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Conference Paper: A prospective randomized trial comparing the use of flexible gastroscope versus bronchoscope in the management of foreign body ingestion

TitleA prospective randomized trial comparing the use of flexible gastroscope versus bronchoscope in the management of foreign body ingestion
Authors
Issue Date1997
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/gie
Citation
Annual Meeting of the American Society for Gastrointestinal Endoscopy, Digestive Disease Week (DDW), Washington DC, USA 11-14 May, 1997. In Gastrointestinal Endoscopy, 1997, v. 45 n. 4, p. AB66, abstract no. 165 How to Cite?
AbstractBackground Foreign body ingestion is a common clinical problem in Hong Kong. Some recent reports have proposed the use of flexible bronchoscope for foreign body retrieval. The present study is a prospective randomized trial on the use of flexible gastroscope and bronchoscope in the management of foreign body ingestion. Methods Between December 1995 and June 1996, 216 patients older than 11 years were prospectively randomized to flexible endoscopic examination using either the gastroscope (108 patients) or the bronchoscope (108 patients) under local pharyngeal anesthesia. The duration of procedure and the type of foreign body retrieved were noted. On conclusion of the endoscopie examination, patients were asked to assess their overall tolerance to the procedure on a scale of 1 (well tolerated) to 10 (unacceptable). Results There was a preponderance of female patients (M : F = 72 : 144). Mean age was 46 years (range, 12 to 85 years). A foreign body was retrieved in 68 patients (31.5%). There was no difference between the two groups in the foreign body retrieval rate, type of foreign body retrieved, duration of procedure, and tolerance level. In the group managed with the bronchoscope, however, three patients required the additional use of the gastroscope for foreign body retrieval at (one patient) or below (two patients) the cricopharyngeus. Patient's tolerance level was related only to the duration of procedure in the GE group (rho = 0.444; p < 0.001), BE group (rho = 0.388; p < 0.001), and in the whole group (rho = 0.386; p < 0.001). Conclusion The use of the flexible gastroscope is recommended because of its efficacy, safety, and tolerability.
Persistent Identifierhttp://hdl.handle.net/10722/172923
ISSN
2015 Impact Factor: 6.217
2015 SCImago Journal Rankings: 2.390

 

DC FieldValueLanguage
dc.contributor.authorChu, KMen_HK
dc.contributor.authorChoi, HKen_HK
dc.contributor.authorTuen, Hen_HK
dc.contributor.authorLaw, Sen_HK
dc.contributor.authorBranicki, FJen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2012-10-30T06:25:49Z-
dc.date.available2012-10-30T06:25:49Z-
dc.date.issued1997en_HK
dc.identifier.citationAnnual Meeting of the American Society for Gastrointestinal Endoscopy, Digestive Disease Week (DDW), Washington DC, USA 11-14 May, 1997. In Gastrointestinal Endoscopy, 1997, v. 45 n. 4, p. AB66, abstract no. 165en_HK
dc.identifier.issn0016-5107en_HK
dc.identifier.urihttp://hdl.handle.net/10722/172923-
dc.description.abstractBackground Foreign body ingestion is a common clinical problem in Hong Kong. Some recent reports have proposed the use of flexible bronchoscope for foreign body retrieval. The present study is a prospective randomized trial on the use of flexible gastroscope and bronchoscope in the management of foreign body ingestion. Methods Between December 1995 and June 1996, 216 patients older than 11 years were prospectively randomized to flexible endoscopic examination using either the gastroscope (108 patients) or the bronchoscope (108 patients) under local pharyngeal anesthesia. The duration of procedure and the type of foreign body retrieved were noted. On conclusion of the endoscopie examination, patients were asked to assess their overall tolerance to the procedure on a scale of 1 (well tolerated) to 10 (unacceptable). Results There was a preponderance of female patients (M : F = 72 : 144). Mean age was 46 years (range, 12 to 85 years). A foreign body was retrieved in 68 patients (31.5%). There was no difference between the two groups in the foreign body retrieval rate, type of foreign body retrieved, duration of procedure, and tolerance level. In the group managed with the bronchoscope, however, three patients required the additional use of the gastroscope for foreign body retrieval at (one patient) or below (two patients) the cricopharyngeus. Patient's tolerance level was related only to the duration of procedure in the GE group (rho = 0.444; p < 0.001), BE group (rho = 0.388; p < 0.001), and in the whole group (rho = 0.386; p < 0.001). Conclusion The use of the flexible gastroscope is recommended because of its efficacy, safety, and tolerability.en_HK
dc.languageengen_US
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/gieen_HK
dc.relation.ispartofGastrointestinal Endoscopyen_HK
dc.titleA prospective randomized trial comparing the use of flexible gastroscope versus bronchoscope in the management of foreign body ingestionen_HK
dc.typeConference_Paperen_HK
dc.identifier.emailChu, KM: chukm@hkucc.hku.hken_HK
dc.identifier.emailLaw, S: slaw@hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityChu, KM=rp00435en_HK
dc.identifier.authorityLaw, S=rp00437en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S0016-5107(97)80166-6-
dc.identifier.scopuseid_2-s2.0-33748965368en_HK
dc.identifier.hkuros22289-
dc.identifier.hkuros24437-
dc.identifier.volume45en_HK
dc.identifier.issue4en_HK
dc.identifier.spageAB66en_HK
dc.identifier.epageAB66en_HK
dc.publisher.placeUnited Statesen_HK
dc.description.otherAnnual Meeting of the American Society for Gastrointestinal Endoscopy, Digestive Disease Week (DDW), Washington DC, USA 11-14 May, 1997. In Gastrointestinal Endoscopy, 1997, v. 45 n. 4, p. AB66, abstract no. 165-
dc.identifier.scopusauthoridChu, KM=7402453538en_HK
dc.identifier.scopusauthoridChoi, HK=7404339913en_HK
dc.identifier.scopusauthoridTuen, H=6602991320en_HK
dc.identifier.scopusauthoridLaw, S=7202241293en_HK
dc.identifier.scopusauthoridBranicki, FJ=7003617514en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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