Foreign Body Ingestion in Children: Epidemiological, Clinical Features and Outcome in a Third Level Emergency Department

Gatto, Antonio; Capossela, Lavinia; Ferretti, Serena; Orlandi, Marco; Pansini, Valéria; Curatola, Antonietta; Chiaretti, Antonio

doi:10.3390/children8121182

Cited by 13 publications

(13 citation statements)

References 29 publications

(32 reference statements)

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“…Es un problema común en la población pediátrica, puede presentarse en cualquier edad, pero es más frecuente entre los seis meses y seis años 18 , similar a lo encontrado en nuestro estudio, lo cual se explica por la curiosidad de los niños para explorar el mundo y en este proceso se llevan los objetos a la boca y pueden ingerirlos de forma accidental. Gatto A. y cols., encontraron que el grupo etario más afectado son los niños entre uno y dos años con un 40% 19 , diferente a los encontrado en este estudio donde el mayor porcentaje de casos se presentó entre los dos y cinco años.…”

Section: Ingestión De Cuerpo Extrañounclassified

Endoscopia digestiva superior en pediatría: experiencia de un centro de alta complejidad de Latinoamérica

et al. 2023

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Objetivo: caracterizar a los pacientes pediátricos sometidos a endoscopia digestiva superior (EDS) en un hospital de alta complejidad. Pacientes y Método: Estudio retrospectivo en pacientes menores de 14 años a los que se les realizó EDS en el Hospital San Vicente Fundación de Medellín, entre enero de 2019 y junio de 2020. Se evaluaron características sociodemográficas: edad, género, régimen de salud, lugar de procedencia, servicio donde se indicó el procedimiento, indicaciones de la endoscopia, tipo de atención, finalidad de procedimiento, hallazgos endoscópicos, intervención endoscópica, complicaciones asociadas al procedimiento o a la anestesia y la pertinencia del mismo. Resultados: Se incluyeron 466 pacientes, 57% varones, a quienes se les realizaron 552 endoscopias. En las EDS diagnósticas las principales indicaciones fueron dolor abdominal (23%) y hemorragia digestiva superior (17%). En las EDS terapéuticas los procedimientos más frecuentes fueron gastrostomía endoscópica percutánea (41%), extracción de cuerpo extraño (27%) y dilatación esofágica (24%). La tasa de complicaciones relacionadas con el procedimiento fue del 0,5%, y 0,7% en relación con la anestesia. Conclusiones: La EDS en pacientes pediátricos es una herramienta eficaz y segura, si se realiza con una indicación adecuada. Un tercio de las EDS terapéuticas podrían ser evitadas desde la prevención primaria.

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Section: Ingestión De Cuerpo Extrañounclassified

Endoscopia digestiva superior en pediatría: experiencia de un centro de alta complejidad de Latinoamérica

et al. 2023

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“…Children with witnessed or suspected metal material ingestion need anteroposterior and lateral film X-rays of the chest and abdomen (Fig. 1), while other cases with nonmetallic FBs may receive cervicothoracic CT examination [7]. Cases with obstruction by coins or blunt objects were treated with a Foley catheter in the outpatient department without anaesthesia.…”

Section: Treatment Strategies For Efbsmentioning

confidence: 99%

Management of oesophageal foreign bodies in children: a 10-year retrospective analysis from a tertiary care center

Guo

Chen

et al. 2022

BMC Emerg Med

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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.

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“…Most foreign bodies pass through the larynx and the trachea, followed by the left and right bronchial tree [ 10 ], and in some cases the foreign bodies reach the stomach and the intestines. In this case, larger objects are able to cause pyloric obstruction accompanied by vomiting and eating refusal [ 11 ]. However, in most cases foreign bodies reaching the esophagus, stomach, and intestines are asymptomatic, and transverse the gastrointestinal tract without issues [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Foreign Body Aspiration in Children—Retrospective Study and Management Novelties

Mîndru,

Păduraru,

Rusu

et al. 2023

Medicina

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Foreign body aspiration (FBA) is a frequent diagnosis in children. In the absence of other lung conditions, such as asthma or chronic pulmonary infections, this manifests as a sudden onset of cough, dyspnea, and wheezing. The differential diagnosis is based on a scoring system which takes into account the clinical picture as well as the radiologic aspects. The treatment that is considered the gold-standard for FBA in children remains to be rigid fibronchoscopy, however it comes with several potentially crucial local complications such as airway edema, bleeding, and bronchospasm, along inherent issues due to general anesthesia. Material and methods: Our study is a retrospective study analyzing the medical files of the cases from our hospital over the span of 9 years. The study group consisted of 242 patients aged 0–16 years diagnosed with foreign body aspiration in the Emergency Clinical Hospital for Children “Sfânta Maria” Iași, between January 2010–January 2018. Clinical and imaging data were extracted from the patients’ observation sheets. Results: In our cohort, the distribution of children with foreign body aspiration was uneven, with the highest incidence being reported in children from rural areas (70% of cases), whereas the most affected age group was 1–3 years, amounting to 79% of all cases. The main symptoms which led to emergency admittance were coughing (33%) and dyspnea (22%). The most important factors that determined the unequal distribution were socio-economic status, which relates to a lack of adequate supervision by parents, as well as the consumption of food inappropriate for their age. Conclusions: Foreign body aspiration is a major medical emergency that may be associated with dramatic clinical manifestations. Several scoring algorithms designed to establish the need for bronchoscopy have been proposed, taking into account both the clinical and radiological results. The issue with asymptomatic or mild symptomatic cases, as well as difficulties managing cases with radiolucent foreign bodies, remains a challenge.

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Foreign Body Ingestion in Children: Epidemiological, Clinical Features and Outcome in a Third Level Emergency Department

Cited by 13 publications

References 29 publications

Endoscopia digestiva superior en pediatría: experiencia de un centro de alta complejidad de Latinoamérica

Endoscopia digestiva superior en pediatría: experiencia de un centro de alta complejidad de Latinoamérica

Management of oesophageal foreign bodies in children: a 10-year retrospective analysis from a tertiary care center

Foreign Body Aspiration in Children—Retrospective Study and Management Novelties

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