Endoscopy 2020; 52(S 01): S262-S263
DOI: 10.1055/s-0040-1704824
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Clinical endoscopic practice ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

INGESTION OF FOREIGN BODIES: ANALYSIS OF PRE-ENDOSCOPIC PREDICTIVE FACTORS OF THEIR PRESENCE AND THE DEVELOPMENT OF COMPLICATIONS

P Florez-Diez
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
N Rodriguez-Ferreiro
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
V Jimenez-Beltran
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
M Fraile-Lopez
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
C Del Caño-Cerdan
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
A Nieto-Jara
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
A Suarez-Noya
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
E Barreiro-Alonso
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

 

Aims One of the most frequent indications of urgent gastroscopy in our environment is the intake of foreign bodies (FB). Although most resolve without complications, they can be very serious.

Aim To evaluate possible predictors of the presence of FB in gastroscopy, complications and admission.

Methods Consecutive selection of patients undergoing urgent gastroscopy by ingesting FB for 18 months, since January 2018. The possible independent variables were sex, age, time to gastroscopy, type of FB, intentionality, history of esophageal pathology, history of FB intake, radiography with FB or secondary complications, administration of glucagon, assessment by ENT and significant psychiatric pathology, and, as dependent variables the presence of FB in gastroscopy, the development of complications (bleeding, perforation, infections) and the need of hospital admission. Statistical analysis performed with IBM SPSS Statistics 22.0.

Results 122 urgent gastroscopies were performed, finding FB in 73 (59.8%). The variables that were statistically significant related to the presence of FB in gastroscopy were age, time from onset of symptoms to gastroscopy, sex, history of FB, history of esophageal pathology and high-risk FB, although, in the multivariate analysis were only independently related to age (OR 1,048, p < 0.01), female sex (OR 0.307, p = 0.02) and time to gastroscopy (OR 0.958, p < 0.01). Age (OR 1.028 p < 0.01) was statistically significant related to the development of complications. The pathological radiography (FB and/or complication) was a predictor of the need for hospital admission (33.3 vs 6.4%, p = 0.04).

Conclusions The greatest probability of finding a FB in gastroscopy is in male patients, older ones and with less time since the onset of symptoms. Older patients suffer more complications and the presence of a pathological radiological image indicates a higher probability of requiring hospital admission.