Clinical characteristics and risk factors of gastrointestinal foreign bodies in the Three Gorges area of Hubei Province
Objective:Gastrointestinal foreign bodies refer to non-native substances lodged in the digestive tract,and they are one of the common clinical emergencies.This study aims to explore the clinical characteristics and risk factors of gastrointestinal foreign bodies in the Three Gorges area of Hubei Province.Methods:A retrospective analysis was conducted on the clinical data of 587 inpatients who were diagnosed with gastrointestinal foreign bodies at Yichang Central People's Hospital from January 2019 to December 2022.The study analyzed their clinical characteristics and associated risk factors.Results:A total of 621 cases of gastrointestinal foreign body inpatients were collected for this study.After applying inclusion and exclusion criteria,34 cases were excluded,leaving 587 cases for clinical analysis.The types of foreign bodies identified included sharp objects such as fish bones and animal bones,which were the most common,accounting for 53.8%and 18.2%of cases,respectively.The types of foreign bodies varied by age group:children mostly ingested coins and button batteries,middle-aged patients commonly ingested fish bones and animal bones,while elderly patients frequently ingested fish bones and food boluses.The most common site for foreign body retention(with a mumber of 491 cases)was the upper esophagus(380 cases,77.4%),followed by the mid-lower esophagus(67 cases,13.7%),and the stomach(32 cases,6.5%);lower gastrointestinal tract cases were rare(4 cases,0.8%).Endoscopic removal was the preferred method for treating gastrointestinal foreign bodies,with a success rate of 96.1%.Bleeding was the most common complication(183 cases,37.3%),while perforation was the most severe(27 cases,4.6%).Sharp foreign bodies and retention time≥24 hours were identified as risk factors for complications.Conclusion:Sharp objects such as fish bones and animal bones are the most common types of gastrointestinal foreign bodies.Coins and button batteries are frequently found in children,fish bones and animal bones are common in middle-aged patients,while fish bones and food boluses are typical in elderly patients.The upper esophagus is the most common site for foreign body retention.Endoscopic removal is the preferred treatment method for gastrointestinal foreign bodies,and the use of intravenous anesthesia can improve the removal success rate.Bleeding is the most common complication,with a higher complication rate associated with sharp foreign bodies and retention times of≥24 hours.
万方数据
维普
