MANAGEMENT OF FOREIGN BODIES IN THE UPPER GASTROINTESTINAL TRACT WITH FLEXIBLE ENDOSCOPE
Main Article Content
To evaluate the management of foreign bodies in the upper Gastrointestinal tract in a tertiary
In this descriptive study, conducted at Gastroenterology Department Hayatabad Medical
Complex Peshawar from May 2002 to May 2009, a total of 40 consecutive patients presenting with history
of foreign body ingestion were included. Radiological survey was made before endoscopy in all the
patients. Flexible endoscope, esophageal over tube and other accessories were used for removal of the
Female to male ratio was 1.5:1. The mean age of the sample was 19.92±23.5. Dysphagia (n=18,
45%) was the most common symptom in the esophageal foreign bodies followed by retrosternal pain or
discomfort (n=11, 27.5%). The most common foreign body was coin ingestion (n=24, 60%). Meat bolus
and bone chip impaction was present in 9 (22.7%) patients. The success rate in case of esophageal foreign
bodies was 93.75 %. While in the case of gastric foreign bodies, it was 100 %. There was a small
perforation which occurred in only one patient with esophageal foreign body which was managed
conservatively. In the case of gastric foreign bodies, no procedure related complications occurred.
Flexible endoscopy was a safe and effective technique for the management of foreign bodies
in the upper gastrointestinal tract in our study.
care hospital in Peshawar.
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