ArticleMedical science monitor : international medical journal of experimental and clinical research2022
Emergency Removal of Ingested Foreign Bodies in 586 Adults at a Single Hospital in China According to the European Society of Gastrointestinal Endoscopy (ESGE) Recommendations: A 10-Year Retrospective Study.
Article in Medical science monitor : international medical journal of experimental and clinical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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20 citing papers in PubMed, 24 citations in OpenAlex.
- Nomogram for Predicting the Risk of Complications after Endoscopic Foreign Body Removal from the Adult Upper Gastrointestinal Tract.Digestive diseases and sciences · 2024Trial
- Article
- Article
- Foreign body ingestion in adults: a retrospective cohort study of clinical characteristics and Endoscopic outcomes.BMC gastroenterology · 2026Article
- Surgical management of intentional ingestion of two nail clippers in an incarcerated adult: a case report.International journal of surgery case reports · 2026Article
- Needle in a Radiologic Haystack: A Report of Duodenal Toothpick Perforation With Negative X-ray and CT Imaging.Cureus · 2026Article
- Article
- Foreign Body Ingestion: Radiologic Evaluation, Findings, and Management.Korean journal of radiology · 2025Review
- Esophageal foreign bodies: a retrospective analysis of 275 cases.Journal of thoracic disease · 2025Article
- Modern endoscopist's toolbox: Innovations in foreign body removal.World journal of gastrointestinal endoscopy · 2025Review
- Case Report: an unusual case of a penetrating intracranial metallic foreign body removed via surgery.Frontiers in surgery · 2025Article
- Imaging approach to ingested foreign bodies in the neck.Neuroradiology · 2024Review
- An asymptomatic perforation of the gastrointestinal tract caused by ingestion of foreign body: A case report.Clinical case reports · 2024Article
- Life-threatening Carotid Complications Caused by Extraluminal Migration of Ingested Foreign Bodies; a Case Report and Narrative Review of Literature.Archives of academic emergency medicine · 2024Review
- Streptococcus viridans Liver Abscess and Septicemia Likely Secondary to a Swallowed Dental Bridge.Cureus · 2023Article
- Article
- Toothpick perforates small bowel-mimicking diverticulitis.Journal of surgical case reports · 2023Article
- Accidental Sewing Pin Ingestion by a Tailor: A Case Report and Literature Review.Medicina (Kaunas, Lithuania) · 2023Review
- Blister Pack Ingestion in an Elderly Patient With a Communication Barrier: A Case Report.Cureus · 2023Article
- Patient characteristics, outcomes and hospital-level healthcare costs of foreign body ingestion from an Australian, non-prison referral centre.BMJ open gastroenterology · 2023Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND The 2016 European Society of Gastrointestinal Endoscopy (ESGE) guidelines recommend that ingested foreign bodies in the upper gastrointestinal (GI) tract are removed as an emergency within 6 hours, with an endoscopic approach that is individualized according to the type of foreign body identified. This retrospective study evaluated the 10-year experience of a single hospital in China performing emergency removal of ingested foreign bodies in 586 adults. MATERIAL AND METHODS Between 2011 and 2020, medical records of 642 adults with a diagnosis of foreign bodies ingestion were retrospectively screened. The timing of endoscopic intervention was classified according to ESGE recommendations. Uni- and multivariate analyses were performed. RESULTS We included 586 patients. The median (range) diameter of foreign bodies was 2.5 (1-24) cm: for sharp ones it was 2.5 (1.5-4.0) cm and for long ones it was 16.9 (10-24) cm. The most common site of foreign body lodgment was the esophagus (n=481; 82.1%); 45.6% (n=252) received emergent removal within 6 hours, while 32.2% (n=178) underwent urgent removal within 24 hours. There were 583 (99.5%) foreign bodies removed successfully and the complication rate was 17.9%. Major complications occurred in 45 patients (7.7%). Female sex and non-emergent endoscopy after 6 hours were significantly associated with a higher overall complications rate. For major complications, older age, time interval >24 hours, and sharper objects were associated with major complications. CONCLUSIONS The findings from this retrospective study support the ESGE statement that endoscopic removal of ingested foreign bodies from the upper GI tract within 6 hours reduces complication rates for adults in the emergency setting.
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