File Download
  Links for fulltext
     (May Require Subscription)
  • Find via Find It@HKUL
Supplementary

Article: A Prospective Study on Fish Bone Ingestion: Experience of 358 Patients

TitleA Prospective Study on Fish Bone Ingestion: Experience of 358 Patients
Authors
KeywordsDeglutition Disorders - etiology
Fishes
Foreign Bodies - diagnosis - therapy
Hypopharynx
Oropharynx
Issue Date1990
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.annalsofsurgery.com
Citation
Annals of Surgery, 1990, v. 211 n. 4, p. 459-462 How to Cite?
AbstractA prospective study was performed on 358 patients to examine the diagnosis, management, and natural history of fish bone ingestion. All patients admitted with the complaint had a thorough oral examination. Flexible endoscopy under local pharyngeal anesthesia would be performed on patients with negative findings. Of 117 fish bones encountered, 103 were removed (direct removal, 21; endoscopic removal, 82) and 12 were inadvertently dislodged. One was missed and the other one necessitated removal with rigid laryngoesophagoscopy under general anesthesia. Morbidity (1%) occurred in patients with triangular bones in the hypopharynx, resulting in one mucosal tear and two lengthy procedures. Mean hospital stay was 7 hours. Prediction of the presence of fish bones by symptoms and radiograph was poor. The location of symptoms, however, was useful in guiding the endoscopist to the site of lodgment. Of patients who refused endoscopy, only one (2.8%) developed retropharyngeal abscess. As compared to those who received endoscopy, 31.8% had fish bones detected. As the yield of fish bone detected was also inversely related to the duration of symptoms, we strongly suspect that most of the unremoved fish bones would be dislodged and passed. However, because of the serious potential complication from fish bone ingestion, we believe that a combination of oral examination followed by flexible endoscopy is indicated in all patients. When triangular bones in the hypopharynx are encountered, rigid laryngoesophagoscopy should be considered. This protocol had safely and effectively dealt with the present series of patients.
Persistent Identifierhttp://hdl.handle.net/10722/210254
ISSN
2015 Impact Factor: 8.569
2015 SCImago Journal Rankings: 4.503
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorNgan, JHK-
dc.contributor.authorFok, PJ-
dc.contributor.authorLai, ECS-
dc.contributor.authorBranicki, FJ-
dc.contributor.authorWong, J-
dc.date.accessioned2015-06-02T01:08:27Z-
dc.date.available2015-06-02T01:08:27Z-
dc.date.issued1990-
dc.identifier.citationAnnals of Surgery, 1990, v. 211 n. 4, p. 459-462-
dc.identifier.issn0003-4932-
dc.identifier.urihttp://hdl.handle.net/10722/210254-
dc.description.abstractA prospective study was performed on 358 patients to examine the diagnosis, management, and natural history of fish bone ingestion. All patients admitted with the complaint had a thorough oral examination. Flexible endoscopy under local pharyngeal anesthesia would be performed on patients with negative findings. Of 117 fish bones encountered, 103 were removed (direct removal, 21; endoscopic removal, 82) and 12 were inadvertently dislodged. One was missed and the other one necessitated removal with rigid laryngoesophagoscopy under general anesthesia. Morbidity (1%) occurred in patients with triangular bones in the hypopharynx, resulting in one mucosal tear and two lengthy procedures. Mean hospital stay was 7 hours. Prediction of the presence of fish bones by symptoms and radiograph was poor. The location of symptoms, however, was useful in guiding the endoscopist to the site of lodgment. Of patients who refused endoscopy, only one (2.8%) developed retropharyngeal abscess. As compared to those who received endoscopy, 31.8% had fish bones detected. As the yield of fish bone detected was also inversely related to the duration of symptoms, we strongly suspect that most of the unremoved fish bones would be dislodged and passed. However, because of the serious potential complication from fish bone ingestion, we believe that a combination of oral examination followed by flexible endoscopy is indicated in all patients. When triangular bones in the hypopharynx are encountered, rigid laryngoesophagoscopy should be considered. This protocol had safely and effectively dealt with the present series of patients.-
dc.languageeng-
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.annalsofsurgery.com-
dc.relation.ispartofAnnals of Surgery-
dc.rightsThis is a non-final version of an article published in final form in (provide complete journal citation)-
dc.subjectDeglutition Disorders - etiology-
dc.subjectFishes-
dc.subjectForeign Bodies - diagnosis - therapy-
dc.subjectHypopharynx-
dc.subjectOropharynx-
dc.titleA Prospective Study on Fish Bone Ingestion: Experience of 358 Patients-
dc.typeArticle-
dc.identifier.emailWong, J: jwong@hkucc.hku.hk-
dc.identifier.authorityWong, J=rp00322-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.pmcidPMC1358032-
dc.identifier.hkuros140770-
dc.identifier.volume211-
dc.identifier.issue4-
dc.identifier.spage459-
dc.identifier.epage462-
dc.publisher.placeUnited States-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats