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Published on: September 11, 2018
Clinical experience of removing aerodigestive tract foreign bodies with rigid endoscopy in children
I Faruk Ozguner1, B Ilker Buyukyavuz, Cagri Savas
1Department of Pediatric Surgery, Suleyman Demirel University Medical School, Isparta, Turkey. ifozguner@yahoo.com
Insights
Pediatric aerodigestive tract foreign bodies are a constant hazard. While endoscopic removal is effective, prevention remains the most crucial strategy for managing these accidents.
Area of Science:
- Pediatric Otolaryngology
- Emergency Medicine
- Pediatric Surgery
Background:
- Aerodigestive tract foreign bodies are a significant cause of pediatric emergencies.
- Accidental ingestion or aspiration requires prompt diagnosis and management.
Purpose of the Study:
- To document foreign body accidents in the aerodigestive tract of children.
- To investigate the circumstances surrounding these pediatric foreign body events.
Main Methods:
- Retrospective chart review of pediatric patients diagnosed with aerodigestive tract foreign bodies.
- Study period: January 1, 1998, to December 31, 2002.
Main Results:
- 53 children (39 boys, 14 girls; age 7 months to 14 years) were included.
- Food items were the most common airway foreign bodies; coins were most common in the esophagus.
- Endoscopic removal was successful in most cases, with 2 large foreign bodies pushed into the stomach.
Conclusions:
- Foreign bodies in the airway and esophagus pose a continuous risk to children.
- Immediate management is essential, but prevention is the most effective treatment for aerodigestive foreign body accidents.
Objectives:
This study was undertaken to document the aerodigestive tract foreign body accidents among children, and to investigate the circumstances surrounding these events.
Methods:
A review of the charts of pediatric patients admitted with the definitive or suspicious diagnosis of aerodigestive tract foreign bodies was carried out in the period between January 1, 1998 to December 31, 2002.
Results:
There were 53 eligible children; 39 boys and 14 girls, with an age range of 7 months to 14 years. Food items were the most common airway foreign bodies and coins were the most common esophageal foreign bodies. Among the 32 patients who underwent bronchoscopy, no foreign body was identified in 9 patients. Among the 21 patients who underwent esophagoscopy, foreign body was removed in 19 patients. In 2 cases, large foreign bodies which we could not extract with forceps were pushed into the stomach.
Conclusions:
Foreign bodies in the airway and esophagus constitute a constant hazard in all age groups, which demands immediate approach and management. Although the rigid endoscopic removal of aerodigestive foreign bodies was successful in this series, the most effective treatment of foreign body accidents is their prevention.
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