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Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract.

Kim JP, Kwon OJ, Shim HS, Kim RB, Kim JH, Woo SH - Clin Exp Otorhinolaryngol (2015)

Bottom Line: The esophageal fish bone was successfully removed by transnasal flexible esophagoscopy (TNE) in 55 patients, the fish bone moved to the stomach in 10 patients and one fish bone was removed by rigid esophagoscopy due to esophageal abscess.The esophageal fish bone was mostly found in patients aged 50 years and older.Fish bone foreign body ingestion in the esophagus appeared to be more common in older patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Gyeongsang National University School of Medicine, Jinju, Korea.

ABSTRACT

Objectives: Fish bone impaction in the upper gastrointestinal tract is a common reason for patients to seek emergent care. The aim of this study was to find a clinical characteristics of patients with fish bone impaction in the upper gastrointestinal tract.

Methods: The study was conducted on 286 fish bone ingestion patients who complained of dysphagia and irritation after eating fish. The patients were treated according to the hospital protocol regarding the removal of fish bone. The parameters for the analysis included the age and sex of the patients, location and characteristics of the foreign body, method of removal, and type of fish.

Results: The fish bone could be observed by the physical examination in the oral cavity and laryngopharynx in 198 patients (69.23%). For those patients in whom the foreign body could not be observed in oral cavity and laryngopharynx, noncontrast computed tomography (CT) (from nasopharynx to diaphragm) was performed. The fish bone was discovered in the esophagus of 66 patients (23.08%). The esophageal fish bone was successfully removed by transnasal flexible esophagoscopy (TNE) in 55 patients, the fish bone moved to the stomach in 10 patients and one fish bone was removed by rigid esophagoscopy due to esophageal abscess. The esophageal fish bone was mostly found in patients aged 50 years and older.

Conclusion: Fish bone foreign body ingestion in the esophagus appeared to be more common in older patients. Incorporating noncontrast CT and TNE can facilitate decision-making and adequate treatment for patients with fish bone impactions.

No MeSH data available.


Related in: MedlinePlus

(A) Lying positions of fish bone in esophagus. (B) Removed fish bone with spine shape. (C) Inverted V shape fish bone in esophagus. (D) Removed fish bone, this bone is a gill bone.
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Figure 4: (A) Lying positions of fish bone in esophagus. (B) Removed fish bone with spine shape. (C) Inverted V shape fish bone in esophagus. (D) Removed fish bone, this bone is a gill bone.

Mentions: Of the 66 patients in whom an esophageal foreign body was discovered, TNE was performed on the remaining 65 patients under local anesthesia without sedation and fasting, and the foreign body was successfully removed in 55 cases (Fig. 4). In 10 cases, the foreign body slipped to the stomach during the examination for removal, and there were no subsequent complications. One patient was suspected of having esophageal abscess according to the noncontrast CT. Thus, it was removed with a rigid esophagoscope under general anesthesia (Table 2).


Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract.

Kim JP, Kwon OJ, Shim HS, Kim RB, Kim JH, Woo SH - Clin Exp Otorhinolaryngol (2015)

(A) Lying positions of fish bone in esophagus. (B) Removed fish bone with spine shape. (C) Inverted V shape fish bone in esophagus. (D) Removed fish bone, this bone is a gill bone.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4553358&req=5

Figure 4: (A) Lying positions of fish bone in esophagus. (B) Removed fish bone with spine shape. (C) Inverted V shape fish bone in esophagus. (D) Removed fish bone, this bone is a gill bone.
Mentions: Of the 66 patients in whom an esophageal foreign body was discovered, TNE was performed on the remaining 65 patients under local anesthesia without sedation and fasting, and the foreign body was successfully removed in 55 cases (Fig. 4). In 10 cases, the foreign body slipped to the stomach during the examination for removal, and there were no subsequent complications. One patient was suspected of having esophageal abscess according to the noncontrast CT. Thus, it was removed with a rigid esophagoscope under general anesthesia (Table 2).

Bottom Line: The esophageal fish bone was successfully removed by transnasal flexible esophagoscopy (TNE) in 55 patients, the fish bone moved to the stomach in 10 patients and one fish bone was removed by rigid esophagoscopy due to esophageal abscess.The esophageal fish bone was mostly found in patients aged 50 years and older.Fish bone foreign body ingestion in the esophagus appeared to be more common in older patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Gyeongsang National University School of Medicine, Jinju, Korea.

ABSTRACT

Objectives: Fish bone impaction in the upper gastrointestinal tract is a common reason for patients to seek emergent care. The aim of this study was to find a clinical characteristics of patients with fish bone impaction in the upper gastrointestinal tract.

Methods: The study was conducted on 286 fish bone ingestion patients who complained of dysphagia and irritation after eating fish. The patients were treated according to the hospital protocol regarding the removal of fish bone. The parameters for the analysis included the age and sex of the patients, location and characteristics of the foreign body, method of removal, and type of fish.

Results: The fish bone could be observed by the physical examination in the oral cavity and laryngopharynx in 198 patients (69.23%). For those patients in whom the foreign body could not be observed in oral cavity and laryngopharynx, noncontrast computed tomography (CT) (from nasopharynx to diaphragm) was performed. The fish bone was discovered in the esophagus of 66 patients (23.08%). The esophageal fish bone was successfully removed by transnasal flexible esophagoscopy (TNE) in 55 patients, the fish bone moved to the stomach in 10 patients and one fish bone was removed by rigid esophagoscopy due to esophageal abscess. The esophageal fish bone was mostly found in patients aged 50 years and older.

Conclusion: Fish bone foreign body ingestion in the esophagus appeared to be more common in older patients. Incorporating noncontrast CT and TNE can facilitate decision-making and adequate treatment for patients with fish bone impactions.

No MeSH data available.


Related in: MedlinePlus