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master's thesis
Incidencija zahvata rigidne ezofagoskopije i EGDS zbog sumnje na strano tijelo hipofarinksa i jednjaka u KBC-u Split od 2001. do 2021.
2022. urn:nbn:hr:171:831249
Knežević, Marta
University of Split
School of Medicine

Cite this document

Knežević, M. (2022). Incidencija zahvata rigidne ezofagoskopije i EGDS zbog sumnje na strano tijelo hipofarinksa i jednjaka u KBC-u Split od 2001. do 2021. (Master's thesis). Split: University of Split, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:171:831249

Knežević, Marta. "Incidencija zahvata rigidne ezofagoskopije i EGDS zbog sumnje na strano tijelo hipofarinksa i jednjaka u KBC-u Split od 2001. do 2021.." Master's thesis, University of Split, School of Medicine, 2022. https://urn.nsk.hr/urn:nbn:hr:171:831249

Knežević, Marta. "Incidencija zahvata rigidne ezofagoskopije i EGDS zbog sumnje na strano tijelo hipofarinksa i jednjaka u KBC-u Split od 2001. do 2021.." Master's thesis, University of Split, School of Medicine, 2022. https://urn.nsk.hr/urn:nbn:hr:171:831249

Knežević, M. (2022). 'Incidencija zahvata rigidne ezofagoskopije i EGDS zbog sumnje na strano tijelo hipofarinksa i jednjaka u KBC-u Split od 2001. do 2021.', Master's thesis, University of Split, School of Medicine, accessed 05 December 2024, https://urn.nsk.hr/urn:nbn:hr:171:831249

Knežević M. Incidencija zahvata rigidne ezofagoskopije i EGDS zbog sumnje na strano tijelo hipofarinksa i jednjaka u KBC-u Split od 2001. do 2021. [Master's thesis]. Split: University of Split, School of Medicine; 2022 [cited 2024 December 05] Available at: https://urn.nsk.hr/urn:nbn:hr:171:831249

M. Knežević, "Incidencija zahvata rigidne ezofagoskopije i EGDS zbog sumnje na strano tijelo hipofarinksa i jednjaka u KBC-u Split od 2001. do 2021.", Master's thesis, University of Split, School of Medicine, Split, 2022. Available at: https://urn.nsk.hr/urn:nbn:hr:171:831249

