Background and Aims
Foreign body ingestions (FoBIs) are a common cause for medical attention. However,
trends and patterns of adult FoBIs as well as associations with clinical comorbidities
and behavioral attributes have not been elucidated beyond single institutional experiences.
Methods
We utilized survey data from the National Electronic Injury Surveillance System to
examine fundamental characteristics of adult FoBIs involving consumer products between
2000 and 2017 across the United States. Data regarding the circumstances of FoBIs
were abstracted from narrative data. Relationships among time, intent, demographics,
and behavioral attributes were assessed using regression analyses, accounting for
survey structure.
Results
Adult FoBIs have increased in incidence over the past 2 decades from 3 to 5.3 per
100,000 persons. Examination of consumer products revealed that jewelry (15.4%), nails
(7.2%), and toothpicks (6.9%) were the most commonly ingested products. The most common
products ingested varied over time, and the number of unique consumer product categories
ingested increased from 103 to 143 in the time period studied. Intentional ingestions
accounted for 14% of adult FoBIs and frequently involved plastic bagging (13.6%),
batteries (13%), nails (10.1%), and desk supplies (6.8%). Adjusted regression analyses
demonstrated that compared with accidental FoBIs, intentional FoBIs have increased
over time. Intentional FoBIs were more frequently associated with younger age, substance
abuse, police custody, and mental and cognitive illnesses relative to accidental FoBIs.
Conclusions
Our results indicate that adult FoBIs are an increasing burden of disease in the United
States with social, psychiatric, and behavioral contributors to this trend.
Abbreviations:
CI (confidence interval), FoBI (foreign body ingestion), NEISS (National Electronic Injury Surveillance System), OR (odds ratio)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: September 14, 2019
Accepted:
September 4,
2019
Received:
April 30,
2019
Footnotes
DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.
Identification
Copyright
© 2020 by the American Society for Gastrointestinal Endoscopy
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- Consuming consumer products and the emergency departmentGastrointestinal EndoscopyVol. 91Issue 2
- PreviewForeign body ingestion and food impactions are frequent consults from the emergency center. The treatment of these patients often requires planning, creative solutions, urgent evaluation, and endoscopic intervention. Although guidelines exist for both adult and pediatric populations, the quality of the literature is limited because most reports reflect single-center experiences with unclear generalizability to other settings.1-3 Data from a larger population reflecting the experience of multiple centers would help in clarifying the scope of the challenges these conditions present.
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