Management of ingested foreign bodies in childhood—response (original) (raw)
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Annals of Gastroenterology, 2007
Background and Study Aims: Foreign body ingestion is a common problem in children. This study presents a retrospective clinical analysis of endoscopic methods in the extraction of ingested foreign bodies from the upper gastrointestinal tract. Patients and Methods: The charts of 75 children who had ingested foreign bodies were retrospectively reviewed. Results: Of the 75 patients, 66 (88%) were managed endoscopically. The type of foreign bodies varied greatly: mainly coins, jewelleries, toy parts, and rarely batteries and chicken or fish bones. The foreign bodies were located in the stomach (n=47), esophagus (n=16), pharynx (n=2) and duodenum (n=1). The success rate of foreign bodies extraction, using mainly Roth-net and other endoscopic accessory devices, was 100%. There were no complications during endoscopic interventions. There were no readmissions for those patients who did not undergo endoscopic examination. Conclusions: Endoscopic approach is the preferable method for the extraction of upper gastrointestinal foreign bodies in pediatric patients. Roth-net is the best endoscopic device for safe retrieval of ingested foreign bodies.
Initial Experiences in Treatment of Gastrointestinal Foreign Bodies in Children
Facta Universitatis, Series: Medicine and Biology, 2018
We performed a retrospective analysis of all records of children with ingested foreign bodies presented to Clinical Center of Niš Pediatric Clinic and Pediatric Surgery and Orthopedics Clinic in the period from January 2014 to June 2017. The most commonly detected foreign bodies were: metal coins (7) followed by hairclips (2), metal key (1), trichobezoar (1) magnets (1) button battery (1) and zipper puller (1). Regarding anatomical location, foreign bodies were most frequently found in stomach (in 11 patients) followed by esophagus (in 2 patients) and jejunum (in 1 patient). In the majority of our patients (7) foreign bodies passed out of gastrointestinal tract spontaneously. Endoscopic foreign body removal was performed in 5 cases while surgery as a sole therapeutic action was done in 1 patient. In one child multiple magnets were removed from the stomach performing both endoscopic and surgical interventions. Teamwork of a gastroenterologist and a surgeon is crucial for optimizing t...
Gastroenterology Research and Practice, 2016
The ingestion of foreign bodies is a worldwide pediatric pathology. We assessed the clinical, endoscopic, and therapeutic aspects of this condition in a pediatric gastroenterology unit. We reviewed 61 patients (median age of 3.25 ± 4.7 years). The most frequently ingested objects were coins (26.23%), unidentified metal objects (13.11%), bones (8.19%), batteries, and buttons (6.55%). The clinical features we encountered included abdominal pain (55.73%), vomiting (34.42%), and asymptomatic children (29.5%). Routine X-ray examination enabled finding the foreign body in 42 of the cases. An esophagogastroduodenoscopy was performed within 24–72 hours. 25 cases resulted in a negative endoscopy (40.98%), 19 objects (31.14%) were removed using a polypectomy snare, and extraction failure occurred in 17 patients (27.86%). 28 foreign bodies were passed without incidents; in 14 cases, the swallowed objects were never found. In one case, a battery was stuck in the esophageal folds and led to trac...
Foreign body ingestion in children
Nursing times
Foreign body (FB) ingestion in children is common and most children are observed to be between 6 months and 3 years of age. Although most FBs in the gastrointestinal tract pass spontaneously without complications, endoscopic or surgical removal may be required in a few children. Thus, FB ingestion presents a significant clinical difficulty in pediatric gastroenterological practice. Parameters that need to be considered regarding the timing of endoscopic removal of ingested FBs in children are the children's age or body weight, the clinical presentation, time lapse since ingestion, time of last meal, type as well as size and shape of the FB, and its current location in the gastrointestinal tract. Esophageal button batteries require emergency removal regardless of the presence of symptoms because they can cause serious complications. Coins, magnets, or sharp FBs in the esophagus should be removed within 2 hours in symptomatic and within 24 hours in asymptomatic children. Among those presenting with a single or multiple magnets and a metallic FB that have advanced beyond the stomach, symptomatic children need a consultation with a pediatric surgeon for surgery, and asymptomatic children may be followed with serial X-rays to assess progression. Sharp or pointed, and long or large and wide FBs located in the esophagus or stomach require endoscopic removal.
