Oesophagal foreign Bodies Ingestion: Experience of 109 Cases (original) (raw)
Related papers
Insidious Threat of Children: Esophageal Foreign Body Ingestion
Journal of Academic Emergency Medicine, 2014
Objective: Foreign body ingestion commonly occurs in children. Objects that may not easily pass the esophagus cause severe complications, such as impaction, perforation, and obstruction. Different methods are used for their removal. We aimed retrospectively to analyze the cases in which we performed emergent esophagoscopy. Material and Methods: Between 2002 and 2013, 732 children with suspicion of foreign body ingestion were studied. Of them, 720 underwent emergency intervention. Objects located at the first narrowing of the esophagus were removed under sedation, and the remaining objects were taken out under general anesthesia with the aid of rigid esophagoscopy. Results: The mean age of the children was 3.9 years (range 1 month and 16 years). Coins in 648 cases and a variety of objects, opaque and non-opaque, were removed under direct vision. Urgent intervention was carried out in 6 cases with dyspnea, in 2 delayed cases, and in 3 patients with esophageal perforation. Successful removal was performed in 69 patients (95.8%). Perforation occurred in 3 cases. Removal was succeeded within surgery in 2 cases (2.7%). One patient died. Conclusion: A delay in esophageal body ingestion increases the complication rate. Round batteries and objects that are non-oval, long, large, and spiky should be dealt with great attention.
Management of oesophageal foreign bodies in children
East African Medical Journal, 2002
Objective: Oesophageal foreign bodies (EFBs) are a common emergency issue in paediatrics, and few studies have revealed its clinical features and treatment methods. We conducted this retrospective study to provide our 10-year clinical evidence for the diagnosis and treatment of EFB and reduce the incidence of complications. Methods: We retrospectively reviewed all paediatric cases diagnosed with EFB from January 2012 to December 2021 at Shenzhen Children's Hospital. The age and sex of the patients, types of foreign bodies (FBs), preoperative examination, location and duration of FB impaction, clinical symptoms, surgical methods, therapeutic effects and complications were analysed. Results: Among the 1355 cases, 759 were boys and 596 were girls, with a median age of 2.9 years (4 months to 16 years). The shortest FB lodged time was 1 hour, while the longest time was 3 months. The types of foreign bodies included coins and blunt objects (812,59.9%), bones and sharp objects (278,20.5%), button batteries (86,6.3%), food impactions (84,6.2%), toys (51,3.8%) and plastic objects (44,3.2%). A total of 720 of 812 cases impacted by coins and blunt subjects were successfully treated with a Foley catheter without any complications. A total of 558 patients underwent rigid oesophageal endoscopy under general anaesthesia, and foreign bodies were successfully removed in 525 cases. No FB was found in 33 cases, and FBs pushed into the lower digestive tract during operation in 5 cases. Oesophageal injury was found in 130 cases (23.3%). Our study showed that the age of the patient, time of foreign body incarceration, type of foreign body, location of the lodged foreign body, and fever or cough were risk factors leading to oesophageal foreign body complications, and the differences were statistically significant (P < 0.05). Conclusion: Children with EFB have a risk of complications, especially if the FB is a button battery. The appropriate surgical method should be selected through the analysis of the clinical characteristics of the foreign body in the oesophagus and the risk factors for complications to reduce the incidence of complications. Health education and effective care are the keys to the prevention of EFB.
