Management of oesophageal foreign bodies in pediatric patients: our experience
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20212454Keywords:
Oesophageal foreign body, Oesophagoscopy, Gastrointestinal tractAbstract
Background: Amongst pediatric patients, oesophageal foreign bodies (OFBs) are relatively common clinical problem. Majority pass harmlessly through gastrointestinal tract, some can cause complications or morbidities. Our study considered and reviewed our experience in managing OFBs in pediatric patients, with emphasis on the management and outcomes of complicated cases.
Methods: 77 cases of OFBs (diagnosis established), upto 12 years of age admitted at our tertiary hospital between January 2015 to December 2020 (duration of 6 years) were reviewed and analysed. On the basis of our analysis accounting demographic data, presenting symptoms, workup investigation, management, complications and outcomes, results and conclusions were derived.
Results: Amongst cases, 43 were male and 34 female. Mean age for our cases was 5.4 years. 56 cases (72.7%) cases presented in the hospital within first 24 hours. Commonest foreign body found in 64 cases (83.1%) was coin. Most cases had history of witnessed ingestion. Commonest presentation was asymptomatic (with history of witnessed ingestion), followed by complaint of vomiting and drooling of saliva. Most patients were discharged within 48 hours post-operatively except for 2 patients who presented intra-operatively with edematous inflamed mucosa with slight charring on oesophagoscopy where foreign body was button battery (cell). Follow-up period ranged from 2 to 8 months and all patients had complete recovery without any sequelae.
Conclusions: Our experience of 6 years with 77 pediatric patients with OFBs having various presentations have been reviewed, analysed and concluded here. All the patients had complete recovery without any sequelae.
References
Wyllie R. Foreign bodies in the gastrointestinal tract. Curr Opin Pediatr. 2006;18(5):563-4.
Shinhar SY, Strabbing RJ, Madgy DN. Esophagoscopy for removal of foreign bodies in the pediatric population. Int J Pediatr Otorhinolaryngol. 2003;67(9):977-9.
Little DC, Shah SR, Peter SDS, Calkins CM, Morrow SE, Murphy JP, et al. Esophageal foreign bodies in the pediatric population: our first 500 cases. J Pediatr Surg. 2006;41(5):914-8.
Saki N, Nikakhlagh S, Safai F, Peyvasteh M. Esophageal foreign bodies in children. Pak J Med Sci. 2007;23(6):854-6.
Louie JP, Alpern ER, Windreich RM. Witnessed and unwitnessed esophageal foreign bodies in children. Pediatr Emerg Care. 2005;21(9):582-5.
Zhang S, Cui Y, Gong X, Gu F, Chen M, Zhong B. Endoscopic management of foreign bodies in the upper gastrointestinal tract in South China: a retrospective study of 561 cases. Dig Dis Sci. 2010;55(5):1305-12.
Lai AT, Chow TL, Lee DT, Kwok SP. Risk factors predicting the development of complications after foreign body ingestion. Br J Surg. 2003;90(12):1531-5.
Orji FT, Akpeh JO, Okolugbo NE. Management of esophageal foreign bodies: experience in a developing country. World J Surg. 2012;36(5):1083-8.
Higo R, Matsumoto Y, Ichimura K, Kaga K. Foreign bodies in the aerodigestive tract in pediatric patients. Auris Nasus Larynx. 2003;30(4):397-401.
Pak MW, Lee WC, Fung HK, Hasselt CAV. A prospective study of foreign-body ingestion in 311 children. Int J Pediatr Otorhinolaryngol. 2001;58(1):37-45.
Lin CH, Chen AC, Tsai JD, Wei SH, Hsueh KC, Lin WC. Endoscopic removal of foreign bodies in children. Kaohsiung J Med Sci. 2007;23(9):447-52.
Luk WH, Fan WC, Chan RY, Chan SW, Tse KH, Chan JC. Foreign body ingestion: comparison of diagnostic accuracy of computed tomography versus endoscopy. J Laryngol Otol. 2009;123(5):535-40.
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.
Kamath P, Bhojwani KM, Prasannaraj T, Abhijith K. Foreign bodies in the aerodigestive tract e a clinical study of cases in the coastal belt of South India. Am J Otolaryngol. 2006;27(6):373-7.
Gregori D, Scarinzi C, Morra B, Salerni L, Berchialla P, Snidero S, et al. Ingested foreign bodies causing complications and requiring hospitalization in European children: results from ESFBI study. Pediatr Int. 2010;52(1):26-32.