Overview on Gastrointestinal Foreign Bodies in Children
Journal of Pharmaceutical Research International, 2021
Introduction: Greatest percentage of the upper gastro intestinal accidently swallowed foreign bodies in adults are related to food bolus impaction with meat. Most patients who swallow a true foreign body typically are younger, however young children were recorded to accidently swallow other objects rather than food poluses. Males are more often recorded, and often have significant psychiatric illness and/or drug abuse. Foreign body (FB) ingestion is a very common problem in children. FB may pass through gastrointestinal (GI) system silently without any indication, or it may need an intervention to prevent complications. The diagnosis, decision for involvement and management may have some difficulties, and it’s usually decided according to the case, especially in cases with protracted lodgment. Complications caused by lodgment of ingested GI FBs varies according to many factors and are associated with important morbidity and mortality in children. Objectives: to show an overview of g...
Foreign Body Ingestion in Pediatrics: Distribution, Management and Complications
Medicina, 2019
Background and Objectives: Foreign body (FB) ingestion is a common problem in children, causing serious complications. This study aimed to identify the distribution of types and locations of these foreign bodies and create Chiang Mai University (CMU) Guidelines. Materials and Methods: A retrospective descriptive study was conducted. All patients under 15 years old with foreign body ingestion (International Statistical Classification of Diseases and Related Health Problems; ICD-10 codes T18) treated in CMU Hospital from January 2006 to December 2017 were included. The data were analyzed using descriptive statistics. The guidelines were created, which paralleled the standard guidelines. Results: In total, 194 episodes of FB ingestion were recorded. These included 53.6% males and 46.4% females with a median age of 43.5 months. A history of foreign body ingestion complaints occurred in 77.8% of cases. Presentation was divided into asymptomatic (44.3%) and symptomatic (55.7%). The most common symptom was vomiting (23.2%). In the majority of cases, foreign bodies were located in the esophagus (37%). The most common type of foreign body was a coin (41.2%). Management included spontaneous passing (60.3%), endoscopy (35.6%), and others (3.1%). Complications before treatment were recorded in 9.3% of cases and after treatment in 2.1% of cases. Conclusions: Foreign body ingestion is common among children younger than four years old. Coins are the most common foreign body found, and the esophagus is the most common location. We recommend our created CMU Guidelines for management.
Pediatrics …, 2010
OBJECTIVE: In the young children, particularly those aged from 1 to 3 years, aerodigestive tract foreign bodies (FB) are a common pediatric problem. The aim of this work is to characterize the risk of complications and prolonged hospitalization due to foreign bodies (FB) in the upper digestive tract in terms of the characteristics of the injured patients (age, gender), typology and features of the FBs, the circumstances of the accident and the hospitalization's details. METHODS: A retrospective study in 19 Hospitals of corresponding 19 European countries was realized on 2103 children aged 0-14. In 186 cases, it was reported an injury due to the presence of a FB in the mouth, esophagus and stomach (ICD935). RESULTS: Complications arose in 14 cases and hospitalization was required in 164 cases. No deaths were observed. A higher incidence of hospitalization in males (61%) was observed. Median age for children who experienced complications was 2 years old. The most common FB removal technique was esophagoscopy. In the majority of the cases, children were treated by ENT Department. The most common FBs were nuts, seeds, berries, corn and beas: in general, small, round crunchy foods pose a risk of choking. CONCLUSION: Coins, batteries and fish bones among food were the most common type of FB. Since recent development of technology has accelerated broad use of disk-type batteries, parents should be aware of this hazard, and an educational campaign for public education for this serious problem might be advisable.
Foreign body ingestion in children attending Rapareen Teaching Hospital: a single-centre experience
Gastroenterology Rev , 2023
Introduction: Ingestion of foreign bodies is a significant problem among children, which necessitates early intervention and may lead to serious morbidity and even mortality. Aim: To estimate the pattern of foreign body ingestion among children and identify the role of management and its outcomes in relation to the type and site of foreign bodies. Material and methods: Our study was carried out on patients who attended the Emergency Department of the Rapareen Teaching Hospital for Paediatrics in Erbil city and were referred to the Paediatric Gastroenterology Unit during between March 2019 and January 2023. All clinical and demographic data were entered and then analysed using SPSS. Results: Fifty-four patients visited or were admitted to the Rapareen Hospital Emergency Department with a history of ingestion of foreign bodies, with a median age of 4 years (mean age: 4.14 ±2.15 years) and a nearly equal male-to-female ratio (1.16 : 1). Most of the foreign bodies were radiopaque, and the majority were located in the oesophagus at the time of initial presentation. Disc batteries (27.8%) were the commonest foreign body, followed by coins (20.4%), of which 66.7% were retrieved endoscopically, while 4 patients needed surgical intervention. Cross-tabulation reveals a significant association between the site of materials and the early presentation, type of object, and outcome. Also, a significant association was established between the type of foreign body and gender, age, time of presentation, and outcome. Conclusions: The button battery was the most common foreign body ingested among the children, and the majority were located in the oesophagus and extracted by endoscopy.