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이물질 섭취로 내원한 환자 1,201명에 대한 후향적 고찰

Retrospective Review of 1,201 Patients with Suspicious Foreign Body Ingestion

임상이비인후과 2019년 30권 2호 p.209 ~ 215
한주호 ( Han Ju-Ho ) - 한림대학교 의과대학 한림대학교성심병원 이비인후-두경부외과학교실

이준영 ( Lee Jun-Young ) - 한림대학교 의과대학 한림대학교성심병원 이비인후-두경부외과학교실
이지수 ( Lee Ji-Soo ) - 한림대학교 의과대학 한림대학교성심병원 이비인후-두경부외과학교실
박범정 ( Park Bum-Jung ) - 한림대학교 의과대학 한림대학교성심병원 이비인후-두경부외과학교실

Abstract


Background and Objectives:Foreign body (FB) ingestion is one of the most commonly encountered otorhino- laryngologic disorders, often requiring urgent decision-making and management. Few studies have comprehen- sively investigated the age distribution and the types and locations of FBs ingested. So in this study, we aimed to describe the clinical characteristics and to search for factors which can help in deciding on proper treatment for patients with FB ingestion.
Materials and Methods:The retrospective reviews of the medical records were per- formed for all patients (n=1,201) who visited the outpatient clinic or emergency department of Hallym Univer- sity Sacred Heart Hospital due to suspicion of FB ingestion (with the diagnostic code of ICD-10 : T17-T189) from March 2014 through August 2016.

Results:The incidence rate of FB ingestion was 43.9% in children aged 0-14 years, which was much higher than other age groups. At ages 0-4 years, non-food material type FBs were the most common with 29.8% plastics and 17.6% metals. Except ages 0-4 years, fish bone showed the highest frequency in all age group. The most common anatomical site where the FB was found was the tonsil except in the group of patients older than 65 years and under 5 years. Additionally, in food material group, when patients feel continuous discomfort, we did esophagogastroduodenoscopy (EGD) (Ratio : 13.0%). By using EGD, Re- moved ratio was 42.3%.

Conclusions:FBs are common in Korean cultures with the highest incidence in chil- dren. The specific characteristics of FB ingestion according to age and the type of FB involved should be consid- ered when managing or performing preventive care for these patients.

키워드

이물질; 섭취; 소화기계; 후두경; 내시경
Foreign bodies; Eating; Digestive system; Laryngoscopy; Endoscopy
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