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dc.contributor.authorSagvand, Babak T
dc.contributor.authorNajafali, Daniel
dc.contributor.authorYardi, Isha
dc.contributor.authorSahadzic, Iana
dc.contributor.authorAfridi, Leenah
dc.contributor.authorKohler, Alyssa
dc.contributor.authorAfridi, Ikram
dc.contributor.authorKaur, Noorvir
dc.contributor.authorTran, Quincy K
dc.date.accessioned2022-03-15T14:24:17Z
dc.date.available2022-03-15T14:24:17Z
dc.date.issued2022-02-05
dc.identifier.urihttp://hdl.handle.net/10713/18265
dc.description.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.en_US
dc.description.urihttps://doi.org/10.7759/cureus.21929en_US
dc.language.isoenen_US
dc.publisherCureus, Inc.en_US
dc.relation.ispartofCureusen_US
dc.rightsCopyright © 2022, Sagvand et al.en_US
dc.subjectemergent endoscopyen_US
dc.subjectendoscopyen_US
dc.subjectesophageal foreign bodyen_US
dc.subjectfood impactionen_US
dc.subjectlocation of endoscopyen_US
dc.titleEmergent Endoscopy for Esophageal Foreign Body Removal: The Impact of Location.en_US
dc.typeArticleen_US
dc.identifier.doi10.7759/cureus.21929
dc.identifier.pmid35273870
dc.source.journaltitleCureus
dc.source.volume14
dc.source.issue2
dc.source.beginpagee21929
dc.source.endpage
dc.source.countryUnited States


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