Upper gastro intestinal foreign bodies in pediatrics patients

Abstract Aim: Analyzeexperience with presentation, diagnosis and management of accidental ingested upper digestive tract foreign bodies in children. Materials: A prospective study of 60 pediatric patients from July 2009 to July 2014 with history of accidental ingested upper gastro intestinal foreign bodies. All patients were studied for age, gender, complaints, duration, site of impaction, type and complications. Radiological investigations were taken according to the case. Direct laryngoscopy and Magill forceps or flexible esophagoscopy has been used for retrieval of foreign bodies. Result: Sixty cases were analyzed age between 6 months to 13 years. Male 42 and female 18. Age group 6 months to 6 years constitutes 85%. Thirty six (60%) patients arrived to hospital within 24 hours. Difficultly in swallowing (70%) was the most frequent symptom. Most foreign bodies were coin in the upper esophagus (70%). Preexisting esophageal disease was present in 20%. Out of 60 patients twenty four (40%) FB retrieved using Magill forceps and rest with Flexible esophagoscopy (60%). Foreign bodies were successfully removed without major complication in all cases. Mucosal erosions were seen in four patients after extraction. All patients except 4 were discharged within 24 hours after the procedure. Conclusion: Children between 6 month to 6 years is the commonest age group affected. Magill forceps with the aid of a direct laryngoscope is a safe and effective method for proximal esophageal foreign body removal. But flexible esophagoscopy remains the safest method of upper digestive tract foreign body extraction.

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Panorama of foreign body in upper digestive tract in the population of Uttarakhand

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20190772 ◽

2019 ◽

Vol 5 (2) ◽

pp. 416

Author(s):

Chetan Bansal ◽

Prerana Bharti ◽

V. P. Singh

Keyword(s):

Foreign Body ◽

Digestive Tract ◽

Foreign Bodies ◽

Clinical Presentation ◽

Medical Emergency ◽

Age Group ◽

Common Site ◽

Sex Type ◽

Type Site ◽

A Prospective Study

Background: Foreign body aspiration is more common in children than adults because they explore the world with their hands and mouth and also have incomplete control and immature judgment. Foreign bodies in ENT are a medical emergency as their removal demands great skill due to unpredictability in the procedure and the complications associated with it.Methods: A prospective study was conducted on 40 cases of digestive tract foreign bodies in relation to age, sex, type, site, clinical presentation, extraction and complications. Results: Youngest child was 5 months old. Most predisposed age group was 0-5 years (60% of cases). Cricopharynx (24 cases) was the most common site of impaction for foreign body. In the present study toys (22.5%) were most common foreign bodies followed by coins (15%) ingestion.Conclusions: Avoid carelessness. Avoid hasty drinking, eating, talking and running with anything in the mouth. Keep the things out of reach of the children. Be particular in sleep, anesthesia, coma or delirium. Avoid putting objects into mouth.

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CLINICAL AND PARACLINICAL CHARACTERISTICS AND RESULTS FROM TREATMENT OF FOREIGN BODIES INGESTION

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2016.4.10 ◽

2016 ◽

pp. 63-69

Author(s):

Hoang Cuong Vo ◽

Thanh Dang ◽

Phuong Nam Tran ◽

Thanh Thai Le

Keyword(s):

