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    Ingested foreign bodies in the paediatric patient.

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    Authors
    O'Brien, G C
    Winter, D C
    Kirwan, W O
    Redmond, H P
    Affiliation
    Department of Surgery, Cork University Hospital, Cork, Ireland.
    Issue Date
    2012-02-03T15:11:28Z
    MeSH
    Adolescent
    Child
    Child, Preschool
    *Digestive System
    Female
    Foreign Bodies/epidemiology/etiology/*therapy
    Humans
    Infant
    Male
    Retrospective Studies
    
    Metadata
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    Citation
    Ir J Med Sci. 2001 Apr-Jun;170(2):100-2.
    Journal
    Irish journal of medical science
    URI
    http://hdl.handle.net/10147/209070
    PubMed ID
    11491042
    Abstract
    BACKGROUND: 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.
    Language
    eng
    ISSN
    0021-1265 (Print)
    0021-1265 (Linking)
    Collections
    Cork University Hospital

    entitlement

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