1. [Characteristics and outcomes of foreign body ingestion in children]
- Author
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Blanco-Rodríguez G, Teyssier-Morales G, Penchyna-Grub J, Madriñan-Rivas JE, Rivas-Rivera IA, Trujillo-Ponce de León A, Domingo-Porras J, Jaramillo-Alvarado JG, Cruz-Romero EV, and Zurita-Cruz JN
- Subjects
- Adolescent, Age Factors, Child, Child, Preschool, Endoscopy, Gastrointestinal instrumentation, Female, Foreign Bodies diagnostic imaging, Foreign Bodies therapy, Gastrointestinal Tract diagnostic imaging, Humans, Infant, Male, Prospective Studies, Radiography methods, Retrospective Studies, Endoscopy, Gastrointestinal methods, Foreign Bodies complications, Gastrointestinal Tract pathology
- Abstract
Introduction: Foreign body (FB) ingestion is a common home accident during childhood; a timely management by the specialists may help prevent complications in the short and long term., Objective: To describe the characteristics and complications of FB ingestion located in the gastrointestinal tract in the pediatric population., Material and Methods: Two phases, retrospective, and prospective study. Patients diagnosed with FB ingestion between January 1971 and December 2016 were included. The general characteristics of patients, FB type, removal method, and complications were registered. A descriptive analysis was performed., Results: Over 45 years, 2637 FBs were removed from the pharynx (n= 118), the esophagus (n= 2410), the stomach (n= 103), and the intestines (n= 6). Male patients predominated (50.9%); 74% were younger than 5 years. Besides, 57% arrived within the first 24 hours; ptyalism, dysphagia, and vomiting were the main symptoms; 16% of patients had no symptoms. It was possible to locate the FB using an X-ray in 93% of cases; the most common FBs were coins (78%); the most frequent location was the upper third of the esophagus (79%); 86% of FBs were removed using a rigid endoscope, and complications were observed in 7.8% of patients., Conclusions: FB ingestion predominated among children younger than 5 years; metal objects were the most common ones. A plain X-ray is the test of choice for diagnosis; removal is usually done with a rigid or flexible endoscope, depending on the endoscopist's experience., (Sociedad Argentina de Pediatría.)
- Published
- 2018
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