Catheter removal of blunt esophageal foreign bodies in children

Campbell, Jeffrey B.; Condon, Virgil R.

doi:10.1007/bf02387626

Cited by 51 publications

(21 citation statements)

References 13 publications

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“…Various types of FBs can be ingested by children and different disciplines may take care about the treatment of this problem. Pediatric surgeons, otolaryngologists, radiologists, and pediatric gastroenterologists usually deal with this condition [2,3,[5][6][7]. Among these, pediatric surgery has the largest spectrum of duty in the treatment of FB ingestion in children.…”

Section: Discussionmentioning

confidence: 99%

Foreign body ingestion in children: an analysis of pediatric surgical practice

et al. 2007

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Ingestion of a foreign body (FB) is a prevalent condition among children. The type of FB varies according to the feeding habits and sociocultural features of communities. The management modality differs also between disciplines due to use of conventional techniques. We aimed to picture the general characteristics of FB ingestion and treatment alternatives, to mention the indications of open surgery in an advanced pediatric surgical center. The records of patients who were hospitalized for FB ingestion between 1973 and May 2005 were evaluated retrospectively. One hundred and twelve patients were enrolled into the study. The mean age was 2.27 +/- 2.84 years with a M/F ratio of 59/53. The history was suggestive of ingestion in 92% of patients. The age did not differ significantly whether the history was positive or negative (3.6 years vs. 4.8 years and P = 0.19). Most common presenting symptom was vomiting (28.6%). The duration of symptoms was longer in patients with negative history (median 47.7 h vs. 28.1 h and P < 0.002). Physical examination was normal in 89.3% of cases. Most common localization of the FB shown in plain X-ray was the esophagus (67%). Esophagography revealed nonopaque FB in the esophagus in 4.4%. X-ray was normal in 6.3% of the patients. The age of patient did not determine the localization of FB on admission (P = 0.436). Endoscopic removal was attempted in 75% and was successful in 68% of patients in which FB was extracted by using laryngoscope and Magill forceps (12%), rigid esophagoscope with FB forceps (51%), and flexible endoscope with FB forceps (5%). FB could not be found in 32% of patients at initial rigid esophagoscopy or flexible endoscopy. FB was eliminated spontaneously (n = 19) or extracted surgically (n = 8). Follow-up was preferred in 21% of patients on initial admission. FB proceeded uneventfully in 15 patients or was extracted by flexible endoscopy or surgery in one and eight patients, respectively. Surgery was performed in 4% on admission. Surgery or endoscopy were essentially required in cases whose follow-up period exceeded 4 days when compared with patients who eliminated FB spontaneously within 4 days, independent to the location of FB. The metallic objects were the frequently ingested FBs (83.8%) in which the safety pins (SPs) (n = 53) and coins (n = 25) were the most frequent. The type of FB did not affect the FB localization on admission (P = 0.38). The duration of hospitalization was longer in patients with delayed admission; 2.46 +/- 3.51, 3.80 +/- 8.17, and 5.72 +/- 4.24 days for the admissions within first, second-fifth days, and sixth or later days after ingestion, respectively (P = 0.000). Pediatric surgery has the largest spectrum of duty in the treatment of FB ingestion in children. Negative history, normal physical examination findings and absence of symptoms do not exclude the possibility of FB ingestion. Presentation with isolated respiratory symptoms is an enigma that can lead to misdiagnoses. The mode of management should be selected according to the patient'...

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Section: Discussionmentioning

confidence: 99%

Foreign body ingestion in children: an analysis of pediatric surgical practice

et al. 2007

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“…The most popular being the use of Foley's catheter to extract foreign body under fluoroscopy. 11 The others techniques being pushing the foreign body into the stomach with a bougie and intravenous glucagon as a method of treatment for esophageal meat impaction has been tried. 12,13 The effect of glucagon is thought to be secondary to relaxation of oesophageal and oesophagogastric junction smooth muscles.…”

Section: Discussionmentioning

confidence: 99%

Unusual foreign body in the upper digestive tract: case report

Elaprolu

Marimuthu

Sekar

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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“…Several large studies have reported the safety and efficacy of Foley catheter extraction. The reported complication rate is as low as 0-2% [9][10][11][12]. The largest survey of pediatric radiologists by Campbell and Condon included 2500 procedures with only one serious but reversible hypoxic episode [10].…”

Section: Discussionmentioning

confidence: 99%

Removal of Blunt Esophageal Foreign Body Using Foley Catheter in Children

Lee¹,

Kwak²,

Min³

et al. 2015

Pediatr Emerg Med J

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Objective. To discuss the safety and efficacy of Foley catheter removal of blunt pediatric esophageal foreign bodies. Methods. Analyzing our first 17 cases of pediatric esophageal foreign bodies removed by Foley catheter method in respect of the efficacy, removal methods, and complications. We also reviewed related literature and discussed the background, current status, and technical matters that need attention of this method. Results. In three-year period between May 2010 and May 2013, in 16 out of 17 children blunt radiopaque foreign bodies impacted in the esophagus were successfully removed by a Foley catheter. There were no complications. In one patient, the foreign body was advanced into stomach and came out with stool 2 days later. Conclusions. The technique is safe, rapid, and cost-effective procedure and applicable for blunt, flat foreign bodies impacted in the esophagus.

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Catheter removal of blunt esophageal foreign bodies in children

Cited by 51 publications

References 13 publications

Foreign body ingestion in children: an analysis of pediatric surgical practice

Foreign body ingestion in children: an analysis of pediatric surgical practice

Unusual foreign body in the upper digestive tract: case report

Removal of Blunt Esophageal Foreign Body Using Foley Catheter in Children

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