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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

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[Management for esophageal foreign bodies: about 36 cases]

Seydou Togo1, Moussa Abdoulaye Ouattara1, Xing Li2

  • 1Service de Chirurgie Thoracique, CHU Hôpital du Mali, Bamako.

The Pan African Medical Journal
|September 15, 2017
PubMed

Insights

Esophageal foreign bodies, common in children, require prompt management. Endoscopic removal is preferred, but surgery may be necessary for complications, emphasizing prevention.

Area of Science:

  • Gastroenterology
  • Pediatric Emergency Medicine
  • Otolaryngology

Background:

  • Esophageal foreign bodies are a common pediatric emergency.
  • While frequent in children, they can affect all age groups.
  • Management strategies and outcomes vary globally.

Purpose of the Study:

  • To analyze the clinical, paraclinical, and therapeutic aspects of esophageal foreign body management.
  • To report outcomes of endoscopic and surgical interventions in Mali.
  • To identify risk factors and complications associated with esophageal foreign bodies.

Main Methods:

  • Prospective study of 36 patients with esophageal foreign bodies from January 2011 to December 2014.
  • Inclusion of patients undergoing endoscopic or surgical treatment.
  • Data collection on patient demographics, foreign body location, time to removal, and treatment modality.

Main Results:

  • The average age of affected patients was 6 years, with a male predominance (sex ratio 1.75).
  • Most foreign bodies were lodged in the cricopharyngeal region (69.45%), with some leading to aortic complications (22.22%).
  • Rigid fibroscopy achieved an 88.89% success rate for foreign body removal, while thoracotomy was required in 5.55% of cases.

Conclusions:

  • Esophageal foreign bodies occur across all ages but are most prevalent in children.
  • Endoscopic removal is the primary treatment, with surgery reserved for complex cases and complications.
  • Prevention strategies are crucial to reduce the incidence of these incidents.

Keywords:
Esophagusenclavedendoscopic removalforeign bodysurgery

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