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Published on: September 11, 2018
Oesophageal foreign bodies in children
R Pokharel1, P Adhikari, C L Bhusal
1Department of ENT and Head and Neck Surgery, TU Teaching Hospital, Kathmandu, Nepal.
JNMA; Journal of the Nepal Medical Association
|December 17, 2008
Summary
Foreign body ingestion in children is common, with coins being the most frequent object. Prompt removal is crucial, though this study found no complications in pediatric patients.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Emergency Medicine
Background:
- Foreign body ingestion is a frequent pediatric emergency with potential for severe outcomes.
- Timely intervention is critical to prevent serious complications from ingested foreign bodies.
Purpose of the Study:
- To investigate the types and locations of ingested foreign bodies in children.
- To identify complications associated with foreign body ingestion in pediatric patients.
Main Methods:
- A retrospective analysis of 122 children under 12 years old with suspected foreign body ingestion.
- Diagnostic imaging (neck and chest X-rays) and endoscopic removal (oesophagoscopy/hypopharyngoscopy) under general anesthesia were utilized.
Main Results:
- Coins were the most common foreign body (64.0%), followed by meat bones (14.0%).
- The highest incidence occurred in the 0-4 year age group, with a male predominance (64.7%).
- No complications were observed during the study period.
Conclusions:
- Coins are the predominant foreign bodies ingested by children.
- While complications are rare, delayed presentation and removal can increase risks.
- A high index of suspicion and prompt diagnostic procedures are essential for managing suspected foreign body ingestion in children.
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