Management of oesophageal foreign bodies
Objective: The aim of the study was to evaluate the management of foreign bodies in the esophagus and to determine the association with socioeconomic status. Methods: This cross-sectional analytical study was carried out in the Department of Ear, Nose and Throat and head and neck surgery of Bahawal Victoria Hospital affiliated with Quaid-i-Azam Medical College, Bahawalpur, Pakistan, between December 2012 and May 2013. The medical records of 34 consecutive cases of foreign body ingestion were searched, and the data were recorded on a questionnaire prepared for this purpose. Results: The average age of the patients was 10.38 years; 29 cases (85.2%) were in children under 12 years. There were 18 females (52.9%) and 16 males (47.1%). Thirty patients (88%) presented with a history of dysphagia, and 25 (73.6%) had vomiting. The site of impaction was the post-cricoid region in 22 patients (66%), the lower esophagus in 5 (15%), the mid-esophagus in 4 (13%), the posterior pharyngeal wall in 1 (3%) and the pyriform fossa in 1 patient (3%). Coins were the most common foreign body (61.8%). Socioeconomic analysis showed that 18 patients (52.9%) were in the low socioeconomic class, 12 (35.3%) in the middle class and 4 (11.8%) in the upper class. Conclusion: The presence of a foreign body in the esophagus is a serious condition, and early removal is recommended. Foreign body lodgement is commoner among poor families.
Foreign Bodies in the Oesophagus: The Experience of the Buenos Aires Paediatric ORL Clinic
… Journal of Pediatrics, 2010
The ingestion of foreign bodies causing esophageal injuries is a common event, mostly in children's population. The aim of the present paper is to present foreign body (FB) ingestion cases observed in a five-year period at the Children's Hospital Gutierrez, Buenos Aires, Argentina and to compare the main findings with data coming from other well-known case series, already published in scientific literature. A prospective study on 320 of esophageal foreign body was carried out , with regard to age and sex distributions, type, dimensions and consistency, location, clinical presentation, removal and complications. In the majority of cases injuries happened while children were playing and in 85.3% adults were present. Children most frequently ingested coins (83.8% cases). Removal was performed in all cases under general anaesthesia, in 34 by esophageal forceps and in 286 cases by Magill hypopharyngeal forceps. Just one case showed complications, presenting esophageal perforation. The final results of this study show that injuries usually happen under adults' supervision and highlight that FBs involved in the incident belong to classes of objects not conceived for children's use and not suitable for their age. Therefore, educational strategies regarding safe behaviours have a key role in FB injuries prevention.
Management of oesophageal foreign bodies in pediatric patients: our experience
International Journal of Otorhinolaryngology and Head and Neck Surgery
Background: Amongst pediatric patients, oesophageal foreign bodies (OFBs) are relatively common clinical problem. Majority pass harmlessly through gastrointestinal tract, some can cause complications or morbidities. Our study considered and reviewed our experience in managing OFBs in pediatric patients, with emphasis on the management and outcomes of complicated cases.Methods: 77 cases of OFBs (diagnosis established), upto 12 years of age admitted at our tertiary hospital between January 2015 to December 2020 (duration of 6 years) were reviewed and analysed. On the basis of our analysis accounting demographic data, presenting symptoms, workup investigation, management, complications and outcomes, results and conclusions were derived.Results: Amongst cases, 43 were male and 34 female. Mean age for our cases was 5.4 years. 56 cases (72.7%) cases presented in the hospital within first 24 hours. Commonest foreign body found in 64 cases (83.1%) was coin. Most cases had history of witness...
A Clinical Study of Foreign Bodies of Oesophagus and Their Management
Journal of Evidence Based Medicine and Healthcare, 2015
INTRODUCTION: A foreign body is an endogenous or exogenous substance incongruous with the anatomy of the site where it is found. Foreign body ingestion can affect persons of any age. Despite major advances in diagnostic and therapeutic modalities, foreign body ingestion still causes significant dilemmas in the diagnosis and treatment. Multiple factors play role in the lodgment of these foreign bodies in the food passage. They are diet factor, dental factor, and inebriation and age factors to name a few. Preexisting strictures of esophagus is another local cause of impaction of F.B. The signs and symptoms of foreign body ingestion are quite diverse and often very non-specific. They include complete esophageal obstruction with overflow of secretions and aspiration, to mild odynophagia or dysphagia. Esophageal foreign bodies are most frequently located at the narrowest portion of the esophagus, the level of the crico-Pharynx sphincter. Rarely serious complications of such as mediastini...
