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Endoscopic management of foreign body ingestion in children

INTRODUCTION: Foreign body ingestion is common in children. Most accidental ingestions are passed spontaneously without intervention. Some cases of ingestion require intervention in a timely fashion to reduce risks and morbidities. AIM: To analyse the clinical presentation, aetiology, and outcome of...

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Autores principales: Altamimi, Eyad, Yusef, Dawood, Rawabdeh, Naif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7988830/
https://www.ncbi.nlm.nih.gov/pubmed/33777276
http://dx.doi.org/10.5114/pg.2020.101563
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author Altamimi, Eyad
Yusef, Dawood
Rawabdeh, Naif
author_facet Altamimi, Eyad
Yusef, Dawood
Rawabdeh, Naif
author_sort Altamimi, Eyad
collection PubMed
description INTRODUCTION: Foreign body ingestion is common in children. Most accidental ingestions are passed spontaneously without intervention. Some cases of ingestion require intervention in a timely fashion to reduce risks and morbidities. AIM: To analyse the clinical presentation, aetiology, and outcome of children presenting with foreign body ingestion, who required endoscopic intervention at a tertiary hospital (King Abdullah University Hospital, Irbid, Jordan). MATERIAL AND METHODS: Records of all patients with ingested foreign bodies requiring endoscopic retrieval over a 3-year period were reviewed retrospectively. Data on age, sex, type of ingested foreign body, presentation, type of intervention, stuck and retrieval location, outcome, and complications were collected. RESULTS: Of the sixty-three patients identified, 32 (50.8%) were male. Mean patient age was 7.7 ±3.4 years (range: 1 month–17.4 years). Most patients (74.6%) presented asymptomatically after the family or the child reported ingestion. Coins were the most commonly retrieved foreign bodies (37, 58.7%). The oesophagus was the most common site of retrieval (45, 71%). A rat tooth forceps was most commonly used to retrieve coins, followed by a net basket. Endoscopy was effective in managing the foreign body in 57 (90.5%) cases. Surgery was needed in 1 (1.6%) patient, a 1-month-old infant with a plastic tube in his stomach. All patients tolerated the procedure well with no complications. Interestingly, 7 (11.1%) male patients showed endoscopic features of eosinophilic oesophagitis; eosinophilic oesophagitis was confirmed histopathologically in three of them. CONCLUSIONS: Endoscopic intervention is effective and well tolerated in the management of ingested foreign bodies in the upper gastrointestinal system. Parents and children should be cautioned against playing with coins, to reduce the incidence of foreign body ingestion.
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spelling pubmed-79888302021-03-26 Endoscopic management of foreign body ingestion in children Altamimi, Eyad Yusef, Dawood Rawabdeh, Naif Prz Gastroenterol Original Paper INTRODUCTION: Foreign body ingestion is common in children. Most accidental ingestions are passed spontaneously without intervention. Some cases of ingestion require intervention in a timely fashion to reduce risks and morbidities. AIM: To analyse the clinical presentation, aetiology, and outcome of children presenting with foreign body ingestion, who required endoscopic intervention at a tertiary hospital (King Abdullah University Hospital, Irbid, Jordan). MATERIAL AND METHODS: Records of all patients with ingested foreign bodies requiring endoscopic retrieval over a 3-year period were reviewed retrospectively. Data on age, sex, type of ingested foreign body, presentation, type of intervention, stuck and retrieval location, outcome, and complications were collected. RESULTS: Of the sixty-three patients identified, 32 (50.8%) were male. Mean patient age was 7.7 ±3.4 years (range: 1 month–17.4 years). Most patients (74.6%) presented asymptomatically after the family or the child reported ingestion. Coins were the most commonly retrieved foreign bodies (37, 58.7%). The oesophagus was the most common site of retrieval (45, 71%). A rat tooth forceps was most commonly used to retrieve coins, followed by a net basket. Endoscopy was effective in managing the foreign body in 57 (90.5%) cases. Surgery was needed in 1 (1.6%) patient, a 1-month-old infant with a plastic tube in his stomach. All patients tolerated the procedure well with no complications. Interestingly, 7 (11.1%) male patients showed endoscopic features of eosinophilic oesophagitis; eosinophilic oesophagitis was confirmed histopathologically in three of them. CONCLUSIONS: Endoscopic intervention is effective and well tolerated in the management of ingested foreign bodies in the upper gastrointestinal system. Parents and children should be cautioned against playing with coins, to reduce the incidence of foreign body ingestion. Termedia Publishing House 2020-12-10 2020 /pmc/articles/PMC7988830/ /pubmed/33777276 http://dx.doi.org/10.5114/pg.2020.101563 Text en Copyright © 2020 Termedia http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/)
spellingShingle Original Paper
Altamimi, Eyad
Yusef, Dawood
Rawabdeh, Naif
Endoscopic management of foreign body ingestion in children
title Endoscopic management of foreign body ingestion in children
title_full Endoscopic management of foreign body ingestion in children
title_fullStr Endoscopic management of foreign body ingestion in children
title_full_unstemmed Endoscopic management of foreign body ingestion in children
title_short Endoscopic management of foreign body ingestion in children
title_sort endoscopic management of foreign body ingestion in children
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7988830/
https://www.ncbi.nlm.nih.gov/pubmed/33777276
http://dx.doi.org/10.5114/pg.2020.101563
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