A Prospective Study of Foreign Bodies in Aero-Digestive Tract at a Tertiary Care Center in Eastern Nepal (original) (raw)
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Pattern of Foreign Bodies Aero Digestivetract – a Single Centre Study
PAFMJ
Objective: To find out the pattern of foreign bodies inhaled or ingested in a series of patients. Study Design: Case series. Place and Duration of Study: Ear, Nose and Throat (ENT) department, Pak Emirates Military Hospital (PEMH)Rawalpindi, Jan 2016 to Dec 2016. Methodology: A total of 46 cases of foreign body upper aero digestive tract who presented in the ENTDepartment, PEMH Rawalpindi in 2016 were included in this study. Twenty eight cases were of foreign bodyesophagus and 18 were of foreign body airway. The age, gender, duration of foreign body lodgment, types offoreign body’s physical signs and symptoms were recorded. Relevant radiographic studies were performed. Results: Out of 46 patients of foreign body aero digestive tract 33 were males and 13 were females. The overallfrequency of foreign bodies’ upper aero digestive tract was 46 (0.14%) with 28 (0.08%) being foreign bodiesesophagus and 18 (0.06%) foreign bodies airway. In 50% cases of bronchial foreign bodies were in age ...
FOREIGN BODY IN AERO-DIGESTIVE TRACT: A DESCRIPTIVE ANALYSIS AT TERTIARY CARE TEACHING HOSPITAL
Asian Journal of Pharmaceutical and Clinical Research Journal, 2022
Objectives: The objectives of the study were to analyze some of the key issues about the presentation, types, complications, and management arising about foreign body in the upper aero-digestive tract. Methods: All the patients presenting with or without history of swallowing or inhaling foreign bodies with symptoms such as dysphagia, drooling of saliva, stridor, and acute respiratory distress were included in study. Extraction of foreign body in airway tract was done by bronchoscopy and in digestive tract by esophagoscopy. Patient’s demographic details, types, symptoms and nature, size, and location of the inhaled foreign bodies were analyzed. Results: Patients aged more than 10 years constituted maximum number 14 (28%) in digestive tract. Patient aged 1–2 and 2–3 years accounted for most of the cases 10 (50%) in airway. Sensation dysphagia (100%) and foreign body sensation including cough (100%) were the most common symptom of digestive tract and airway tract, respectively. Currency coins (64%) were the most common type of foreign body in case of digestive tract ground nut (30%) was the most common type of airway foreign body. Conclusions: This study concluded that symptoms of foreign bodies in the aerodigestive tract are mainly nonspecific and needs high degree of suspicion, experience, and clinical acumen to diagnose and manage these patients.
Changing Nature of Aerodigestive Foreign Bodies in a Tertiary Care Centre of West Bengal
Journal of Evidence Based Medicine and Healthcare
BACKGROUND Foreign bodies in the aerodigestive tract are a common emergency faced by every ENT surgeon in day to day practice. The aim of the study is to observe the changing trend in the nature of distribution of different foreign bodies impacted in the aerodigestive tract of subjects attending the ENT department of a tertiary care centre over the last two decades. MATERIALS AND METHODS This is a retrospective study. The study group consisted of 173 subjects over the period Jan 2015 to Dec 2016, and 140 subjects over the period Jan 1997 to Dec 1998 attending a tertiary care centre with history of foreign body ingestion or inhalation. The foreign bodies were removed after thorough history taking and necessary investigations. The nature of different foreign bodies in 2015-16 was compared with that of 1997-1998. RESULTS The study showed a higher percentage of inorganic foreign bodies and artificial dentures in 2015-16 than the year 1997-1998. The published literature about different types of foreign bodies in aerodigestive tract has been reviewed. CONCLUSION Inorganic foreign bodies and artificial dentures are more common foreign bodies in the aerodigestive tract in recent times, i.e. 2015-16 than 1997-1998, mostly due to increasing socioeconomic status.
Retrospective Study on Foreign Bodies in Aerodigestive Tract in Government Ent Hospital
Journal of Evolution of Medical and Dental Sciences, 2015
The main aim of this study was to assess the common sites, modes of presentation and quality and nature of different foreign bodies (FB) in Aerodigestive tract. MATERIALS AND METHODS: This retrospective study of FB in Aerodigestive tract was carried out in Government ENT hospital, Andhra medical college, Visakhapatnam. The period of study was for 2 years and the study population included patients presenting with FB in the outpatient department or in the emergency. Study population was 121 in number which included patients with foreign bodies both in air passage and food passage. Out of the 121 patients, 71 were found to be foreign bodies within air passage, while 50 had them in their food passage. Nose was observed to be the commonest site among the patients with FB in their air passage, while hypopharynx was the most common location in food passage. These patients were further analysed based on the type of foreign body lodged and according to the age groups of patients.
Journal of Advances in Medicine and Medical Research
Introduction: Foreign body (FB) impaction in the aero-digestive tract constitutes a common emergency in otolaryngology practice worldwide. Prompt and appropriate management would limit the morbidity and possible mortality that may arise therefrom. Objectives: The study was aimed to re-establish the prevalent foreign bodies in the oesophagus, the preferred management procedure and how social and cultural practices affect the foreign bodies involved.
