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Related Experiment Videos

Ingested foreign bodies in the paediatric patient.

G C O'Brien1, D C Winter, W O Kirwan

  • 1Department of Surgery, Cork University Hospital, Cork, Ireland.

Irish Journal of Medical Science
|August 9, 2001
PubMed
Summary

Most pediatric foreign body (FB) ingestions can be managed without intervention. However, guidelines for intervention in children are needed, with symptomatic patients or dangerous objects being key indicators.

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Area of Science:

  • Pediatric Gastroenterology
  • Emergency Medicine
  • Surgical Management

Background:

  • Foreign body (FB) ingestion is a frequent occurrence in children.
  • While most cases resolve without intervention, a subset necessitates medical or surgical procedures.

Purpose of the Study:

  • To develop clear management guidelines for pediatric foreign body ingestion.
  • To identify criteria for intervention in pediatric FB ingestion cases.

Main Methods:

  • A retrospective chart review was conducted.
  • Data from pediatric admissions due to FB ingestion between 1990 and 1999 were analyzed.

Main Results:

  • Out of 339 patients, 59 required admission, primarily for large, dangerous FBs, or distant hospital location.

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  • Endoscopic retrieval was performed in 62.7% of admitted patients, while 5% required surgery.
  • 32.2% of admitted patients were discharged without intervention.

    • Conclusions:

    • Conservative management is feasible for most pediatric foreign body ingestions.
    • Intervention guidelines for pediatric FB ingestion remain underdeveloped.
    • Symptomatic presentation or ingestion of dangerous objects are definitive indications for intervention.