Observation of Emergency Department Adult Patient Presenting Primary Symptoms of Upper Digestive Tract Oreign Body Ingestion

Shim, Myung Bo; Park, Jae Wook; Park, Hong In; Bae, Jin Kun; Je, Sang Mo; Chung, Tae Nyoung; Kim, Eui Chung; Choi, Sung Wook; Kim, Ok Jun

J Korean Soc Emerg Med > Volume 26(5); 2015 > Article

Original Article

Journal of The Korean Society of Emergency Medicine 2015;26(5): 379-386.

상부 위장관 이물질 섭취를 주 증상으로 응급실에 내원한 성인 환자 경과에 대한 고찰

심명보, 박재욱, 박홍인, 배진건, 제상모, 정태녕, 김의중, 최성욱, 김옥준

CHA의과학대학교 의학전문대학원 응급의학교실

Observation of Emergency Department Adult Patient Presenting Primary Symptoms of Upper Digestive Tract Oreign Body Ingestion

Myung Bo Shim, Jae Wook Park, Hong In Park, Jin Kun Bae, Sang Mo Je, Tae Nyoung Chung, Eui Chung Kim, Sung Wook Choi, Ok Jun Kim

Department of Emergency Medicine, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Korea

Correspondence

Jin Kun Bae ,Tel: 031) 780-5588, Fax: 031) 780-2994, Email: galen97@chamc.co.kr,

Received: June 1, 2015; Revised: June 2, 2015 Accepted: August 4, 2015. Published online: October 30, 2015.

ABSTRACT

Purpose:
The purpose of this study is to search for factors which can help in deciding on proper treatment for patients who visit the Emergency department (ED) with symptoms of foreign body ingestion.
Method:
This study was a retrospective review of medical records of ED patients with primary symptoms of foreign body ingestion. The patients’ demographic data, elapsed time since the ingestion, type of foreign body, symptoms, and the method of removal were analyzed. Receiver operating characteristic (ROC) curve was used for analysis of whether these factors can be used to decide on proper treatment.
Results:
Among 321 patients, a foreign body was removed successfully in 285 patients and the foreign body was not found in the remaining 36 patients. Of the successfully treated cases, 76 were removed grossly, 133 were removed using a laryngoscope, 74 were removed with endoscopy, and 2 were removed spontaneously. Comparing the group in which a foreign body was found and the other group, there was a significant difference in elapsed time since the onset of symptoms (p=0.013) and the type of foreign body (p=0.001). There was no significant reliable factor which can predict the existence of a foreign body.
Conclusion:
There was no significant factor which can predict the existence of a foreign body. Considering that the foreign body was found in most suspected patients, and that numerous patients in which a foreign body was not found had shown signs of complications due to foreign body, constructive treatment should be advocated.

Key words: Foreign bodies, Remove, Factor, Endoscopes