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Related Experiment Videos

Oesophageal foreign bodies.

A Baraka, G Bikhazi

    British Medical Journal
    |March 8, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Foreign body impaction in the esophagus is common in children, often caused by coins. Adults present with different foreign bodies and underlying conditions, leading to more complications.

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    Area of Science:

    • Gastroenterology
    • Pediatric Gastroenterology
    • Otolaryngology

    Background:

    • Esophageal foreign body impaction is a significant clinical issue, particularly in pediatric populations.
    • Understanding the demographics, common etiologies, and anatomical locations is crucial for effective management.

    Purpose of the Study:

    • To analyze the characteristics of esophageal foreign body impaction in a cohort of patients.
    • To compare foreign body types, predisposing factors, and impaction sites between children and adults.

    Main Methods:

    • Retrospective analysis of 54 patients with esophageal foreign body impaction.
    • Data collection included patient age, foreign body type, predisposing factors, impaction location, and management outcomes.
    • Oesophagoscopy under general anesthesia was the primary removal method.

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    Main Results:

    • Coins were the most frequent foreign body in children (27/45), with most impacted in the upper esophagus.
    • Meat bolus was most common in adults (9/9), often associated with underlying esophageal or systemic conditions (88% of adults).
    • Complications were more prevalent in adults, largely attributed to pre-existing medical conditions.

    Conclusions:

    • Esophageal foreign body impaction differs significantly between pediatric and adult populations regarding etiology and location.
    • While coins are common in children, adults often have meat impaction linked to underlying pathologies.
    • Prompt oesophagoscopy is essential for removal, with careful consideration of adult comorbidities to minimize complications.