Document Detail

Retrospective review of surgical management of foreign body ingestion.
MedLine Citation:
PMID:  20954556     Owner:  NLM     Status:  MEDLINE    
Endoscopic examination and removal of foreign body under general anaesthesia are recommended for persistent symptomatic patient with or without significant findings on radiological examination. This report evaluates the management outcome of surgical removal of foreign body ingestion in upper gastrointestinal tract. A total of 70 cases with full documentation were reviewed retrospectively from June 1998 until December 2007. There were 32 male and 38 female with age range from 6 months to 87 years old (mean: 36.9 years). Sixty five patients (93%) were adults and 15 (7%) were below 13 years. Fish bones were the most common foreign body found (44.3%). Radiologically, foreign bodies were highly suspicious in 51 cases (76.1%). Intraoperatively, thirty six cases (70.6%) were positive. From 16 cases (23.9%) with normal radiograph, 10 cases (62.5%) were found to have foreign bodies. Therefore the plain radiograph is helpful, but clinical presentation is more reliable to determine surgical removal under general anaesthesia.
M M Shaariyah; B S Goh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Medical journal of Malaysia     Volume:  64     ISSN:  0300-5283     ISO Abbreviation:  Med. J. Malaysia     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-10-19     Completed Date:  2010-11-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361547     Medline TA:  Med J Malaysia     Country:  Malaysia    
Other Details:
Languages:  eng     Pagination:  307-10     Citation Subset:  IM    
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacub Latif, Bandar Tun Razak, Kuala Lumpur, Malaysia.
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MeSH Terms
Aged, 80 and over
Child, Preschool
Foreign Bodies / surgery*
Middle Aged
Retrospective Studies
Upper Gastrointestinal Tract / surgery*

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