Foreign Body ◽

Clinical Characteristics ◽

Foreign Bodies ◽

University Hospital ◽

Age Group ◽

Central Hospital ◽

Results Of Treatment ◽

Rigid Esophagoscopy ◽

Flexible Esophagoscopy ◽

Esophageal Foreign Bodies

Background: Foreign bodies ingestion is a emergency in otology, knowledge of people about foreign bodies ingestion is not enough. Objective: To study the clinical characteristics, paraclinical characteristics and results of treatment from foreign bodies ingestion in Hue Central Hospital and Hue University Hospital. Methods and patiens: A cross descriptive and prospective study over the period from 6/2014 to 5/2016, total are 137 patients come to be diagnosised and treatmented. Results: the average age is 35 years old. Gender: male (51.8%) and women (48.2%). Adults (84.7%) having more than children (15.3%). Age group from 16-30 years is highest (32.8%). There are 95.7% of organic foreign bodies, 4.3% are inorganic foreign bodies. There are 90.5% of patients on diagnosis and treatment in stages less inflammation, arthritis 8.0% in the period and 1.5% in the period complications. Foreign body in the throat problems (73.7%), esophageal foreign bodies (26.3%). Pick up directly foreign bodies 54%, indirectly by the mirror 11.7% and endoscopy 8%, rigid esophagoscopy is 17.5%, flexible esophagoscopy is 7.3%, cervicotomy is 1.5%. Conclusion: Practing direction with in the oropharynx foreign body, using the larynx mirror or endoscopy with in the laryngopharynx for the esophagus foreign bodies, rigid esophagoscopy is better. Key words: Foreign bodies ingestion

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Unusual foreign body in the upper digestive tract: case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20181885 ◽

2018 ◽

Vol 4 (3) ◽

pp. 850

Author(s):

Snigdha Elaprolu ◽

Gowri Sankar Marimuthu ◽

Raghul Sekar ◽

Sunil Kumar Saxena

Keyword(s):

Case Report ◽

Gastrointestinal Tract ◽

Foreign Body ◽

Digestive Tract ◽

Foreign Bodies ◽

Psychiatric Patients ◽

Unusual Foreign Body ◽

Upper Digestive Tract ◽

Entire Gastrointestinal Tract

Unusual foreign bodies in the digestive tract are common in psychiatric patients and children requiring screening of the entire gastrointestinal tract. We here report two cases of unusual ingested blunt foreign body in the upper digestive tract managed differently.

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Extraluminal Migration of Foreign Body: A Report of Two Cases

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1150 ◽

2013 ◽

Vol 4 (2) ◽

pp. 98-101 ◽

Cited By ~ 3

Author(s):

K Ramachandran ◽

GM Divya ◽

A Shahul Hameed ◽

KV Vinayak

Keyword(s):

Foreign Body ◽

Digestive Tract ◽

Foreign Bodies ◽

Vascular Complications ◽

Neck Exploration ◽

Upper Digestive Tract ◽

Life Threatening ◽

Ingested Foreign Body ◽

Head Neck

ABSTRACT Ingested foreign body is one of the most frequently encountered emergencies in otolaryngology practice. Many of these foreign bodies get lodged in the upper digestive tract and can be removed endoscopically. Few of these foreign bodies can perforate the upper digestive tract and an even smaller number of these can migrate extraluminally. Although, a migrating foreign body can remain quiescent, they can cause life-threatening suppurative or vascular complications; hence, location and removal is essential. Here we report two cases of extraluminal migration of foreign body which was removed by neck exploration. How to cite this article Divya GM, Hameed AS, Ramachandran K, Vinayak KV. Extraluminal Migration of Foreign Body: A Report of Two Cases. Int J Head Neck Surg 2013;4(2):98-101.

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Endoscopic Image-guided treatment of Upper Gastrointestinal foreign body and nursing care of complications

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.6-wit.4858 ◽

2021 ◽

Vol 37 (6-WIT) ◽

Author(s):

Na Liu

Keyword(s):

