The effect of sodium phosphate enema in patients ingested foreign bodies: a prospective, randomized trial——Sodium phosphate enema in patients ingested foreign bodies
Zeynep Ozkan, Metin Kement, Mustafa Oncel, Levent Kaptanoglu, Cem Gezen
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DOI: 10.4236/health.2010.211192   PDF    HTML     5,032 Downloads   8,981 Views  

Abstract

Background: Although foreign body ingestion is a common problem, poor knowledge for the treatment still remains a major obstacle, especially in preventing complications. Phosphate enemas were applied for chronic constipation for a long period of time. This study aims to evaluate the effect of a single dose of phosphate enema on bowel movements in patients who suffer from foreign body ingestion. Materials and Methods: Forty consecutive patients admitted to our emergency unit for foreign body ingestion were randomized into two groups. Patients in both groups were followed up with daily imaging and physical examinations. Cases in Group SP received daily doses of sodium phosphate enemas, while Group C did not. Demographics, number of X-rays, radiation dose, and period of the foreign body passage were recorded and compared between two groups. Also, data of patients who ingested pins (Group P) were compared with of those who ingested other materials (Group O). Results: There was no statistical difference between groups (Group SP vs. Group C and Group P vs. Group O) comparing demographics, number of X-rays, total amount of radiation doses (p > 0.05 for all comparisons). The period of foreign body passage was shorter in Group SP (3.4 ± 1.6 days vs. 6.2 ± 3.8 days; p = 0.005). Also, patients who ingested pins were compared to patients who ingested other materials. Pins were ingested by 23 (65%) patients. These were older (16.6 ± 9.4 years vs. 4.8 ± 3.5 years; p = 0.001) and generally females (78.3% vs. 29.4; p = 0.006). Contrary to the other cases, pins were less frequently confirmed in stool in patients who ingested pins (p = 0.02). Conclusion: A single dose of phosphate enema use may hasten the passage of the foreign bodies. Ingestion of pins is the more common especially in young females. The evacuation of pins is generally recognized with direct examination of the stool, so daily imaging may not be necessary for this group of patients.

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Ozkan, Z. , Kement, M. , Oncel, M. , Kaptanoglu, L. and Gezen, C. (2010) The effect of sodium phosphate enema in patients ingested foreign bodies: a prospective, randomized trial——Sodium phosphate enema in patients ingested foreign bodies. Health, 2, 1294-1297. doi: 10.4236/health.2010.211192.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Paul, R.I., Christoffel, K.K., Binns, H.J., Jaffe, D.M. and the Pediatric Practice Research Group. (1993) Foreign body ingestion in children: Risk of complication varies with site of initial health care contact. Pediatrics, 91(1), 121-127.
[2] Hashmonai, M., Kaufman, T. and Schramek, A. (1978) Silent perforations of the stomach and duodenum by needles. Archives of Surgery, 113(12), 1406-1409.
[3] Cheng, W. and Tam, P.K.H. (1999) Foreign-body ingestion in children: experience with 1,265 cases. Journal of Pediatric Surgery, 34(10), 1472-1476.
[4] Kaptanoglu, M., Dogan, K., Onen, A. and Kunt, N. (1999) Turban pin aspiration: A potential risk for young Islamic girls. International Journal of Pediatric Otorhinolaryngology, 48(2), 131-135.
[5] Shabb, B., Taha, A.M., Hamada, F. and Kanj, N. (1996) Straight pin aspiration in young women. Journal of Trauma, 40(5), 827-828.
[6] Ucan, E.S., Tahaoglu, K., Mogolkoc, N., Dereli, S., Basoz-demir, N., Basok, O., Turktas, H., Akkocoglu, A. and Ates, M. (1996) Turban pin aspiration syndrome: A new form of foreign body aspiration. Respiratory Medicine, 90(7), 427-428.
[7] Hodge III, D., Tecklenburg, F. and Fleisher, G. (1985) Coin ingestion: Does every child need a radiograph? An- nals of Emergency Medicine, 14(5), 443-446.
[8] Kelley, J.E., Leech, M.H. and Carr, M.G. (1993) A safe and cost-effective protocol for the management of esophageal coins in children. Journal of Pediatric Surgery, 28(7), 898-900.
[9] Robbins, M.I. and Shortsleeve, M.J. (1994) Treatment of acute esophageal food impaction with glucagons, an effervescent agent, and water. American Journal of Roentgenology, 162, 325-328.
[10] Davies, C. (2004) The use of phosphate enemas in the treatment of constipation. Nursing Times, 100(18), 32-35.

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