Management of ingested foreign bodies in childhood and review of the literature

Citation
A. Arana et al., Management of ingested foreign bodies in childhood and review of the literature, EUR J PED, 160(8), 2001, pp. 468-472
Citations number
28
Language
INGLESE
art.tipo
Review
Categorie Soggetti
Pediatrics,"Medical Research General Topics
Journal title
EUROPEAN JOURNAL OF PEDIATRICS
ISSN journal
0340-6199 → ACNP
Volume
160
Issue
8
Year of publication
2001
Pages
468 - 472
Database
ISI
SICI code
0340-6199(200108)160:8<468:MOIFBI>2.0.ZU;2-9
Abstract
The management of ingested foreign bodies in children is not standardised. During a 15-year period, we recorded 325 consecutive paediatric cases of ac cidental ingestion of foreign bodies or with symptoms suggesting oesophagea l obstruction presented at the emergency department or the paediatric gastr oenterology unit. The foreign bodies that had to be removed were, in decrea sing order of frequency: coins, toy parts, jewels, batteries, sharp materia ls such as needles and pins, fish and chicken bones, and "large" amounts of food. Only 54% of the patients had transient symptoms at the moment of ing estion, such as retrosternal pain, cyanosis and dysphagia. A minority (28, 9%) of foreign bodies could be removed with a McGill forceps; 65 (20%) were removed with a magnet probe. Endoscopic removal was performed in 82 cases (25%). In the majority of cases (150, 46%) natural elimination occurred. Th e outcome of all patients was uneventful. Conclusion Recommendations for management of children presenting with a his tory of suspected accidental ingestion of a foreign body for the community paediatrician are proposed.