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Clinical experiences of 109 children with foreign body ingestion: a retrospective study from Kunming, China
Zhuoheng Li1, Cuicui Yang2, Jintao Duan1
1Department of Gastroenterology, Kunming Children's Hospital, Kunming, China.
Insights
Pediatric foreign body ingestion (FBI) most commonly involves metallic objects like coins, impacting the upper esophagus and stomach. This retrospective study analyzed 109 cases to understand types, locations, and complications.
Area of Science:
- Pediatric Gastroenterology
- Toxicology
- Emergency Medicine
Background:
- Foreign body ingestion (FBI) is a significant concern in pediatric healthcare.
- Understanding the epidemiology of pediatric FBI is crucial for prevention and management.
Purpose of the Study:
- To identify common types and locations of ingested foreign bodies in children.
- To investigate complications arising from pediatric foreign body ingestion.
- To explore demographic factors associated with specific foreign body types and outcomes.
Main Methods:
- Retrospective analysis of 109 pediatric patients with foreign body ingestion.
- Data collection included patient demographics, ingested material types (metal, plastic, magnetic), and impaction sites (esophagus, stomach, duodenum).
- Assessment of complications like mucosal erosion, congestion, and edema; statistical analysis of variables.
Main Results:
- Metallic foreign bodies, especially coins, were the most frequent type of ingestion.
- Plastic materials and magnetic beads were also identified.
- Upper esophagus and stomach were the predominant locations for foreign body impaction, with observed complications including mucosal erosion and congestion.
Conclusions:
- Metallic foreign bodies, particularly coins, are highly prevalent in pediatric FBI cases.
- The upper esophagus and stomach represent the most common sites for foreign body impaction in children.
- Findings underscore the need for targeted prevention strategies and prompt medical intervention.
Aim:
This study was designed to assess the types and locations of foreign bodies ingested by pediatric patients, investigate the complications associated with these ingestions, and explore the demographic factors influencing the incidence of specific foreign body types and outcomes.
Methods:
A retrospective analysis was conducted on 109 pediatric patients who presented with foreign body ingestion due to foreign body ingestion (FBI). Data were collected on patient demographics (age, sex, body weight, and living environment), types of ingested materials (metal, plastic, magnetic), and anatomical locations of foreign bodies (esophagus, stomach, duodenum). The occurrence of complications, such as mucosal erosion, congestion, and edema, was also recorded. Descriptive statistics was used to analyze relationships between variables.
Results:
The majority of ingested foreign bodies were metallic, with coins being the most common object, followed by batteries and other metals. Plastic materials and magnetic beads were also noted. The most frequent locations for foreign body impaction were upper esophagus and stomach. Complications such as mucosal erosion and congestion were observed.
Conclusion:
This study highlights the prevalence of metallic foreign bodies, particularly coins, in pediatric FBI cases. The upper esophagus and stomach were the most common locations for impaction.
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