A Randomized Clinical Trial of the Management of Esophageal Coins in Children

Waltzman, Mark L.; Baskin, Marc N.; Wypij, David; Mooney, David P.; Jones, Dwight T.; Fleisher, Gary

doi:10.1542/peds.2004-2555

Cited by 144 publications

(112 citation statements)

References 27 publications

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“…Therefore, these cases should be evalauated urgently (3)(4)(5)(6). The most common foreign bodies ingested by children include coins, toys, magnets and batteries, though they vary according to the traditions and nutritional habits of populations (7,8). While ingestion of fish bone is observed as a regional problem in the countries in Far East Asia, cases of ingestion of safety pin constitute a seperate group in our country (9)(10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Foreign body ingestion in children

et al. 2015

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Aim: Foreign bodies ingested by the oral route enter into the gastrointestinal tract and are considered a significant health problem in the childhood. In this study, we evaluated the pediatric patients who presented to our hospital with the complaint of ingestion of foreign body. Material and Methods:The hospital records of all children who presented to our clinic because of ingestion of foreign body between January 2008 and January 2015 were examined retrospectively. The complaints at admission, the types of foreign bodies ingested, the localization of the foreign body in the gastrointestinal tract and the approaches and treatment methods used were examined.Results: Thirty-six (56%) of 64 patients included in the study were male and 28 (44%) were female and the mean age was 5.7±4.6 years (10 months-17 years). Thirty eight (59%) of 64 children who were included in the assessment were below the age of five years. The most common complaint at presentation was parental recognition of the ingested object and dysphagia. The most commonly ingested foreign bodies included coins, sewing pins, safety pins and hairclips. Nail clipper detected in the stomach, sewing pin which penetrated through the duodenal wall and stuck to hepatic parenchyma were the first pediatric cases in the literature. Upper esophagus was the most common location for foreign bodies. Endoscopic examinations were performed in 55 of 64 children. Conclusions:Early detection and treatment of ingested foreign bodies in the upper gastrointestinal system is important in terms of preventing possible complications. In our study, the most frequent foreign bodies detected in the upper digestive tract were coins and they were most frequently detected in the upper esophagus. Most of our patients were below the age of five years. Flexible endoscopic method was used commonly for treatment. (Turk Pediatri Ars 2015; 50: 234-40)

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Section: Introductionmentioning

confidence: 99%

Foreign body ingestion in children

et al. 2015

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“…On meticulous adhesiolysis, highly distended terminal ileum and caecum were found. (6,7) Palpation of the bowel showed discrete, small, hard foreign bodies in lumen of small bowel which were extracted manually. These marbles weighted about half a kilogram.…”

Section: Discussion Of Managementmentioning

confidence: 99%

Intestinal Obstruction in Paediatric Age Group Due to Foreign Body Ingestion

Saunakiya¹,

Rajput²,

Saroj³

et al. 2018

jemds

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“…In battery ingestion, the mechanism of injury occurs by four different means including direct corrosive action due to leakage, toxic effect due to absorption of substances, low voltage burns, and pressure necrosis. [17][18][19][20][21] Liquefaction necrosis and perforation can occur in 4-6 h after a disc battery is lodged in the esophagus and so removal is desirable within 6 h. [22][23][24] For all the gastrointestinal foreign bodies, the type of object, its location, and child's symptoms dictate the treatment. In most cases of spontaneous passages occurs within 16 h of observation.…”

Section: Discussionmentioning

confidence: 99%

“…In most cases of spontaneous passages occurs within 16 h of observation. [17] Although most gastric objects pass without complications and can be observed in the outpatient setting, approximately 70% of esophageal objects remain entrapped, especially those in the upper or mid-esophagus. [18] Our experience shows that the late presentation is due to delayed referral and misdiagnosis in peripheral centers.…”

Section: Discussionmentioning

confidence: 99%

Foreign bodies in digestive tract of children: A tertiary care hospital experience

Singh¹,

Dubey²,

Pandey³

et al. 2014

Int J Med Public Health

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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.

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A Randomized Clinical Trial of the Management of Esophageal Coins in Children

Abstract: Because 25% to 30% of esophageal coins in children will pass spontaneously without complications, treatment of these patients may reasonably include a period of observation, in the range of 8 to 16 hours, particularly among older children and those with distally located coins.

Cited by 144 publications

References 27 publications

Foreign body ingestion in children

Foreign body ingestion in children

Intestinal Obstruction in Paediatric Age Group Due to Foreign Body Ingestion

Foreign bodies in digestive tract of children: A tertiary care hospital experience

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