Foreign Body ◽

Success Rate ◽

Digestive Tract ◽

Nursing Care ◽

Foreign Bodies ◽

Nursing Intervention ◽

Image Guided ◽

Upper Digestive Tract ◽

Endoscopic Image ◽

Upper Gastrointestinal

Objective: This study used phased array imaging algorithm to explore the epidemiological characteristics of endoscopic treatment of upper gastrointestinal foreign bodies to provide a basis for nursing intervention. Methods: We collected data on the age, sex, cause, type of foreign body, success rate of removal, retention location, time and complications of patients with foreign bodies in the upper gastrointestinal tract who were treated in the emergency department of the Digestive Endoscopy Center in our hospital. The study was conducted from January 2018 to December 2020 and we also performed statistical analysis. Results: The high incidence of foreign bodies in the upper digestive tract was in 45 years old to 74 years old patients. The foreign body types were mostly food balls and sharp foreign bodies, accounting for 37.0% and 44.2%, respectively. The cause was misuse and the most accounted for 52.1%, followed by oesophageal pathological stenosis which accounted for 45.5%. The oesophagus in the retention site accounted for up to 80.0%, and the success rate of foreign body extraction was 96.4%. The complications of patients with foreign body retention within twenty four our retention were mainly esophageal scratches and traumatic esophagitis, accounting for 48.5%. 39.6%. Conclusion: There are high risks in the treatment of foreign bodies in the upper digestive tract. Targeted, prospective, and streamlined nursing interventions can provide patients with fast and professional medical care services and minimize patient pain. doi: https://doi.org/10.12669/pjms.37.6-WIT.4858 How to cite this:Liu N. Endoscopic Image-guided treatment of Upper Gastrointestinal foreign body and nursing care of complications. Pak J Med Sci. 2021;37(6):1636-1640. doi: https://doi.org/10.12669/pjms.37.6-WIT.4858 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A Rare Case of a Foreign Body Migration from the Upper Digestive Tract to the Subcutaneous Neck

Ear Nose & Throat Journal ◽

10.1177/014556130208101014 ◽

2002 ◽

Vol 81 (10) ◽

pp. 730-732 ◽

Cited By ~ 12

Author(s):

Kenny Peter Pang ◽

Yoke Teen Pang

Keyword(s):

Foreign Body ◽

Digestive Tract ◽

Rare Case ◽

Foreign Bodies ◽

Soft Tissues ◽

Fish Bone ◽

Fish Bones ◽

Upper Digestive Tract ◽

Foreign Body Migration ◽

Base Of The Tongue

Ingested foreign bodies are not unusual in Singapore. The most common of these objects are fish bones, which typically become lodged in the tonsils or in the base of the tongue. We report a rare case of an ingested fish bone that migrated from the upper digestive tract and into the soft tissues of the neck just below the skin.

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Case report of uncommon esophageal foreign body: goat’s eye

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20201300 ◽

2020 ◽

Vol 6 (4) ◽

pp. 787

Author(s):

Suresh Mani ◽

Gayathri Swaminathan

Keyword(s):

Case Report ◽

Foreign Body ◽

Health Education ◽

Digestive Tract ◽

Foreign Bodies ◽

Acute Onset ◽

Esophageal Foreign Body ◽

Flexible Esophagoscopy

Foreign bodies of upper aero digestive tract are commonly dealt by an otolaryngologist. We have seen a variety of foreign bodies of esophagus, varying from irritants to non irritants, sharp to big blunt objects which almost always require intervention. An elderly man presented to us with acute onset of dysphagia after ingesting meat. On flexible esophagoscopy, it was found to be an uncommon foreign body of the esophagus which is goat’s eye. We believe this is the first of its kind to be reported in the literature. He had consumed the whole eyeball with the belief that it would improve his vision. Even in today’s era such weird customs and practices prevail in many remote places. Health education should be advocated in target areas to bring about a change in the mindset of people.

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Self-extrusion of a foreign body from the upper digestive tract to the skin

The Journal of Laryngology & Otology ◽

10.1258/002221504322928080 ◽

2004 ◽

Vol 118 (3) ◽

pp. 242-243 ◽

Cited By ~ 4

Author(s):

Alvin Kah Leong Tan ◽

Peter Kuo Sun Lu

Keyword(s):

Foreign Body ◽

Digestive Tract ◽

Unusual Case ◽

Foreign Bodies ◽

Upper Digestive Tract ◽

Safe Management ◽

Spontaneous Expulsion ◽

Life Threatening ◽

Ingested Foreign Body

Migrated ingested foreign bodies from the upper digestive tract have the potential to cause life-threatening complications. Cases of spontaneous expulsion to the skin of the neck are very rare. We present an unusual case of an ingested foreign body that migrated out of the upper digestive tract and self-extruded via the skin of the neck. An approach to the safe management of such seemingly innocuous foreign bodies is discussed. This report highlights the message that unfound ingested foreign bodies should be treated seriously due to the possibility of migration and resulting complications.

