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Published on: September 11, 2018
Foreign Body Ingestion in Children: From a Harmless Incident to a Life-Threatening Emergency
Maria-Delia Mihailov1,2, Ioana-Cristina Olariu1,3, Vlad Laurențiu David1,4
1Faculty of Medicine, Victor Babes University of Medicine and Pharmacy, 300011 Timisoara, Romania.
Insights
Accidental foreign body ingestion in children is common, but dangerous objects like button batteries require immediate removal. Prompt medical attention at specialized centers is crucial for potentially life-threatening cases.
Area of Science:
- Pediatric Gastroenterology
- Emergency Medicine
- Public Health
Background:
- Foreign body ingestion is a frequent pediatric emergency.
- Certain ingested objects, including button batteries, magnets, and sharp items, pose significant risks, potentially leading to life-threatening complications.
- Timely intervention in specialized centers is critical for managing these emergencies.
Purpose of the Study:
- To review current data on the epidemiology, diagnosis, and management of foreign body ingestion in children.
- To identify emergency situations requiring immediate intervention.
- To provide a guide for appropriate diagnostic and therapeutic approaches in clinical practice.
Main Methods:
- A comprehensive literature review was conducted.
- The review focused on identifying recent evidence regarding foreign body ingestion in pediatric populations.
- Analysis included epidemiological data, clinical and imaging diagnostic methods, and therapeutic strategies.
Main Results:
- The urgency of intervention depends on the ingested object's type, location, and associated symptoms.
- Specific case analyses highlight critical scenarios requiring prompt management.
- The review emphasizes the importance of early recognition and specialized care.
Conclusions:
- Foreign body ingestion in children necessitates a thorough understanding of associated risks and appropriate management protocols.
- Preventive measures and caregiver education are vital to reduce the incidence of dangerous ingestions.
- Adherence to specialized diagnostic and therapeutic guidelines ensures optimal patient outcomes.
Abstract:
Accidental foreign body ingestion is a common and often harmless event in childhood, especially among very young children, who naturally explore their surroundings by putting objects in their mouths. However, certain objects (button batteries, magnets, sharp objects), once ingested, pose a risk of complications, sometimes potentially life-threatening. Awareness of this risk is particularly important, as their removal must be performed as soon as possible in a specialized center. This narrative review aims to provide an overview of the most recent data on the epidemiology, clinical and imaging diagnosis, and particularly the therapeutic approach to foreign body ingestion in children. A comprehensive review of the literature was conducted to identify the most relevant evidence in this field, aiming to analyze situations in which foreign body ingestion constitutes an emergency and to present the appropriate diagnostic and therapeutic approach in specific cases. The degree of urgency is determined by the type of ingested object, its location in the digestive tract, and symptoms suggestive of complications; these situations are analyzed and described in detail to serve as a useful guide in medical practice. Preventive measures are important in avoiding these life-threatening situations, and therefore, parents and caregivers must be informed and take steps to prevent children from accessing dangerous objects.
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