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Metadata
TitleIncidencija zahvata rigidne ezofagoskopije i EGDS zbog sumnje na strano tijelo hipofarinksa i jednjaka u KBC-u Split od 2001. do 2021.
Title (english)Incidence of rigid endophagoscopy and EGD due to suspect of foreign body of hypopharynx and esophagus in University Hospital of Split from 2001 to 2021
AuthorMarta Knežević
MentorNikola Kolja Poljak (mentor)
Committee memberZaviša Čolović (predsjednik povjerenstva)
Committee memberMirko Kontić (član povjerenstva)
Committee memberZenon Pogorelić (član povjerenstva)
GranterUniversity of Split
School of Medicine
Split
Defense date and country2022, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Otorhinolaryngology
Abstract
Ciljevi: Glavni cilj ovog istraživanja bio je prikazati pad obavljenih rigidnih ezofagoskopija zbog sumnje na strano tijelo u Klinici za bolesti uha, nosa i grla s kirurgijom glave i vrata Kliničkog bolničkog centra (KBC) Split u periodu od 2001. do 2021. uz prikaz broja fleksibilnih ezofagoduodenoskopija (EGDS) zbog sumnje na strano tijelo u Klinici za unutarnje bolesti KBC-a Split (Odjel za gastroenterologiju) od 2016. do 2021. Ostali ciljevi bili su prikazati postotak pronađenih stranih tijela, njihovu vrstu i lokalizaciju, broj komplikacija i novootkrivenih medicinskih stanja i prikazati ispitanike po dobu i spolu. Ispitanici i metode: Provedena je retrospektivna studija u koju je uključeno 855 ispitanika kojima je u KBC-u Split učinjena rigidna ezofagoskopija ili fleksibilna EGDS zbog sumnje na strano tijelo. Prikupljeni podaci za bolesnike uključivali su: dob, spol, datum obavljenog zahvata, prisutnost stranog tijela, vrstu stranog tijela, lokaciju stranog tijela, postojanje komplikacija i novootkivenih medicinskih stanja (maligne novotvorine, stenoze jednjaka). Za bolesnike sa Odjela za gastroenterologije dostupni su podaci uključivali su samo spol i datum obavljenog zahvata, dok ostali podaci nisu bili dostupni. Rezultati: Najviše zahvata rigidne ezofagoskopije zabilježeno je 2004. (n=48) i 2001. godine (n=42), dok ih je najmanje zabilježeno 2010. (n=16) i 2021. godine (n=17). Ne postoji statistički značajna razlika u broju zahvata fleksibilne EGDS tijekom godina. Strano tijelo je pronađeno u 63% zahvata rigidne ezofagoskopije. Ingestija stranog tijela češće se događa u muškaraca. 59% posto ispitanika čine muškarci, a 41% žene. Medijan dobi ispitanika u Klinici za bolesti uha, nosa i grla s kirurgijom glave i vrata bio je 45,3 godine. Najveći broj ispitanika su predstavljala djeca od 1 godine (19). Najzastupljenija dobna skupina su bili bolesnici u 50. desetljeću (17,7%). Najčešća razina opstrukcije, u 28,2 % slučajeva, bilo je prvo suženje jednjaka. Najčešću vrstu stranog tijela predstavlja bolus hrane (25,8%). Zabilježena je samo jedna komplikacija aspiracije stranog tijela u 559 obavljenih rigidnih ezofagoskopija. U 2% ispitanika uočena je stenoza jednjaka, dok je u 1% postavljena sumnja na malignu leziju. Zaključci: Ovim istraživanjem potvrdili smo promjenu trenda u pristupu vađenju stranih tijela hipofarinksa i jednjaka. Pad broja rigidnih ezofagoskopija objašnjavamo većim i stalnim brojem fleksibilnih EGDS čije su prednosti izvođenje zahvata bez opće anestezije i razvoj instrumenata koji su dosegli visoku razinu preciznosti što olakšava samo vađenje stranog tijela.
Abstract (english)
Objectives: The main goal of this study was to show the decline in rigid esophagoscopies due to suspected foreign body, showing the number of flexible EGDS due to suspected foreign body. Other goals were to show the percentage of found foreign bodies, their type and location, the number of complications and newly discovered medical conditions and to show respondents by age and sex. Materials and methods: A retrospective study was conducted involving 855 subjects who underwent rigid or flexible esophagoscopy. Data collected for patients included: age, sex, date of surgery, presence of foreign body, type of foreign body, location of foreign body, existence of complications and newly discovered medical conditions (malignant neoplasms, esophageal stenosis). For patients from the Department of Gastroenterology, the available data included only the sex and date of the procedure, while other data were not available. Results: The highest number of rigid esophagoscopy procedures was recorded in 2004 (n=48) and 2001 (n=42), while the lowest number was recorded in 2010 (n=16) and 2021 (n=17). There is no statistically significant difference in the number of flexible EGDS interventions over the years. A foreign body was found in 63% of rigid esophagoscopy procedures. Foreign body ingestion is more common in men. 59% of respondents are men and 41% are women. The median age of subjects was 45.3 years. The largest number of respondents were children 1 year old (n=19). The most common age group were patients in the 50s (17.7%). The most common level of obstruction, in 28.2% of cases, was the first narrowing of the esophagus. The most common type of foreign body is the food bolus (25.8%). Only one complication of foreign body aspiration was noted in 559 rigid esophagoscopies performed. Esophageal stenosis was observed in 2% of subjects, while a malignant lesion was suspected in 1%. Conclusions: With this research, we confirmed a change in the trend in the approach to the removal of foreign bodies of the hypopharynx and esophagus. The decrease in the number of rigid esophagoscopies is explained by the larger and constant number of flexible EGDS whose advantages are performing procedures without general anesthesia and the development of instruments that have reached a high level of precision, which facilitates the removal of a foreign body.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:171:831249
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Embargo expiration date: 2022-07-25
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Created on2022-07-20 10:04:52