Abstract
Background
The aim of this study was to determine the predictive risk factors for complications resulting from foreign body ingestion.
Methods
A consecutive series of 1338 patients with suspected foreign body ingestion presenting from 1996 to 2000 were studied retrospectively. The potential risk factors for complications after foreign body ingestion were analysed by multivariate logistic regression and included concurrent medical illness, age, duration and types of symptoms, types of foreign body ingested, positive cervical radiographic findings and the level of foreign body impaction.
Results
Fish bone (62ยท7 per cent) was the commonest type of foreign body ingested. Most of the objects were impacted at or above the cricopharyngeus, the commonest site being the valleculae (31ยท4 per cent). Multivariate analysis showed that presentation delayed for more than 2 days (P < 0ยท001), positive cervical radiographic findings (P < 0ยท001) and foreign body impacted at the cricopharyngeus (P = 0ยท009) or upper oesophagus (P = 0ยท005) were significant independent risk factors associated with the development of complications after foreign body ingestion.
Conclusion
In patients with a foreign body seen on plain cervical radiography, presentation delayed for more than 2 days after ingestion, and foreign body impacted at the level of the cricopharyngeus or oesophagus there is a high degree of correlation with the occurrence of complications. Awareness should be raised when these risk factors are present.