ORIGINAL ARTICLE

Surgery in foreign body ingestion and aspiration: descriptive study

I Nyoman Semadi , Josua Josua, I Wayan Sucipta

I Nyoman Semadi
Department of Thoracic Cardiovascular Surgery, Faculty of Medicine, Universitas Udayana-Sanglah General Hospital Denpasar, Bali-Indonesia. Email: nyomansemadi56@gmail.com

Josua Josua
Department of Thoracic Cardiovascular Surgery, Faculty of Medicine, Universitas Udayana-Sanglah General Hospital Denpasar, Bali-Indonesia

I Wayan Sucipta
Department of Ear, Nose, and Throat-Head and Neck Surgery, Faculty of Medicine, Universitas Udayana-Sanglah General Hospital Denpasar, Bali-Indonesia
Online First: February 02, 2020 | Cite this Article
Semadi, I., Josua, J., Sucipta, I. 2020. Surgery in foreign body ingestion and aspiration: descriptive study. Bali Medical Journal 9(1): 104-109. DOI:10.15562/bmj.v9i1.1693


Background: Foreign bodies in upper digestive tract, as well as respiratory tract, are common cases in daily life. This incident can occur in all age groups, ranging from children to elderly. Endoscopy and bronchoscopy are the first treatment option, nevertheless, case with complications which endoscopy or bronchoscopy cannot be done, it requires another extraction procedure specifically surgery.

Method: We conducted a retrospective review of patients who came to consult to Thoracic Cardiovascular Surgery Department by ENT Department. The data obtained are from 2009-2019.

Result: Out of 290 patients recorded, experiencing foreign body impaction in both digestive and respiratory tract for the last 10 years, the highest number was digestive tract with 243 cases (83.8%) and 47 respiratory tract cases (16.2%). From 17 patients who underwent surgery, 70.6% men and 29.4% women. The age group of children and adults had the same number as seven patients (41.2%) and elderly with three patients (17.6%). The highest number of surgical procedure was thoracotomy with 10 patients (58.8%) while cervical esophagotomy with seven patients (41.2%).

Conclusion: The failure of the extraction procedure using endoscopy or bronchoscopy in the case of a foreign body leads to surgery as a definitive therapy for patients. The age group of children and adults have same number. Cases of impaction in the esophagus are the most common. The most common surgical procedure performed is thoracotomy. In this study the success rate of extraction by surgery reached 100% without additional morbidity and mortality.

References

Patterson GA, Cooper JD, Deslauriers J, Lerut AE, Luketich JD, Rice TW. Chapter 71: Esophageal foreign bodies in adults. In: Lang F, Pashe P, editors. Pearson’s thoracic & Esophageal Surgery 3rd edition. Churchill Livingston Elsevier. 2008. p. 767-80.

Magalhães-Costa P, Carvalho L, Rodrigues JP, Tulio MA, Margues S, Carmo J, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: an evidence-based rreview article. GE Port J Gastroenterol. 2016;23(3):142-52.

Longstreth GF, Longstreth KJ, Yao JF. Esophageal food impaction: epidemiology and therapy. A retrospective, observational study. Gastrointest Endosc. 2001;53(2):193-8.

Hanba C, Cox S, Bobian M, Svider PF, Gonik NJ, Shkoukani MA, et al. Consumer product ingestion and aspiration in children: A 15-year review. The Laryngoscope. 2016;127(5):1202-07.

Chapin MM, Rochette LM, Annest JL, Haileyesus T, Conner KA, Smith GA. Nonfatal choking on food among children 14 years or younger in the United States, 2001-2009. Pediatrics. 2013;132(2):275-81.

Bekkerman M, Sachdev AH, Andrade J, Twersky Y, Iqbal S. Endoscopic management of foreign bodies in the gastrointestinal tract: A review of the literature. Gastroenterol Res Pract. 2016;22:1–6.

Pinto A, Muzj C, Gagliardi N, Pinto F, Setola FR, Scaglione M, et al. Role of imaging in the assessment of impacted foreign bodies in the hypopharynx and cervical esophagus. Semin Ultrasound CT MRI. 2012;33(5):463-70.

Aiolfi A, Ferrari D, Riva CG, Toti F, Bonitta G, Bonavina L. Esophageal foreign bodies in adults: systematic review of the literature. Scand J Gastroenterol. 2018;53(10-11):1171-78.

Orji FT, Akpeh JO, Okolugbo NE. Management of esophageal foreign bodies: Experience in a developing country. World J Surg. 2012;36(5):1083-88.

Sperry SL, Crockett SD, Miller CB, Shaheen NJ, Dellon ES. Esophageal foreign-body impactions: epidemiology, time trends, and the impact of the increasing prevalence of eosinophilic esophagitis. Gastrointest Endosc. 2011;74(5):985-91.

Foltran F, Ballali S, Rodriguez H, Sebastian van As AB, Passali D, Gulati A, et al. Inhaled foreign bodies in children: A global perspective on their epidemiological, clinical, and preventive aspects. Pediatric Pulmonology. 2012;48(4):344-51.

Sehgal IS, Dhooria S, Ram B, Singh N, Aggarwal AN, Gupta D., et al. Foreign body inhalation in the adult population: Experience of 25,998 bronchoscopies and systematic review of the literature. Respir Care. 2015;60(10):1438-48.

Anderson KL, Dean AJ. Foreign bodies in the gastrointestinal tract and anorectal emergencies. Emerg Med Clin of North Am. 2011;29(2):369-400.

Kornia GR, Sutanegara SWD, Sucipta IW. Prevalensi benda asing pada esofagus dan bronkus di Bagian/SMF THT-KL FK UNUD/RSUP Sanglah Denpasar Tahun 2010-2012. ISM. 2012;5(1):1-6.

Tseng HJ, Hanna TN, Shuaib W, Aized M, Khosa F, Linnau KF. Imaging foreign bodies: ingested, aspirated, and inserted. Ann Emerg Med. 2015;66(6):570-582.e5.

Chirica M, Kelly MD, Siboni S, Aiolfi A, Riva CG, Assti E, et al. Esophageal emergencies: WSES guidelines. World J Emerg Surg. 2019;14:26-32.

Shreshtha D, Sikka K, Singh CA, Thakar A. Foreign body esophagus: When endoscopic removal fails. Indian J Otolaryngol Head Neck Surg. 2013;65(4):380-82


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