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Original Paper

Difference in Outcomes of Rectal Foreign Bodies between Males and Females: A Retrospective Analysis of a National Inpatient Database in Japan

Odagiri H.a, d · Yasunaga H.a · Matsui H.a · Fushimi K.b · Iizuka T.c · Kaise M.c

Author affiliations

aDepartment of Clinical Epidemiology and Health Economics, School of Public Health, University of Tokyo, bDepartment of Health Policy and Informatics, Tokyo Medical and Dental University Graduate School of Medicine and cDepartment of Gastroenterology, Toranomon Hospital, Tokyo, and dDepartment of Gastroenterology, Saiseikai Kawaguchi General Hospital, Saitama, Japan

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Digestion 2015;92:165-170

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: April 07, 2015
Accepted: July 31, 2015
Published online: September 10, 2015
Issue release date: October 2015

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 5

ISSN: 0012-2823 (Print)
eISSN: 1421-9867 (Online)

For additional information: https://www.karger.com/DIG

Abstract

Background/Aims: Almost all previous studies related to rectal foreign bodies were based on bizarre and striking cases, resulting in a reporting bias. Our aim was to clarify the clinico-epidemiological findings of rectal foreign body (RFB) in a general population. Methods: Using a national administrative database in Japan, we identified patients who underwent in-hospital treatment for rectal foreign bodies from 1 July 2007 to 31 March 2013. Results: A total of 648 RFB patients with 666 presentations were identified during the study period. The number of male patients was 526 (81.1%). The incidence of a RFB was most frequently seen in males who were in their 60s and in females who were in their 80s. The overall in-hospital mortality was 1.2%. Compared with males, females had a significantly higher proportion of in-hospital death (0.4 vs. 4.8%, p = 0.001), perforation and peritonitis (5.2 vs. 12.8%, p = 0.004), and sepsis (1.1 vs. 4.0%, p = 0.04). Conclusion: This study showed the clinico-epidemiological findings of rectal foreign bodies in a general population, and established that there was a low mortality rate. It was also found that females were significantly more likely to have a severe outcome following a RFB than males.

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: April 07, 2015
Accepted: July 31, 2015
Published online: September 10, 2015
Issue release date: October 2015

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 5

ISSN: 0012-2823 (Print)
eISSN: 1421-9867 (Online)

For additional information: https://www.karger.com/DIG


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