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Managing Pediatric Foreign Body Ingestions: A 10-Year Experience
Valeria Dipasquale1, Claudio Romano1, Mauro Iannelli1
1From the Pediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood "G. Barresi".
Pediatric Emergency Care
|September 24, 2020
Summary
Foreign body ingestion is common in children, with coins being the most frequent culprit. Symptoms like drooling and crying can indicate esophageal foreign bodies, guiding diagnosis and management.
Area of Science:
- Pediatric Gastroenterology
- Emergency Medicine
- Otolaryngology
Background:
- Foreign body (FB) ingestion is a frequent pediatric concern globally.
- While most ingested FBs pass spontaneously, up to 20% necessitate endoscopic intervention.
- This study analyzes pediatric FB ingestions requiring endoscopic removal.
Purpose of the Study:
- To compare presentation symptoms and outcomes of pediatric FB ingestion with existing literature.
- To assess the relationship between patient/FB characteristics and clinical outcomes.
- To evaluate diagnostic and management strategies for FB ingestion.
Main Methods:
- Retrospective chart review of children (≤16 years) undergoing endoscopy for FB ingestion (2008-2018).
- Data collected included demographics, clinical presentation, FB characteristics, endoscopic findings, and outcomes.
- Statistical analysis used medians, frequencies, percentages, and chi-squared/Fisher's exact tests.
Main Results:
- 86 patients (median age 5.1 years, 67% male) underwent endoscopy; 91% confirmed FB ingestion.
- Coins were the most common FB (57%), frequently located in the esophagus.
- Symptomatic presentation (84%) was common, with drooling (70%) and crying (48%) most frequent; symptoms correlated with FB location and type.
Conclusions:
- Foreign body ingestion is prevalent in young children, presenting with diverse symptoms.
- Symptom presence and type are crucial for diagnosing and managing pediatric FB ingestions requiring endoscopy.
- Endoscopic removal in this cohort was safe and effective, with minimal complications.
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