Emergent Endoscopy for Esophageal Foreign Body Removal: The Impact of Location.
AuthorSagvand, Babak T
Tran, Quincy K
MetadataShow full item record
AbstractBackground Timely intervention is essential for the successful removal of ingested foreign bodies. Emergent endoscopy (EGD) is usually performed in the emergency department (ED), operating room (OR), intensive care unit (ICU), or endoscopy suite. However, because the endoscopy suite is not always available, this study investigated the impact of location outside of the endoscopy suite on the successful removal of ingested foreign bodies and other patient outcomes. Methodology We reviewed charts of patients who underwent EGD for foreign body removal at an academic quaternary center between January 01, 2012, and December 31, 2020. We defined successful EGD as retrieval of the foreign body at the first attempt and not requiring subsequent endoscopy or surgical intervention. We performed descriptive and inferential statistical analyses and conducted classification and regression trees to compare endoscopy procedure length (EPL) and hospital length of stay (HLOS) between different locations. Results We analyzed 77 patients, of whom 13 (17%) underwent endoscopy in the ICU, 46 (60%) in the OR, and 18 (23%) in the ED. Endoscopic removal failed in four (5%) patients. Endoscopy length was significantly shorter in the OR (67 (48-122) minutes) versus the ICU (158 (95-166) minutes, P = 0.004) and the ED (111 (92-155) minutes, P = 0.009). Time to procedure was similar if the procedure was performed in the ED (278 minutes), the ICU (331 minutes), or the OR (378 minutes). The median (interquartile range) of HLOS for the OR group (0.87 (0.54-2.03) days) was significantly shorter than the ICU group (2.26 (1.47-6.91) days, P = 0.007). Conclusions While performing endoscopy for esophageal foreign body removal in the OR may be associated with a shorter EPL and HLOS, no location was inferior for overall outcomes. Further prospective and randomized studies are needed to confirm our findings.
Rights/TermsCopyright © 2022, Sagvand et al.
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/18265
- Esophageal Foreign Body Management in Children: Can It Wait?
- Authors: Esparaz JR, Carter SR, Mathis MS, Chen MK, Russell RT
- Issue date: 2020 Dec
- Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline.
- Authors: Birk M, Bauerfeind P, Deprez PH, Häfner M, Hartmann D, Hassan C, Hucl T, Lesur G, Aabakken L, Meining A
- Issue date: 2016 May
- Comparison of Endoscopy Alone with Surgery Converted from Endoscopy for the Removal of Esophageal Foreign Bodies in Adults: A Retrospective Study from a Single Center.
- Authors: Fang Y, Qin Z
- Issue date: 2021 Apr 4
- Esophageal foreign bodies: observational cohort study and factors associated with recurrent impaction.
- Authors: Ferrari D, Siboni S, Riva CG, Aiolfi A, Panici Tonucci T, Asti E, Bonavina L
- Issue date: 2020 Jul
- Esophageal foreign body extraction in children: flexible versus rigid endoscopy.
- Authors: Popel J, El-Hakim H, El-Matary W
- Issue date: 2011 Mar