Affiliation
Department of Surgery, Cork University Hospital, Cork, Ireland.Issue Date
2012-02-03T15:11:28ZMeSH
AdolescentChild
Child, Preschool
*Digestive System
Female
Foreign Bodies/epidemiology/etiology/*therapy
Humans
Infant
Male
Retrospective Studies
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Show full item recordCitation
Ir J Med Sci. 2001 Apr-Jun;170(2):100-2.Journal
Irish journal of medical sciencePubMed ID
11491042Abstract
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
engISSN
0021-1265 (Print)0021-1265 (Linking)
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