Dataset Information

Differences between intentional and accidental ingestion of foreign body in China.

ABSTRACT: BACKGROUNDS:Previous reports of foreign-body ingestion focused primarily on accidental ingestion and very few studies focused on intentional ingestion of foreign body (FB) in China. Our study aimed to compare the prevalence of different age, gender, types, locations and management of FB ingested between intentional ingestion and accidental ingestion of FB in Northern China. METHODS:A retrospective case series studied all patients with suspected FB ingestion in Digestive Endoscopy Center of Beijing Friendship Hospital, between January 2011 and January 2019. The patients were divided into 2 groups. Group A included the patients who intentionally ingested FBs, and Group B included the patients who accidentally ingested FBs. Patients' database (demographics, past medical history, characteristics of FB, endoscopic findings and treatments) were reviewed. Statistical analyses were conducted using SPSS software. RESULTS:Group A consisted of 77 prisoners, 2 suspects and 11 psychologically disabled persons. Group B consisted of 1020 patients with no prisoners, suspects or psychologically disabled persons. In Group A, there were no food-related foreign bodies, and the majority of FBs were metallic objects (54.44%). However in Group B, food-related FBs were the most common (91.37%). In Group A, 58 cases (64.44%) were located in the stomach, while in Group B, 893 cases (87.55%) were located in the esophagus (P?

SUBMITTER: Zong Y

PROVIDER: S-EPMC7137476 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Differences between intentional and accidental ingestion of foreign body in China.

Zong Ye Y Zhao Haiying H Sun Can C Ji Ming M Wu Yongdong Y Zhang Shutian S Wang Yongjun Y

BMC gastroenterology 20200406 1

<h4>Backgrounds</h4>Previous reports of foreign-body ingestion focused primarily on accidental ingestion and very few studies focused on intentional ingestion of foreign body (FB) in China. Our study aimed to compare the prevalence of different age, gender, types, locations and management of FB ingested between intentional ingestion and accidental ingestion of FB in Northern China.<h4>Methods</h4>A retrospective case series studied all patients with suspected FB ingestion in Digestive Endoscopy ...[more]

PMID: 32252651

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Project description:Introduction Intentional and accidental foreign body ingestion are commonly encountered in clinical practice. In adults, intentional foreign body ingestion is frequently observed among individuals with psychiatric disorders and prisoners. Controversies exist regarding the management of sharp or pointed objects. We contribute to this existing controversy by presenting a case of a 43-year-old male who accidently ingested a metallic screw and was managed successfully through endoscopic retrieval. Case presentation We discuss a case of a 43-year-old male presented to our emergency department after accidently swallowing a metallic screw, 1 h and a half prior to his presentation. He was initially asymptomatic then started to complain of vague abdominal symptoms. X-rays of the chest and abdomen demonstrated the presence of a metallic screw at the mid-abdomen. Computed tomography scan of the abdomen then confirmed its presence within the gastric lumen, with no evidence of gastric or bowel perforation. The patient was managed via esophagogastroduodenoscopy in which the ingested screw was extracted. He was discharged after 24 hours in a good condition. Clinical discussion A limited number of epidemiological studies have shed light on the prevalence and incidence of foreign body ingestion among adult individuals. Probability of spontaneous passage depends on several factors including the size, shape and composition of the impacted item, as well as the age of patient and duration of ingestion prior to presentation. Conclusion Considering the variation of ingested objects and the availability of several therapeutic approaches, a patient-tailored management plan should always be established. Highlights • Metallic item ingestion represents a challenge to healthcare practitioners.• Probability of spontaneous passage depends on several factors including patient-related and item-related characteristics.• Benefit-risk assessment can help in establishing a safe yet cost-effective management plan.

Dataset Information

Differences between intentional and accidental ingestion of foreign body in China.

Publications

Differences between intentional and accidental ingestion of foreign body in China.

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