A study on Upper GI foreign body presentation and Management in a Tertiary Care Centre

Dr.K.Caroline Selvi; Dr.A.Senthil Vadivu; Dr.E.Kandasamy alias Kumar

Volume : VI, Issue : VIII, August - 2017

A study on Upper GI foreign body presentation and Management in a Tertiary Care Centre

Dr. K. Caroline Selvi, Dr. A. Senthil Vadivu, Dr. E. Kandasamy Alias Kumar

Abstract :

Aim:To evaluate the presentation and out come of accidentally ingested foreign bodies of upper GI tract. Methods: Retrospective analysis of patients with GI foreign bodies from 2014 to 2017 in the Department of Medical Gastroenterology, Governmentt Mohan Kumaramangalam Medical college, Salem,Tamilnadu .Patients age, sex , type of objects , site of objects, time of presentation to hospital , associated comorbid illness endoscopic accessories used, failed rate, negative endoscopy, complications, and surgical requirements were analysed..Observation: Total 51 patients pediatric 16 (31.3%) , male 24 ( 47.05%) and female 27 (52.9%). Dentures were the common foreign body encountered in esophagus 13 (25.4%) , Sharp objects, 8 (15.6%) . youngest age was one year old male child . oldest was 75 year old male. Two cases of button battery removed under GA . Esophagus was the commonest site . Rat tooth foreign body forceps used in 37cases (72.5%). Snare was used in 7 cases (13.7%). Endoscopic removal 44 (86.2%) Negative endoscopy 3 (5.8%) ENT region impaction one. No endoscopic complication. Surgical removal 4 cases (7.8%).Conclusion: Most of Upper GI foreign bodies were removed by flexible endoscope by using endoscopic accessories with relatively low failure rate and low surgical requirement