Año 2019 / Volumen 111 / Número 3
Original
Evaluation of the medical economics and safety: two methods for the endoscopic removal of jujube pits

209-213

DOI: 10.17235/reed.2018.5794/2018

Chunmei Guo, Jing Wu, Haiyan He, Hong Liu, Yadan Wang, Nan Wei, Canghai Wang, Wu Lin, Hui Su,

Resumen
Objective: to evaluate the medical economics and safety of two methods for the endoscopic removal of jujube pits, one with a transparent cap combined with a stone basket and the other with a transparent cap combined with foreign body forceps. Methods: consecutive patients with a suspected jujube pit ingestion in the esophagus between January 2008 and December 2017 were enrolled into the study. Fifty-three patients who met the criteria were divided into two groups. Group A patients were treated by a transparent cap combined with a stone basket and group B patients were treated by a transparent cap combined with foreign body forceps. The following clinical data were collected: age, sex, location of jujube pits, complications, operation time, extraction success and average hospital costs. Results: a total of 53 patients who met the criteria were enrolled into the study; 29 cases in group A and 24 cases in group B. Endoscopic removal was successful in 98.1% (52/53) of the patients and the remaining 1.9% (1/53) required surgery. Severe complications were less frequent in group A than in group B (p = 0.017). Surgery time was not significantly different between the two groups (p = 0.647). The extraction success in group A was higher than in group B (p = 0.001). The medical costs including the total cost, inspection, treatment, radiation and drug cost were not significantly different between the two groups (p > 0.05 in all cases). Conclusion: endoscopic baskets are suitable for cases of jujube pit ingestion and have a higher extraction success and a lower proportion of severe complications. Surgery time was not significantly extended and the medical costs did not increase.
Share Button
Nuevo comentario
Comentarios
No hay comentarios para este artículo.
Bibliografía
[1] Birk M, Bauerfeind P, Deprez PH, et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2016; 48:489–496.
[2] Wahid F, Rehman HU, Khan IA, et al. Management of foreign bodies of upper digestive tract. Indian J Otolaryngol Head Neck Surg.2014. Jan;66(Suppl 1):203-206 doi: 10.1007/s12070-011-0426-0. Epub 2011 Dec 24.
[3] Zhang S, Cui Y, Gong X, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract in South China: a retrospective study of 561 cases. Dig Dis Sci. 2010; 55:1305–1312.
[4] Nandi P, Ong GB. Foreign body in the oesophagus: review of 2394 cases. Br J Surg. 1978; 65:5–9.
[5] Chiu YH, Hou SK, Chen SC, et al. Diagnosis and endoscopic management of upper gastrointestinal foreign bodies. Am J Med Sci. 2012; 343:192–195.
[6] Ofosu A, Ramai D, Reddy M. Overtube-Assisted Foreign Body Removal: A Review of Endoscopic Management and Case Illustration. Cureus.2017 Sep 29 ;9(9): e1730. doi: 10.7759/cureus.1730.
[7] Zhong Q, Jiang R, Zheng X, et al. Esophageal foreign body ingestion in adults on weekdays and holidays: A retrospective study of 1058 patients. Medicine(Baltimore). 2017 Oct;96(43): e8409. doi: 10.1097/MD.0000000000008409.
[8] Zhang X, Jiang Y, Fu T, et al. Esophageal foreign bodies in adults with different durations of time
from ingestion to effective treatment. J Int Med Res.2017 Aug;45(4):1386-1393. doi: 10.1177/0300060517706827. Epub 2017 Jun 12.
[9] Sugawa C, Ono H, Taleb M, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: a review. World J Gastrointest Endosc 2014; 6:475–481.
