Foreign body ingestion in children

Abstract

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)

The Foreign Body Ingestion which is an important cause of mortality and morbidity

“…Dereci et al and Çevik et al [9,12] reported that the most frequent localization was the upper esophagus. Vukovic et al [13] reported that foreign bodies were seen in the distal esophagus at a rate of 87%.…”

“…[12] Vukovic et al [13] reported frequent use of urgent endoscopy due to FBI at a rate of 67.9%; however, they acknowledged that it is often unnecessary, and that observation and follow-up is typically the best approach, with the exception of long objects or objects with sharp edges. Denney et al [8] found that foreign body localization occurred most frequently in the upper esophagus and reported a success rate of 99% with endoscopic removal.…”

Dolor abdominal secundario a fístula ileocecal por ingesta de múltiples cuerpos magnéticos: Caso Clínico

“…It usually occurs in patients between 6 months and 5 years of age 8 . Although most of the ingested objects passing through the stomach are expelled without injury 9,10 , 20% are trapped at the anatomical narrowings of the esophagus, pylorus, or ileocecal valve 8 .…”

“…It usually occurs in patients between 6 months and 5 years of age 8 . Although most of the ingested objects passing through the stomach are expelled without injury 9,10 , 20% are trapped at the anatomical narrowings of the esophagus, pylorus, or ileocecal valve 8 . Only 10-20% of patients who ingest foreign bodies will require endoscopic extraction 11 and about 1% surgical intervention due to complications such as fistulae 12,13 .…”

Foreign Bodies in Pediatrics: A Case to Say “Hello Kitty”

“…[1][2][3] More commitment and dedication is needed to ensure adequate prevention by caregivers, which requires parent educational programs in order to prevent habits that predispose to accidents. Prevention is a key element in reducing the morbidity and mortality associated with these cases.…”