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Management of ingested foreign bodies: a retrospective review of 5240 patients

Published online by Cambridge University Press:  08 March 2006

Henry Chuen Kwong Lam ,
John Kong Sang Woo  and
Charles Andrew van Hasselt
Henry Chuen Kwong Lam
Affiliation:
Division of Otorhinolaryngology, Department of Surgery, Prince of Wales Hospital, Shatin, N.T., Hong Kong
John Kong Sang Woo
Affiliation:
Division of Otorhinolaryngology, Department of Surgery, Prince of Wales Hospital, Shatin, N.T., Hong Kong
Charles Andrew van Hasselt
Affiliation:
Division of Otorhinolaryngology, Department of Surgery, Prince of Wales Hospital, Shatin, N.T., Hong Kong
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Abstract

This review was carried out to assess the effectiveness of our protocol designed for the management of ingested foreign bodies. It was a retrospective review of 5240 patients with ingested foreign bodies admitted over a five-year period to the Ear Nose and Throat Unit. These patients were managed according to a standardized protocol which was adopted and modified from our previous study.

Under his management protocol, the mean hospital stay was 1.6 days. Flexible oesophagoscopy under local anaesthesia, and rigid oesophagoscopy under general anaesthesia, were performed in 1.5 per cent and 7.7 per cent of cases respectively. Major complications including oesophageal perforation and deep neck abscesses occurred in 0.19 per cent of patients. There was no mortality.

This management protocol for ingested foreign bodies was both safe and cost-effective when compared to similar studies reported in the literature.

Keywords

Foreign BodiesDigestive SystemSurgical ProceduresOperativeComplications
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 115 , Issue 12 , December 2001 , pp. 954 - 957
Copyright
© Royal Society of Medicine Press Limited 2001

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