[10] Genga C, Lia X, Luo R, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: a retrospective study of 1294 cases. Scand J Gastroenterol. 2017 Nov;52(11):1286-1291. doi: 10.1080/00365521.2017.1350284. Epub 2017 Jul 10.
[11] Emara MH, Darwiesh EM, Refaey MM, et al. Endoscopic removal of foreign bodies from the upper gastrointestinal tract: 5-year experience. Cli Exp Gastroenterology.2014 Jul 16;7:249-53. doi: 10.2147/CEG.S63274. eCollection 2014.
[12] Li Z-S, Sun Z-X, Zou D-W, et al. Endoscopic management of foreign bodies in the upper-GI tract: experience with 1088 cases in China. Gastrointest Endosc 2006; 64:485–92.
[13] Longstreth GF, Longstreth KJ, Yao JF. Esophageal food impaction: epidemiology and therapy. A retrospective, observational study. Gastro- intest Endosc 2001; 53:193–8.
[14]
Chen T, Wu H, Shi Q, et al. Endoscopic management of impacted esophageal foreign bodies. Diseases of the Esophagus (2012) DOI: 10.1111/j.1442-2050.2012. 01401.x
[15] Vicari JJ, Johanson JF, Frakes JT: Outcomes of acute esophageal food impaction: success of the push technique. Gastrointest Endosc. 2001, 53:178–181. 10.1067/mge.2001.111039
[16] Birk M, Bauerfeind P, Deprez PH, et al.: Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2016, 48:489–496. 10.1055/s-0042-100456.
[17] McKechnie JC. Gastroscopic removal of a phytobezoar. Gastroenterology 1972; 62:1047–51.
[18] Longstreth GF, Longstreth KJ, Yao JF. Esophageal food impaction: epidemiology and therapy. A retrospective, observational study. Gastrointest Endosc 2001; 53:193–8.
[19] Kim JK, Kim SS, Kim JI, et al. Management of foreign bodies in the gastrointestinal tract: an analysis of 104 cases in children. Endoscopy 1999; 31:302–4.
[20]  Berggreen PJ, Harrison E, Sanowski RA, et al. Techniques and complications of esophageal foreign body extraction in children and adults. Gastrointestinal Endoscopy 1993; 39:626–30.
[21] Ginsberg GG: Management of ingested foreign objects and food bolus impactions. Gastrointest Endosc. 1995, 41:33–38. 10.1016/S0016-5107(95)70273-3.
[22] Chauvin A, Viala J, MarteauP, et al. Management and endoscopic techniques for digestive foreign body and food bolus impaction. Dig Liver Dis. 2013 Jul;45(7):529-42. doi: 10.1016/j.dld.2012.11.002. Epub 2012 Dec 23.
[23] Eroglu A, Can Kurkcuogu I, Karaoganogu N, et al. Esophageal perforation: the importance of early diagnosis and primary repair. Dis Esophagus 2004; 17: 91–94.
Instrucciones para citar
Guo C, Wu J, He H, Liu H, Wang Y, Wei N, et all. Evaluation of the medical economics and safety: two methods for the endoscopic removal of jujube pits. 5794/2018


Descargar en un gestor de citas

Descargue la cita de este artículo haciendo clic en uno de los siguientes gestores de citas:

Métrica
Este artículo ha sido visitado 711 veces.
Este artículo ha sido descargado 136 veces.

Estadísticas de Dimensions


Estadísticas de Plum Analytics

Ficha Técnica

Recibido: 25/06/2018

Aceptado: 30/09/2018

Prepublicado: 19/11/2018

Publicado: 04/03/2019

Tiempo de revisión del artículo: 90 días

Tiempo de prepublicación: 147 días

Tiempo de edición del artículo: 252 días


Compartir
Este artículo aun no tiene valoraciones.
Valoración del lector:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
La REED es el órgano oficial de la Sociedad Española de Patología Digestiva, la SociedadEspañola de Endoscopia Digestiva y la Asociación Española de Ecografía Digestiva
Política de cookies Política de Privacidad Aviso Legal © Copyright 2023 y Creative Commons. Revista Española de Enfermedades Digestivas