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Foreign bodies in adult upper digestive tract: a series of 30 cases

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20180728 ◽

2018 ◽

Vol 4 (2) ◽

pp. 575

Author(s):

Nirmal Kumar Jayaraman ◽

Vikram V. J. ◽

Kalaiselvi M. ◽

Sudha M.

Keyword(s):

Foreign Body ◽

General Anaesthesia ◽

Digestive Tract ◽

Foreign Bodies ◽

Flexible Endoscopy ◽

Oesophageal Perforation ◽

Rigid Endoscopy ◽

Upper Digestive Tract ◽

Madras Medical College ◽

Sharp Foreign Body

Background: Rigid endoscopy under general anaesthesia has traditionally been used by otolaryngologist for diagnosis and management of variety of disorders affecting the upper digestive tract including the removal of foreign body. Smooth foreign bodies does not pose much threat but may cause airway obstruction. Sharp foreign bodies, if not removed the earliest may penetrate oesophageal wall and cause complications.Methods: A Retrospective analysis was done for patients who underwent rigid oesophaghoscopy under general anaesthesia for 30 patients of foreign body ingestion at Upgraded Institute of Otorhinolaryngology, Madras Medical College, Chennai, between November 2016 – November 2017. The records of age, sex, co-morbidities, X-ray finding, complications were recorded. Results: Majority of adults in this group belonged to 40-50 years age. The most common foreign body impacted was chicken bone totalling 16. 2 patients of denture ingestion were referred for flexible endoscopy after failed attempt, 1 developed oesophageal perforation.Conclusions: Rigid endoscopy is the gold standard for removal of sharp foreign body as the sharp ends can be clasped and brought in to the endoscope there by preventing damage to the mucosa. Foreign body with multiple sharp ends which cannot be negotiated into rigid endoscope, should be pushed into the stomach and attempted removal by cutting sharp ends of foreign body or by gastrostomy, as pulling such foreign body will lead to full length tear of oesophagus leading to morbidity and mortality.

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165 Impact of COVID-19 on management of Foreign Bodies in Otolaryngology

British Journal of Surgery ◽

10.1093/bjs/znab259.443 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

S Mahmood ◽

M Mair ◽

M Hussain ◽

P Conboy

Keyword(s):

Foreign Body ◽

Health Care Professionals ◽

Foreign Bodies ◽

Age Group ◽

Foreign Body Removal ◽

Foreign Body Extraction ◽

Paediatric Age ◽

Potential Risks ◽

A Prospective Study ◽

Nose And Throat

Abstract Aim The primary aim was to assess safety of Ear, nose and throat foreign body extraction during the coronavirus pandemic as this procedure is considered a potential aerosol generating procedure. The secondary aim was to evaluate the potential risks to patients if foreign body removal was delayed. Method A prospective study of 50 patients presenting to our unit with foreign bodies between March 2020 and August 2020 during the COVID-19 pandemic was performed. All patients were seen within 1 week of referral. The sites and types of foreign bodies were studied and correlated with complications where present. We assessed the circumstances under which foreign body removal was performed and its effect on health care professionals. Results The most common age group was the paediatric age group (52%). The most frequent sites of foreign bodies were the Ears at 78%(39 patients), followed by the nose at 12% (26 patients). Non-organic foreign bodies (52%) were more prevalent than organic foreign bodies (48%). Removal was performed in 31 (62%) patients either in clinic or in theatre. However, 19 patients (38%) were managed conservatively adhering to the British Association for Paediatric Otolaryngology guidance. Only 2 patients developed complications secondary to retained non-organic aural foreign bodies. None of the patients with organic foreign bodies developed complications. No infection rates among medical staff managing these patients were identified. Conclusions Contrary to normal practice, it is safe to manage selective ENT foreign bodies in a semi-urgent manner allowing time to implement ample precautions to reduce infection risks.

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