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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Esophageal perforations due to foreign body impaction in children

Nitin James Peters1, J K Mahajan1, Monika Bawa1

  • 1Department of Pediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh India 160012.

Journal of Pediatric Surgery
|March 19, 2015
PubMed

Insights

Surgical treatment for children with esophageal perforations from foreign body ingestion (FBI) leads to successful outcomes. Prompt, individualized surgical approaches decrease complications in these rare cases.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Emergency Medicine

Background:

  • Esophageal foreign body impaction (FBI) perforation in children presents complex management challenges.
  • Surgical interventions for esophageal perforations due to FBI require careful consideration of impaction site and FB characteristics.

Purpose of the Study:

  • To present the outcomes of surgical treatment for esophageal perforations caused by foreign body impaction in pediatric patients.
  • To propose a management algorithm for esophageal perforations due to FBI in children.

Main Methods:

  • A retrospective analysis of 7 pediatric cases of esophageal perforations due to foreign body ingestion over 7 years.
  • Evaluation of foreign body types, impaction duration and location, complications, and surgical approaches employed.

Main Results:

  • Six patients had metal foreign bodies; one had a glass marble. Six perforations were in the thoracic esophagus, one in the cervical esophagus.
  • Four rigid esophagoscopies failed. Five patients underwent thoracotomy with pleural patch repair; one had cervical esophagotomy. One patient developed a tracheo-esophageal fistula.
  • All 7 patients were discharged uneventfully following surgical management.

Conclusions:

  • Esophageal perforation following foreign body ingestion is a rare but serious condition in children.
  • Prompt, individualized surgical treatment tailored to each patient's specific needs is crucial for successful outcomes and reduced morbidity.
Abstract

Keywords:
EsophagoscopyEsophagotomyEsophagusForeign bodyPerforationTracheoesophageal fistula

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