Oesophageal Foreign Bodies--from Diagnostic Challenge to Therapeutic Dilemma
Chirurgia (Bucharest, Romania : 1990)
Ingestion of foreign bodies, common in the emergency services, remains a challenge for physicians despite preventive measures and technical progress due to the frequency and possible complications, serious complications that can darken vital prognosis or may be a source of remote morbidity. Clinical experience at "St. Mary" Hospital included, between 2000-2015, 39 patients diagnosed with FB ingestion, of which 26 fixed in the oesophagus, with the remaining 13 having spontaneously progressed along the digestive tract (5 recovered from the stomach, 6 naturally evacuated, and 2 cases with colic perforation). Oesophageal foreign bodies occur consecutively to (in)voluntary ingestion, the vast majority of them passing unnoticed. The most frequently encountered types are coins, batteries, needles, various sharps objects, food, bone fragments, cartilages, pieces of plastic, glass, etc., FB impaction at oesophageal level being usually conditioned by the 3 anatomical narrowings. Typ...
European Scientific Journal, 2013
Background: One third of foreign bodies retained in the gastrointestinal tract are present in the esophagus. Their management depends on the anatomic location, shape and size of the foreign body and duration of impaction Objective: To determine the frequency, their site of impaction and method of removal of esophageal foreign bodies among patients reporting with aero digestive tract foreign body. Material and Methods This was a Descriptive study conducted at the ENT Department, Ayub Medical Institute (AMI) Abbottabad from June 2011 to June 2012. A total of 100 patients were included in the study presenting with foreign body ingestion that underwent esophagoscopy under general anesthesia. The type and site of impaction of foreign body and method of removal was noted. Results: A total of 100 patients were included with age ranging from 1 to 90 years and the mean age was 14.60 ± 21.13 years. Among the patients with foreign body in aero digestive tract, the foreign body in esophagus was noted in 57% patients. The most common foreign body was coin (56%). The foreign bodies were seen most commonly among children of age 1-5 years (55%). Rigid endoscopy was most common procedure performed to remove the foreign body (84%). Conclusion: Esophageal foreign bodies are most commonly seen among patients with foreign body in aero digestive tract. Coins are the most common type. Rigid endoscopy is most commonly performed procedure to remove them.
2016
Copyright © 2012 Beata Rybojad et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We discuss clinical symptoms and radiological findings of variable esophageal foreign bodies as well as therapeutic procedures in Caucasian pediatric patients. A retrospective study of 192 cases of suspected esophageal foreign bodies between 1998 and 2010 was conducted. Data were statistically analyzed by chi-square test. A foreign body was removed from a digestive tract of 163 children aged 6 months to 15 years (mean age 4.9). Most objects were located within cricopharyngeal sphincter. Dysphagia occurred in 43%, followed by vomiting (29%) and drooling (28%). The most common objects were coins. Plain chest X-rays demonstrated aberrations in 132 cases, and in doubtful situations an esophagram test was ordered. In the group of thirty-se...
Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study
The Scientific World Journal, 2012
We discuss clinical symptoms and radiological findings of variable esophageal foreign bodies as well as therapeutic procedures in Caucasian pediatric patients. A retrospective study of 192 cases of suspected esophageal foreign bodies between 1998 and 2010 was conducted. Data were statistically analyzed by chi-square test. A foreign body was removed from a digestive tract of 163 children aged 6 months to 15 years (mean age 4.9). Most objects were located within cricopharyngeal sphincter. Dysphagia occurred in 43%, followed by vomiting (29%) and drooling (28%). The most common objects were coins. Plain chest X-rays demonstrated aberrations in 132 cases, and in doubtful situations an esophagram test was ordered. In the group of thirty-seven patients whose radiograms were normal, esophagoscopy revealed fifteen more objects, which were eventually successfully removed. No major complications occurred. Esophagram should be a second X-ray examination if an object is not detected in plain chest X-ray. We recommend a rigid esophagoscopy under general anesthesia in doubtful cases as a safe treatment for pediatric patients.