AffiliationDepartment of Surgery, Cork University Hospital, Cork, Ireland.
MetadataShow full item record
CitationIr J Med Sci. 2001 Apr-Jun;170(2):100-2.
JournalIrish journal of medical science
AbstractBACKGROUND: Paediatric foreign body (FB) ingestion is a common problem and while most can be managed conservatively, a sub-population require intervention. AIMS: To establish clear guidelines for management of paediatric FB ingestion. METHODS: A retrospective chart review analysing all paediatric admissions with FB ingestion over a 10-year period from 1990 to 1999. RESULTS: Of 339 patients presenting to the accident and emergency department with FB ingestion, 59 required admission. Ingestion was accidental in 93.0% of patients. The reasons for admission were as follows: large FBs; dangerous FBs; and living far from the hospital. Nineteen patients (32.2%) were discharged without intervention. Thirty-seven (62.7%) required endoscopic retrieval. In two, the FB was not identified at endoscopy. Only three (5%) required surgery. CONCLUSION: Conservative management of FB ingestion in the paediatric population is possible in the majority of cases. However, a minority require intervention. While guidelines for intervention are ill-defined, definitive indications include symptomatic patients, or dangerous objects.
- Foreign body ingestion in children: an analysis of pediatric surgical practice.
- Authors: Yalçin S, Karnak I, Ciftci AO, Senocak ME, Tanyel FC, Büyükpamukçu N
- Issue date: 2007 Aug
- Management of foreign bodies in the airway and oesophagus.
- Authors: Rodríguez H, Passali GC, Gregori D, Chinski A, Tiscornia C, Botto H, Nieto M, Zanetta A, Passali D, Cuestas G
- Issue date: 2012 May 14
- Prevalence, clinical features and management of pediatric magnetic foreign body ingestions.
- Authors: Tavarez MM, Saladino RA, Gaines BA, Manole MD
- Issue date: 2013 Jan
- Differences between intentional and accidental ingestion of foreign body in China.
- Authors: Zong Y, Zhao H, Sun C, Ji M, Wu Y, Zhang S, Wang Y
- Issue date: 2020 Apr 6
- Children will eat the strangest things: a 10-year retrospective analysis of foreign body and caustic ingestions from a single academic center.
- Authors: Denney W, Ahmad N, Dillard B, Nowicki MJ
- Issue date: 2012 Aug