A significant danger to children: Foreign body ingestion

A significant danger to children: Foreign body ingestion

Aim: The most important way for children to communicate with their surroundings is to take every substance that they keep in hand to their mouths. Foreign bodies that are ingested can be found anywhere in the gastrointestinal tract. Especially foreign bodies in esophagus may be the cause of morbidity and mortality. For this reason, the ingestion of foreign bodies in children is one of the most important health problems.Material and Methods: Between January 2014 and June 2017, 119 patients, admitted to Mustafa Kemal University [MKÜ] Faculty of Medicine, Department of Pediatric Surgery with foreign body ingestion diagnosis, were retrospectively studied. Patients were evaluated in terms of age, gender, complaints of arrival, ingested foreign body quality, location in the gastrointestinal tract and treatment approaches.Results: Of the patients, 74 were males [62%] and 45 were females [38%]. The mean age of the patients was 4.3 years [6 months-15 years]. Foreign bodies most commonly seen in the esophagus first stenosis in 73 patients [61%].Most commonly complaint at presentation was parental recognition of the ingested object and hypersalivation. The most commonly ingested foreign bodies included coins.Conclusion: Esophagoscopy must be performed foreign bodies in the esophagus should be treated conservatively, in case of clinical suspicion, the possibility of foreign body ingestion must be kept in mind. Education of the parents and taking some precautions where the children play are the most important protective factors.

___

  • A Al Qudah, S Daradkeh S, M Abu-Khalaf . Esophageal foreign bodies. European journal of cardio-thoracic surgery: 1998;13(5):494-9.
  • Cheng W, Tam PK. Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg 1999;34(10):1472-6.
  • Sigalet D, Lees G. Tracheoesophageal injury secondary to disc battery ingestion. J Pediatr Surg 1988;23(11):996-8.
  • Olsen H, Lawrence W, Bernstein R. Fiberendoscopic removal of foreign bodies from the upper gastrointestinal tract. A simple and consistent method using a snare. Gastrointest Endosc 1974;21(2):58-60.
  • Kruk-Zagajewska A, Szmeja Z, Wojtowicz J, Wierzbicka M, Piatkowski K. [Foreign bodies in the esophagus]. Otolaryngol Pol 1999;53(3):283-8.
  • Gershman G, Ament ME. Pediatric upper gastrointestinal endoscopy: state of the art. Acta Paediatr Taiwan 1999;40(6):369-92.
  • Macpherson RI, Hill JG, Othersen HB, Tagge EP, Smith CD. Esophageal foreign bodies in children: diagnosis, treatment, and complications. AJR Am J Roentgenol 1996;166(4):919-24.
  • Brady PG. Esophageal foreign bodies. Gastroenterol Clin North Am 1991;20(4):691-701.
  • Aydogdu S, Arikan C, Cakir M, Baran M, Yuksekkaya HA, Saz UE, et al. Foreign body ingestion in Turkish children. Turk J Pediatr 2009;51(2):127-32.
  • Waltzman ML, Baskin M, Wypij D, Mooney D, Jones D, Fleisher G. A randomized clinical trial of the management of esophageal coins in children. Pediatrics 2005;116(3):614-9.
  • Sugawa C, Ono H, Taleb M, Lucas CE. Endoscopic management of foreign bodies in the upper gastrointestinal tract: A review. World JGastrointest Endosc 2014;6(10):475-81.
  • Hawkins DB. Removal of blunt foreign bodies from the esophagus. Ann Otol Rhinol Laryngol 1990;99(12):935-40.
  • Kay M, Wyllie R. Pediatric foreign bodies and their management. Curr Gastroenterol Rep 2005;7(3):212-8.
  • Köseoğlu B, Bakan V, Bilici S, Önem Ö, Katı İ, Demirtaş İ, et al. Çocukluk çağı gastrointestinal yabancı cisimlerinin tedavisi. Van Tıp Dergisi. 2001;8(2):47-53.
  • Shepherd RL, Raffensperger JG, Goldstein R. Pediatric esophageal perforation. J Thorac Cardiovasc Surg 1977;74(2):261-7.
  • Morrow SE, Bickler SW, Kennedy AP, Snyder CL, Sharp RJ, Ashcraft KW. Balloon extraction of esophageal foreign bodies in children. J Pediatr Surg 1998;33(2):266-70.
  • Schwartz G, Polsky HS. Ingested foreign bodies of the gastrointestinal tract. Am surg 1976;42(4):236-8.
  • Lindahl H, Esophagoscopy and diagnostic techniques, Grosfeld JL, O’neill JA, Fonkalsfrud WE, Coran AG. Pediatric Surgery.Philadelphia. Sixth edition 2006. p. 1038-46.
  • Arana A, Hauser B, Hachimi-Idrissi S, Vandenplas Y. Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr 2001;160(8):468-72.
  • Lelli Jr JL, Foreign Bodies. Holcomb GW MJ Ashcraft’s Pediatric Surgery. Philadelphia. Fifth edition 2010. p. 135-43.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Evaluating of the effects of ramadan fasting on ankle proprioception performance

Mahmut CAY, Davut OZBAG, Deniz SENOL, Furkan CEVİRGEN, Songul CUGLAN

Successful nasotracheal intubation in a pediatric patient with Goldenhar’s Syndrome using McGRATHTM videolaryngoscope

Ahmet Selim OZKAN, Sedat AKBAS, Raziye KURU

Evaluation of intestinal metaplasia associated with alkaline reflux gastritis and Helicobacter pylori in patients without gastric surgery

Mehmet Ali ERDOĞAN, Gökhan AKSAKAL

Pain and quality of life in adults with sickle cell disease

Esra Doğru HÜZMELİ

A rare cause of severe superficial herpetic skin infection in a 13-month-old female patient: Autosomal recessive HIES

Emrullah ARİKANOGLU, Mehmet Yavuz OZBEY, Mehmet Semih DEMİRTAS, Erdem TOPAL, Ayca KİYKİM

Amyand hernia

Dinçer ÖZGÖR, Hüseyin KOCAASLAN, Süleyman KOÇ, Abuzer DİRİCAN, Mustafa ATES

The results of emergent curative surgery for the colorectal cancer; a single center experience of 52 patients

Serdar OTER, Metin YALÇIN, Volkan OTER

Evaluation of patients who have undergone unintentional parathyroidectomy following thyroidectomy: A retrospective cohort study

Turgut ANUK, Harun BAYRAM, Kenan BİNNETOGLU, Tülay DİKEN ALLAHVERDİ, Uğur BULUT

Eosinophilic ascites, as a rare manifestation of eosinophilic gastroenteritis: A case report

Mehmet Ali ERDOGAN, İlhami BERBER, Yuksel SECKİN, Yılmaz BİLGİC, Elif ALTUNEL KİLİNC, Oguzhan YİLDİRİM, Yasir Furkan CAGİN, Ayşenur AKATLI

A case report of retrocaecal acute appendicitis with ureteral involvement due to inflammation

Orgun GUNES