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Published on: March 25, 2022
[Esophageal foreign bodies at the Universitary Hospital in Dakar]
I C Ndiaye1, B K Diallo, R Diouf
1Service ORL - CHU A Le Dantec- BP 6226 - Dakar - Senegal.
Insights
Foreign bodies in children's esophagus are common, with coins being the most frequent. While diagnosis has improved, serious complications like perforation and death can occur, highlighting the need for prevention.
Area of Science:
- Pediatric Gastroenterology
- Otolaryngology
- Emergency Medicine
Context:
- Digestive endoscopy and anesthesia advancements have improved foreign body management in children.
- A review of 120 pediatric cases of esophageal foreign bodies was conducted.
- The average age of affected children was 4 years, with a male predominance (62%).
Purpose:
- To analyze the diagnosis, management, and outcomes of esophageal foreign bodies in children.
- To identify common types of foreign bodies and associated risk factors.
- To assess the incidence of complications and mortality.
Summary:
- Esophageal foreign bodies were diagnosed in 120 children, predominantly boys, with coins being the most common object (81.4%).
- Diagnosis was often evident on X-rays (91%), with endoscopy confirming findings.
- Complications included 2 esophageal perforations and 2 deaths, indicating potential severity.
Impact:
- Highlights the significant risks associated with esophageal foreign bodies in pediatric populations.
- Underscores the importance of prompt diagnosis and effective endoscopic management.
- Emphasizes the critical need for parental education and public awareness campaigns to prevent these accidents.
Abstract:
The diagnosis and the management of the foreign bodies of the oesophagus in the children have benefited from the digestive endoscopy and the anaesthesia progresses the last ten years. A 120 files review concerning children who suffered from foreign bodies of the oesophagus is reported. The average age was 4 years. The sex repartition showed that the boys where prevailing (62 %). The interrogation revealed a caustic old stenosis of the oesophagus among 4 children. In 91% of cases, the diagnosis was obvious on the X-ray prints. The endoscopy assessment found 124 foreign bodies mostly represented by coins (81,4 %). We recorded 2 oesophagus perforation cases and to deaths. The foreign body of the oesophagus is not always harmless. It can determine complications often revealing ones. It seems necessary to us to stress the prevention of that accident by a vast sensitising compaign of the parents.
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