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Current management of aerodigestive foreign bodies in children

Ian N Jacobs1, Kris R Jatana2

  • 1Endowed Chair in Pediatric Otolaryngology and Pediatric Airway Disorders, Medical Director, Center for Pediatric Airway Disorders, Children's Hospital of Philadelphia, Professor, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine at the University of Pennsylvania.

Seminars in Pediatric Surgery
|June 26, 2021
PubMed

Insights

Foreign body ingestion or aspiration in children poses risks. Coordinated endoscopy, with proper preparation and communication, is key for safe removal, especially for sharp objects or button batteries.

Area of Science:

  • Pediatric Gastroenterology
  • Emergency Medicine
  • Medical Device Technology

Background:

  • Foreign body ingestion/aspiration in children is a significant cause of pediatric morbidity and mortality.
  • Endoscopic removal is the primary intervention for many ingested foreign bodies in pediatric patients.

Purpose of the Study:

  • To outline the critical elements for successful endoscopic foreign body removal in children.
  • To emphasize the importance of immediate intervention for specific high-risk foreign bodies.

Main Methods:

  • Review of established protocols for pediatric foreign body retrieval.
  • Highlighting the necessity of multidisciplinary team coordination (anesthesia, surgery, OR staff).
  • Stressing the value of pre-procedural rehearsal with foreign body facsimiles.

Main Results:

  • Successful endoscopic removal is achievable with adequate pediatric care resources and team communication.
  • Immediate endoscopy is crucial for sharp foreign bodies and button batteries due to rapid tissue damage potential.

Conclusions:

  • Effective management of pediatric foreign body ingestion/aspiration relies on preparedness and coordinated endoscopic procedures.
  • Prompt endoscopic intervention is vital for life-threatening foreign bodies like button batteries and sharp objects.

Keywords:
AspirationBronchoscopyButton batteryEsophagoscopyForeign bodyIngestionOptical forceps

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