Foreign body ingestion in children (original) (raw)
Related papers
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.
Foreign body in upper digestive tract
The Indian Journal of Pediatrics, 2004
Objective : Foreign body ingestion is a common clinical problem, encountered in children. Methods : A total number of 104 patients with ingested foreign body admitted in our hospital are reviewed. Endoscopic removal was done for all foreign objects impacted in esophagus. Result : In 84.6% cases, history of having swallowed the foreign body was most common symptom. Majority of patients (81.53%) presented within 24 hours after ingestion of foreign body. Coins were the most frequent offending agents in children (87.5%). Seventy six cases of coins were impacted in the postcricoid region. Complications of retropharyngeal abscess was seen in two cases (1.92%), which was associated with sharp foreign body. Conclusion : Early removal of these sharp foreign bodies must be considered to reduce the risk of this complication.
Foreign bodies in digestive tract of children: A tertiary care hospital experience
International Journal of Medicine and Public Health, 2014
Introduction: Foreign bodies in the digestive tract are an important cause of morbidity and mortality in paediatric age group and pose diagnostic and therapeutic challenges We performed this study to evaluate our experience of foreign bodies of digestive tract in children over a fi ve year period in a tertiary referral center. Patients and Method: A retrospective study was conducted over a 5-year period between April 2009 and March 2013. All patients who were managed for foreign body in digestive tract up to 12 years of age were included and analysis was performed from case record of patients. Results: Total 97 patients with FB in digestive tract were included in the study FB was most commonly lodged in Upper esophagus in 61 patients, middle esophagus in 12 cases lower third of esophagus in 14 cases and beyond gastro-oesophageal junction in 10 cases. The most common clinical presentations were dull pain. Coins were the most common type of foreign body in the esophagus accounting for 71.1% of patients. Plain neck and chest x-rays antero-posterior and lateral view was diagnostic in all cases, with all FB being opaque. Rigid oesophagoscopy and removal under general anesthesia was the main treatment modality performed in 63 (65.8%) and Magill forceps extraction was done in 20 cases. Conclusion: Foreign bodies in digestive tract of children are a common problem with diverse presentation. Disc battery ingestion is prone for complication and expedient removal is required & associated conditions can pose risk for lodgment of 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 bodies in upper digestive tract
Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 2006
Foreign body ingestion is a common problem frequently encountered in both children and adults. A total number of 152 patients (104 children and 48 adults) with ingested foreign body admitted in our hospital are reviewed. Location of foreign body was made out by radiological examination. History of having swallowed foreign body was the most common symptom in both blunt and sharp foreign bodies. Endoscopic removal of foreign body was done under general anaesthesia for all cases, except one in which foreign body was removed by open surgical method. Blunt, foreign bodies were common among children, where as meat with bone was common in adults (19/48). Most of blunt foreign bodies in children (83.5%) were impacted in post cricoid region. Where as in adutls, the foreign bodies (37.5%) were seen in upper oesophagus. Retropharyngeal abscess was seen in 2 cases, which was associated with sharp foreign bodies. In all but one, endoscopic removal was successful. In one case denture impacted in ...
Management of ingested foreign bodies in childhood—response
European Journal of Emergency Medicine, 1999
The management of foreign bodies in the gastrointestinal tract is not standardized. Retrospectively, we analysed the management of 174 cases of accidental ingestion of foreign bodies in children. No child had ingested more than one foreign object. The ingested foreign bodies were: coins, toy parts, jewels, batteries, 'sharp' materials such as needles and pins, fish and chicken bone, and 'large' amounts of food. Of the patients 51% had transient symptoms at the moment of ingestion, such as retrosternal pain, cyanosis and dysphasia. Attempts to extract the foreign body either by a magnet tube, endoscopy or McGill forceps was performed in 83 patients. The majority of the extracted foreign bodies were batteries and sharp materials. The outcome of all the patients was excellent. No complications were observed.
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.
Gastrointestinal Foreign Bodies-Five Year Experience at Tertiary Care Center of Northeren India
Aims and Objectives: The aim was to determine various causes of foreign body ingestion at a tertiary care center of Northeren India. Background: The majority of foreign body ingestions occur in children between the ages of six months and three years. Fortunately, most foreign bodies that reach the gastrointestinal tract pass spontaneously. Only 10 to 20 percent will require endoscopic removal, and less than 1 percent requires surgical intervention. Although mortality from foreign body ingestion is extremely low, deaths have been reported. Coins are the most common foreign bodies ingested by children. Ingestion of multiple foreign objects and repeated episodes are uncommon occurrences and usually occur in children with developmental delay.