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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, Mexico City, Mexico.

Revista De Gastroenterologia De Mexico (English)
|October 12, 2021
PubMed

Insights

Foreign body ingestion in children under five is common. Coins were the most frequent ingested objects, often lodging in the esophagus, requiring endoscopic removal.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures
  • Foreign Body Ingestion

Background:

  • Foreign body (FB) ingestion is a frequent pediatric emergency, particularly in children under five years old.
  • It is a leading indication for endoscopic intervention in pediatric populations.
  • Understanding the characteristics of FB ingestion is crucial for effective management.

Purpose of the Study:

  • To delineate the clinical, radiographic, and endoscopic features of pediatric foreign body ingestion.
  • To identify factors associated with the location and type of ingested foreign bodies.
  • To inform clinical decision-making and improve patient outcomes.

Main Methods:

  • An analytic cross-sectional study was performed on pediatric patients with FB ingestion from January 2013 to December 2018.
  • Data analysis included frequencies, percentages, medians, and interquartile ranges using SPSS.
  • The chi-square test was employed to assess associations between variables.

Main Results:

  • Eighty-five pediatric patients (median age 4 years) were included; vomiting was the most common symptom.
  • Coins were the most frequently ingested objects (36%), often located in the esophagus.
  • Endoscopic extraction was performed in 89.4% of cases, revealing mucosal injuries like erythema and erosion.

Conclusions:

  • The approach to pediatric foreign body ingestion requires consideration of object type, size, and patient factors.
  • Timely intervention and comprehensive assessment are vital for managing FB ingestion.
  • This study highlights key characteristics to guide clinical management and improve outcomes.
Abstract

Keywords:
Cuerpo extrañoEndoscopiaEndoscopyForeign bodyGastrointestinal tractIngestionIngestiónTracto gastrointestinal

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