Aerodigestive Tract Foreign Bodies

Rosbe, Kristina W.; Shuman, Elizabeth A.

doi:10.1542/9781581107272-part05-ch19

Cited by 2 publications

(2 citation statements)

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“…Guidelines from gastroenterology authorities also recommend urgent removal of any sharp object and long objects (>5 cm) in the stomach; however, the policy concerning certain blunt objects like coin in the esophagus in an asymptomatic child or a button battery in the stomach is less consistent. We did not observe any minor or major complication related to coin ingestion, although rarely major complications due to prolonged impaction of coin in the esophagus were reported 20 . Prospective 12 and retrospective studies 21 reported an overall spontaneous passage rate of esophageal coins into the stomach of 30% and up to 67% of coins lodged in the distal esophagus.…”

Section: Discussionmentioning

confidence: 51%

“…We did not observe any minor or major complication related to coin ingestion, although rarely major complications due to prolonged impaction of coin in the esophagus were reported. 20 Prospective 12 and retrospective studies 21 reported an overall spontaneous passage rate of esophageal coins into the stomach of 30% and up to 67% of coins lodged in the distal esophagus. Based on these observations and the favorable outcome of coin ingestion in our study, our practice has been to observe an asymptomatic esophageal coin for a 16-to 24-hour period, thus obviating the need for unnecessary endoscopy and anesthesia in the first 24 hours after ingestion.…”

Section: Discussionmentioning

confidence: 99%

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What Do Saudi Children Ingest?

et al. 2019

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Objectives Few studies investigated the correlation between foreign body (FB) ingestion and occurrence of complications. The local literature is limited to case reports and small case series on esophageal FBs. We conducted this study to identify the high-risk factors predisposing to complications among Saudi children ingesting FBs. Methods The medical records of 436 children (boys, 59.6%; mean age, 4.4 ± 2.7 years) presenting to the emergency department (ED) between 2007 and 2016 were retrospectively reviewed. Relative risk analysis of clinical variables was performed between 2 groups: The first group constituted children without FB-related complications (n = 389), and the second group included those with major complications (n = 14). Major complication was defined as any event associated with significant morbidity such as esophageal stricture, esophageal perforation, esophageal fistula, and intestinal perforation or fistula formation. Results Most of the 436 cases presented between ages 2 and 4 years (35.1%). Coin was the most commonly ingested FB (22.9%) followed by button battery (19.5%). Most of the ingested FBs passed spontaneously without intervention (69%). Upper endoscopy was performed in 121 cases (27.7%). By multivariate analysis, the variables that were significantly associated with major complications included the following: very young age group (0–2 years; odds ratio [OR], 11.5), button battery (OR, 4), FB impacted at upper esophagus (OR, 8.7), and longer time duration to visit the ED (OR, 14.7). Conclusion Button battery impaction at upper esophagus in very young children and delayed presentation to the ED were the most significant risk factors of FB-related complications.

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 99%