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• W2265643561 endingPage "152" @default.
• W2265643561 startingPage "142" @default.
• W2265643561 abstract "Gastrointestinal foreign bodies (FB) are comprised of food bolus impaction and intentionally or unintentionally ingested or inserted true FB. Food bolus impaction and true FB ingestion represent a recurrent problem and a true challenge in gastrointestinal endoscopy. More than 80–90% of the ingested true FB will pass spontaneously through the gastrointestinal tract without complications. However, in 10–20% of the cases an endoscopic intervention is deemed necessary. True FB ingestion has its greatest incidence in children, psychiatric patients and prisoners. On the other hand, food bolus impaction typically occurs in the elderly population with an underlying esophageal pathology. The most serious situations, with higher rates of complications, are associated with prolonged esophageal impaction, ingestion of sharp and long objects, button batteries and magnets. Physicians should recognize early alarm symptoms, such as complete dysphagia, distressed patients not able to manage secretions, or clinical signs of perforation. Although many papers are yearly published regarding this subject, our knowledge is mainly based on case-reports and retrospective series. Herein, the authors summarize the existing evidence and propose an algorithm for the best approach to FB ingestion. A definição de corpo estranho gastrointestinal compreende a ingestão acidental ou voluntária de verdadeiros corpos estranhos e o impacto alimentar. Estas entidades representam uma recorrente e desafiadora problemática para os Gastroenterologistas. Em mais de 80 a 90% dos casos referentes à ingestão de verdadeiros corpos estranhos, o mesmo passa através do tubo digestivo sem complicações. No entanto, em 10 a 20% dos casos é necessária uma intervenção endoscópica. A ingestão de verdadeiros corpos estranhos apresenta o seu pico de incidência em crianças, doentes com perturbações psiquiátricas e reclusos. Por outro lado, o impacto alimentar ocorre tipicamente na população idosa, que, na maioria dos casos apresenta uma patologia esofágica subjacente. As situações mais frequentemente associadas a complicações sérias relacionam-se com a presença prolongada de corpos estranhos ou impacto alimentar no esófago, ingestão de corpos estranhos pontiagudos, compridos, pilhas ou ímanes. O médico deve reconhecer precocemente sinais de alarme tais como disfagia completa, incapacidade de deglutir saliva ou sinais clínicos de perfuração. Apesar da publicação anual de artigos referentes a este tópico, a maioria da evidência existente na atualidade apoia-se apenas em case-reports e séries retrospetivas. Este artigo pretende resumir de modo conciso a evidência atual e propor um algoritmo versando o tratamento endoscópico de verdadeiros corpos estranhos e impacto alimentar do trato digestivo superior." @default.
• W2265643561 created "2016-06-24" @default.
• W2265643561 creator A5004034674 @default.
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• W2265643561 creator A5051628936 @default.
• W2265643561 creator A5068310991 @default.
• W2265643561 creator A5078823337 @default.
• W2265643561 creator A5082376977 @default.
• W2265643561 date "2016-05-01" @default.
• W2265643561 modified "2023-10-13" @default.
• W2265643561 title "Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: An Evidence-Based Review Article" @default.
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