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Value of radiography in the management of possible fishbone ingestion

Sundgren, P C LU ; Burnett, A and Maly, P V LU (1994) In Annals of Otology, Rhinology & Laryngology 103(8 Pt 1). p.31-628
Abstract

A retrospective study was performed on 42 consecutive patients to examine the value of radiography in the management of complaints of fishbone ingestion. All patients underwent an oral examination followed by radiographic examination with plain films, barium swallows, barium and water swallows, and an endoscopic examination. All radiographs were reviewed by two unbiased, experienced radiologists. Of the 7 cases with fishbone found at endoscopic examination, only two (29%) bones were seen by the primary radiologist and 5 (71%) by the reviewing radiologists. Except for one case in which all three radiologists detected a fishbone that passed during the examination, and thereby was not found on endoscopy, no fishbones were found at the... (More)

A retrospective study was performed on 42 consecutive patients to examine the value of radiography in the management of complaints of fishbone ingestion. All patients underwent an oral examination followed by radiographic examination with plain films, barium swallows, barium and water swallows, and an endoscopic examination. All radiographs were reviewed by two unbiased, experienced radiologists. Of the 7 cases with fishbone found at endoscopic examination, only two (29%) bones were seen by the primary radiologist and 5 (71%) by the reviewing radiologists. Except for one case in which all three radiologists detected a fishbone that passed during the examination, and thereby was not found on endoscopy, no fishbones were found at the radiographic examination that were not seen on the endoscopic examination. Thus, radiography added no valuable information but only delayed the endoscopic examination with ensuing removal of the foreign body, which had to be performed regardless of the outcome of the radiographic examination. Therefore, we suggest that patients with a short history of complaints of fishbone ingestion, ie, 48 hours or less, should first be evaluated with oral and endoscopic examination.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Animals, Barium Sulfate, Bone and Bones, Esophagoscopy, Esophagus, Female, Fishes, Foreign Bodies, Humans, Male, Meat, Middle Aged, Pharynx, Retrospective Studies
in
Annals of Otology, Rhinology & Laryngology
volume
103
issue
8 Pt 1
pages
4 pages
publisher
Annals Publishing Company
external identifiers
  • Scopus:0028074915
ISSN
0003-4894
DOI
10.1177/000348949410300809
language
English
LU publication?
yes
id
2f3a1176-e0ab-44e3-af2d-1c3c4c3649c3
date added to LUP
2016-04-20 13:29:46
date last changed
2016-10-13 05:06:47
@misc{2f3a1176-e0ab-44e3-af2d-1c3c4c3649c3,
  abstract     = {<p>A retrospective study was performed on 42 consecutive patients to examine the value of radiography in the management of complaints of fishbone ingestion. All patients underwent an oral examination followed by radiographic examination with plain films, barium swallows, barium and water swallows, and an endoscopic examination. All radiographs were reviewed by two unbiased, experienced radiologists. Of the 7 cases with fishbone found at endoscopic examination, only two (29%) bones were seen by the primary radiologist and 5 (71%) by the reviewing radiologists. Except for one case in which all three radiologists detected a fishbone that passed during the examination, and thereby was not found on endoscopy, no fishbones were found at the radiographic examination that were not seen on the endoscopic examination. Thus, radiography added no valuable information but only delayed the endoscopic examination with ensuing removal of the foreign body, which had to be performed regardless of the outcome of the radiographic examination. Therefore, we suggest that patients with a short history of complaints of fishbone ingestion, ie, 48 hours or less, should first be evaluated with oral and endoscopic examination.</p>},
  author       = {Sundgren, P C and Burnett, A and Maly, P V},
  issn         = {0003-4894},
  keyword      = {Animals,Barium Sulfate,Bone and Bones,Esophagoscopy,Esophagus,Female,Fishes,Foreign Bodies,Humans,Male,Meat,Middle Aged,Pharynx,Retrospective Studies},
  language     = {eng},
  number       = {8 Pt 1},
  pages        = {31--628},
  publisher    = {ARRAY(0x945cb80)},
  series       = {Annals of Otology, Rhinology & Laryngology},
  title        = {Value of radiography in the management of possible fishbone ingestion},
  url          = {http://dx.doi.org/10.1177/000348949410300809},
  volume       = {103},
  year         = {1994},
}