Objective: Analysis of clinical features and complication risk factors after impacted upper GI foreign bodies in 230 geriatric patients in Baotou area. Methods: The clinical and endoscopic data of elderly patients who underwent foreign body removal from upper gastrointestinal in the endoscopy center of the Second Affiliated Hospital of Baotou Medical College from January 2020 to December 2024 were collected and retrospectively analyzed. The χ2 test was used to compare the count data of the clinical characteristics of foreign body incarceration in upper gastrointestinal. At the same time, univariate and multivariate logistic regression were used to analyze the risk factors of complications of foreign body incarceration in upper gastrointestinal. Results: A total of 230 elderly patients were included according to the criteria, including 98 males and 132 females. The age was mainly distributed between 60 and 74 years old (155 cases, 67.4%). The main type of foreign body incarceration was jujube pit (116 cases, 50.4%). The location of foreign body retention was mainly concentrated at the esophageal entrance (143 cases, 62.2%). The foreign body traits were mainly sharp foreign bodies (138 cases, 60%), and the patients with incarceration time ≤24 hours accounted for the majority (126 cases, 54.8%). There were 83 patients (36.1%) with upper gastrointestinal diseases, 98 patients (42.6%) with complications. Multivariate Logistic regression analysis demonstrated that impacted duration (＞24 hours), foreign body characteristics (sharp objects), and pre-existing upper gastrointestinal diseases were risk factors for complications secondary to impacted upper GI foreign bodies (P＜0.01). Conclusion: The complications arising from impacted upper gastrointestinal foreign bodies in elderly patients are significantly associated with the duration of impaction, physical characteristics of the foreign body, and the presence of comorbid upper GI pathologies. Clinically, relevant risk factors should be avoided, and endoscopic intervention should be performed as early as possible to effectively prevent or reduce the occurrence of complications.
WANG Menghan
,
WANG Mizhu
. Analysis ofClinical Features and Complication Risk Factors in 230 Elderly Cases with Impacted Upper GIforeign Bodies[J]. Journal of Baotou Medical College, 2025
, 41(9)
: 78
-83
.
DOI: 10.16833/j.cnki.jbmc.2025.09.013
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