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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Foreign body ingestion and associated factors in pediatric patients at a tertiary care center

L A Navia-López1, J F Cadena-León2, K R Ignorosa-Arellano2

  • 1Servicio de Gastroenterología y Nutrición, Instituto Nacional de Pediatría, Ciudad de México, México.

Revista De Gastroenterologia De Mexico (English)
|April 24, 2021
PubMed

Insights

Foreign body (FB) ingestion in children under 5 is common. Coins are frequent FBs, often lodged in the esophagus, and larger objects are associated with specific locations.

Area of Science:

  • Pediatric Gastroenterology
  • Medical Imaging
  • Endoscopy

Background:

  • Foreign body (FB) ingestion is a frequent pediatric emergency, often necessitating endoscopic intervention.
  • Understanding the characteristics of FB ingestion is crucial for effective management in young children.

Purpose of the Study:

  • To characterize the clinical, radiographic, and endoscopic features of pediatric FB ingestion.
  • To identify factors associated with the location and type of ingested foreign bodies.

Main Methods:

  • An analytic cross-sectional study analyzed data from 85 pediatric patients with FB ingestion from 2013-2018.
  • Statistical analysis included frequencies, percentages, medians, and chi-square tests to assess associations.

Main Results:

  • Coins were the most common ingested foreign body (36%), frequently located in the esophagus.
  • Larger objects (>2cm diameter) showed specific location associations.
  • Endoscopic extraction was performed in 89.4% of cases, revealing mucosal injuries like erythema and erosion.

Conclusions:

  • Effective management of pediatric foreign body ingestion requires consideration of object type, size, and patient factors.
  • Clinical presentation, radiographic findings, and endoscopic results guide treatment strategies.
Abstract

Keywords:
Cuerpo extrañoEndoscopiaEndoscopyForeign bodyGastrointestinal tractIngestionIngestiónTracto gastrointestinal

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