[Foreign bodies in esophagus in children: case series]

Hugo Rodríguez1, Giselle Cuestas, Hugo Botto

  • 1Servicio de Endoscopía Respiratoria, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.

Insights

Foreign body ingestion is common in young children, often passing harmlessly. Button batteries require urgent removal to prevent esophageal injury.

Area of Science:

  • Pediatrics
  • Gastroenterology
  • Emergency Medicine

Context:

  • Foreign body ingestion is a frequent pediatric emergency, predominantly affecting children under three years old.
  • While most ingested foreign bodies pass spontaneously, esophageal impaction can lead to significant symptoms like vomiting and dysphagia.
  • Coins are the most common esophageal foreign bodies, but button batteries pose a higher risk of rapid injury.

Purpose:

  • To analyze the characteristics and outcomes of esophageal foreign body ingestions in children.
  • To emphasize the critical need for prompt diagnosis and differentiation between various foreign body types, particularly coins and button batteries.
  • To raise awareness among pediatricians regarding the recognition, prevention, and management of esophageal foreign bodies.

Summary:

  • This study reviewed 115 cases of esophageal foreign bodies in children.
  • Esophageal foreign bodies most frequently occur in children under three years old.
  • Button batteries necessitate immediate removal due to their potential for causing early and severe esophageal injury, distinguishing them from coins.

Impact:

  • Highlights the importance of early diagnosis and intervention in pediatric foreign body ingestion.
  • Provides crucial information for pediatricians to effectively manage esophageal foreign body cases.
  • Aims to reduce complications associated with delayed diagnosis or inappropriate management of ingested foreign bodies in children.

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