Incidence of Foreign Body in the Upper Digestive Tract : A Retrospective Study
Journal of Evolution of Medical and Dental Sciences, 2015
Foreign body impaction in the upper digestive tract is not an infrequent emergency in every clinical setup. In the present retrospective study, we have tried to analyze the incidence of impacted foreign body in the upper digestive tract at our center. The most frequent presentation is history of foreign body ingestion or aspiration. They are chiefly produced by accidental swallowing of the foreign body in the extremes of age and deliberate attempts in case of psychiatric and criminal background subjects. Varied manifestations of dysphagia, drooling of saliva and retro-sternal pain is presented. Additional symptoms of vomiting and subjective sensation of breathlessness are present occasionally. Removal of foreign body at times is a challenge for the gastrointestinal endoscopist.. If not intervened expeditiously, can lead to horrific outcome. In our review study, rigid endoscopy resolved the problem in majority of cases by removal of the foreign body or dislodgement of the impacted fleshy meat ball in to the stomach. We report a retrospective study of incident and types of impacted foreign body in the upper digestive tract. The study was carried out at a Tertiary Care Center at Gangtok, India, spread over 5 years. The review of the case details was tabulated and the incidence types and outcome was calculated to review the clinical condition and its management.
PROSPECTIVE STUDY OF FOREIGN BODIES IN FOOD AND AIR PASSAGE.
The problem of foreign bodies in air and food passages is one of the commonest and most frequently encountered in the daily ENT practice. By air and food passages it is meant, laryngotracheobronchial tree and oesophagus alone. It is particularly significant since such accidents due to inhalation or ingestion of foreign bodies continue to take formidable toll of lives every year. It is mostly accidental; and negligence on the part of the patient is the major contributing factor for the lodgement of foreign bodies in air and food passages. Because of the impending danger of complications, they have to be attended to as emergencies. Endoscopic removal of foreign body or visualisation of the tract cannot be substituted for any other methods of examination.
Rare foreign bodies of upper aerodigestive tract: a study of 30 cases
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020
Background: Aero-digestive foreign bodies are prevalent in our part of the country. Apart from the usual foreign body we encountered some unique foreign bodies, the diagnosis and management of which, is difficult due to varied and overlapping clinical presentation. Rare foreign bodies in the aero-digestive tract pose challenges in diagnosis and treatment.Methods: This was a retrospective observational study on thirty patients with aerodigestive foreign bodies who visited our hospital from July 2015 to October 2017. Results: Maximum number of cases was seen in age group of 0-5 years. The male to female ratio was 2:1. Among various types of foreign bodies, majority were metallic (43.3%). The most common site was cricopharynx (53.3%) followed by bronchus (26.6%) and esophageal (16.6%). The most common procedure done was hypopharyngoscopy (53.3%).Conclusions: Aerodigestive tract foreign bodies are one of the emergencies that have considerable mortality and morbidity. High degree of ski...
Foreign bodies in the aerodigestive tract: time for comprehensive preventive measures
African Health Sciences
Background: Foreign body (FB) in the aerodigestive tract presents more commonly in children and remains a surgical emergency with potential for fatal complications. Objectives: To describe management and outcomes of aerodigestive FB managed at University of Ilorin Teaching Hospital (UITH) and proffer preventive measures. Methods: A 9-year retrospective review of all patients with foreign body in the aerodigestive tract managed between March 2011 and July 2020. Results: Sixty-six patients were studied. Median age was 9years with M:F ratio =1.6:1. FB was ingested in 38(57.6%) patients, aspiration occurred in 28(42.4%). Denture was most common FB 20(30.3%); plastic whistle/valve placed in dolls or football accounted for 4(6.1%). When ingested, FB was impacted in cervical 17(44.7%), upper thoracic 10(26.3%) and middle thoracic 2(5.3%) oesophagus. Oesophagoscopy was used in 30(8.9%) for retrieval. When aspirated, FB was located in the right bronchus 10(35.7%), left bronchus 7(25.0%), hyp...
International Journal of Otorhinolaryngology and Head and Neck Surgery
Background: The objective of the study was to investigate cases of foreign bodies in the aero-digestive tract among the paediatric population.Methods: This study was carried out under the aegis of the department of otorhinolaryngology over a one-year period, from April 2019 to March 2020. A total of 82 paediatric patients presented to the emergency department with aero-digestive foreign body, where opinion of the otorhinolaryngologist was sought. All the patients were initially stabilised and assessed clinically. Detailed history was obtained, thorough clinical evaluation done and necessary investigations including radiological tests were performed. After ascertaining the nature and location of the foreign body, prompt removal of the same was done in all the patients under general anaesthesia.Results: A total of 82 children presented to the emergency with history of inhalation/ingestion of foreign body or suspicion of such, and requiring otorhinolaryngological intervention. There we...