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Rectal foreign body removal: increasing incidence and cost to the NHS
- Source :
- The Annals of The Royal College of Surgeons of England. 103:734-737
- Publication Year :
- 2021
- Publisher :
- Royal College of Surgeons of England, 2021.
-
Abstract
- Introduction Insertion of foreign objects into the rectum is a well-described phenomenon and not an uncommon referral to the general surgeon on call. Although usually not life-threatening, there can be consequences following migration of the object or perforation of the large bowel. This study looks at the incidence of removal of foreign objects from the rectum over the last decade and the financial burden it presents to the NHS. Methods Hospital Episode Statistics for 2010–2019 were used to calculate the number of rectal foreign bodies that required removal in hospital. Data for age groups and genders have been compared. Results A total of 3,500 rectal foreign bodies were removed over the course of 9 years. Males accounted for 85.1% of rectal foreign bodies whilst 14.9% were females. This equates to 348 bed-days per annum. Admission peaks were observed in the second and fifth decades of life. Conclusion This study shows that the incidence of rectal foreign bodies is higher in men and has been increasing over the period studied. Most foreign bodies can be removed trans-anally with the use of anaesthesia, with only a small proportion of patients requiring hospital stay over 24 hours (mean length of stay = 24 hours). Nearly 400 rectal foreign body removals are performed each year with an annual cost of £338,819, illustrating the effect this has on NHS resources.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Referral
Rectum
State Medicine
Young Adult
Sex Factors
Foreign-Body Migration
medicine
Rectal foreign body
Humans
Child
Aged
Aged, 80 and over
business.industry
Incidence (epidemiology)
General surgery
Age Factors
Infant
Health Care Costs
General Medicine
Length of Stay
Middle Aged
Foreign Bodies
medicine.disease
United Kingdom
medicine.anatomical_structure
Child, Preschool
Female
Surgery
Foreign body
business
Subjects
Details
- ISSN :
- 14787083 and 00358843
- Volume :
- 103
- Database :
- OpenAIRE
- Journal :
- The Annals of The Royal College of Surgeons of England
- Accession number :
- edsair.doi.dedup.....f094b1cee6dd5d1c8c57e9e953988fad