scholarly journals An algorithm for retrieval tools in foreign body ingestion and food impaction in children

2020 ◽  
Author(s):  
Ergun Ergun ◽  
Ufuk Ates ◽  
Gulnur Gollu ◽  
Kutay Bahadir ◽  
Aydin Yagmurlu ◽  
...  
Keyword(s):  
Foreign Body ◽  
Material Removal ◽  
Demographic Data ◽  
Flexible Endoscopy ◽  
Foreign Body Ingestion ◽  
Food Impaction ◽  
Endoscopic Techniques ◽  
Rigid Endoscopy ◽  
Removal Technique ◽  
Button Batteries

Summary The aim of this study is to review the experience on managing foreign body ingestion in children with special emphasis on the endoscopic techniques and specific retrieval devices used for foreign body (FB) extraction. The charts of 341 children were reviewed retrospectively. Demographic data, ingested material, removal technique and tool, level of FB, complications, and outcomes were recorded. A total of 364 FBs were removed from 341 children. Among these, 56.5% (n: 206) were entrapped in esophagus, 39% (n: 142) were in stomach, and 4.5% (n: 16) in duodenum and intestine. The most frequently ingested items were coin (42.5%), button batteries (20.6%), and safety pins (12%). Optical forceps (37.9%) were the most commonly used tool and they were used during retrieval of esophageal FB by rigid endoscopy. Retrieval net (20.7%) was the second most common tool and the most common one during flexible endoscopy. Depending on our experience, we strongly advocate rigid endoscopy for esophageal FBs and food impaction in children because it allows both to use optical forceps with a strong grasping ability for blunt FBs and to position sharp and pointed objects inside the rigid endoscope. We recommend retrieval net as the first tool for the extraction of blunt objects and rat tooth retrieval forceps is the best tool for sharp and pointed FBs in stomach.

Approach to Foreign Body Ingestion, Food Impaction, and Caustic Injury

2016 ◽  
pp. 91-105 ◽  
Author(s):  
Emmanuel C. Gorospe ◽  
Louis M. Wong Kee Song ◽  
Prasad G. Iyer
Keyword(s):  
Foreign Body ◽  
Foreign Body Ingestion ◽  
Food Impaction ◽  
Caustic Injury

scholarly journals Profile of foreign body ingestion and outcomes of endoscopic management in pediatric population

2017 ◽  
Vol 08 (01) ◽  
pp. 17-23
Author(s):  
Avinash Bhat Balekuduru ◽  
Bhuvan Shetty ◽  
Amit Dutta ◽  
Satyaprakash Bonthala Subbaraj
Keyword(s):  
Foreign Body ◽  
Pediatric Population ◽  
Flexible Endoscopy ◽  
Endoscopic Management ◽  
Surgical Removal ◽  
Safe Procedure ◽  
Endoscopic Removal ◽  
Endoscopic Techniques ◽  
Nonsurgical Management ◽  
Gastrointestinal Emergency

Abstract Background: Foreign body (FB) ingestion is a frequent gastrointestinal emergency in pediatric population. Improvement in endoscopic techniques and equipment enables nonsurgical management in most situations. Recent data from India on pediatric FB ingestion have been lacking. Aim: The aim of this study was to assess the profile and outcome after endoscopic management of patients <18 years of age presenting with FB ingestion. Patients and Methods: Records of all the children with FB ingestion who had undergone endoscopic removal at our institution during 5 years (2011–2016) were assessed retrospectively. The nature of FB ingested, and success and complication of endoscopic therapy were analyzed. Results: There were 150 pediatric endoscopies during the study period. Of this, 120 (80%) were for removal of ingested FB. Most common (MC) FB was coin (69%). The retrieved FBs were 83 coins, 13 batteries, 5 pins, 4 clips, 2 each of anklets, keys, marbles, and seeds, one each of spoon, blade, spanner, peanut, toe ring, and a pencil. One had trichobezoar. Esophagus was the MC site of location of FB (85/120). FB removal was successful by flexible endoscopy in 97.1%. Four (0.03%) cases were referred for rigid endoscopic/surgical removal by otolaryngologists/ pediatric surgeon. Except for one child developed bronchopneumonia, there was no morbidity or mortality in the study. Conclusion: Endoscopic removal of FB is a safe procedure with excellent outcomes in a specialized gastroenterology unit.

scholarly journals Foreign body ingestion and food impaction in adults: better to scope than to wait

2018 ◽  
Vol 6 (7) ◽  
pp. 974-980 ◽  
Author(s):  
Diogo Libânio ◽  
Mónica Garrido ◽  
Filipa Jácome ◽  
Mário Dinis-Ribeiro ◽  
Isabel Pedroto ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Body Ingestion ◽  
Food Impaction

scholarly journals Foreign Body Ingestion: Rare Cause of Cervical Abscess

2014 ◽  
Vol 27 (6) ◽  
pp. 743 ◽  
Author(s):  
Liliana Costa ◽  
João Larangeiro ◽  
Carla Pinto Moura ◽  
Margarida Santos
Keyword(s):  
Foreign Body ◽  
Rare Complication ◽  
Flexible Endoscopy ◽  
Retropharyngeal Abscess ◽  
Foreign Body Ingestion ◽  
Deep Neck Infection ◽  
Diagnostic Challenge ◽  
Foreign Body Removal ◽  
Neck Infection ◽  
Rigid Esophagoscopy

<p><strong>Introduction:</strong> Foreign body ingestion is a frequent emergency occurrence. Serious complications, although rare, include pharyngooesophageal perforation, aorto-oesophageal fistula and deep neck infection.<br /><strong>Material and Methods:</strong> A retrospective review was performed of all cases of foreign body ingestion requiring hospitalization between 1989 and 2011, in a tertiary Hospital. Cases complicated by deep cervical abscess were selected and their clinical presentation, results of diagnostic exams, therapeutics and clinical evolution are presented.<br /><strong>Results: </strong>Among a total of 1679 cases, 319 were related to pediatric patients and 1360 to adults. Two cases were reported (0.12%): an adult, 41 years-old, with parapharyngeal abscess subsequent to fishbone ingestion, and a child, 13 months-old, with retropharyngeal abscess consequent to chicken bone ingestion. Complications appeared three and four days after foreign body removal, respectively. In both situations cervical computerized tomography scan with contrast and surgical drainage were accomplished; the child was also submitted to rigid esophagoscopy for residual foreign body removal and closure of the associated pharyngeal laceration.<br /><strong>Discussion:</strong> Deep cervical abscesses are an uncommon but possible complication of foreign body ingestion and constitute a diagnostic challenge, particularly in children. Previous oesophageal manipulation by flexible endoscopy may be considered a risk factor for such complication. Imagiological studies proved to be crucial for diagnosis and therapeutic planning.<br /><strong>Conclusion:</strong> Although a rare complication, given a recent history of foreign body ingestion/removal and the presence of compatible symptoms, cervical abscesses should be taken into account, highlighting their potential morbimortality in the absence of an appropriate therapeutic approach.<br /><strong>Keywords:</strong> Foreign Body; Abscess; Esophagoscopy; Neck.</p>

scholarly journals Foreign Body Ingestion in Children: Urgency of Management

2019 ◽  
Vol 43 (2) ◽  
pp. 106-112
Author(s):  
Md Wahiduzzaman Mazumder ◽  
ASM Bazlul Karim ◽  
Md Rukunuzzaman ◽  
Fahmida Begum ◽  
Khan Lamia Nahid
Keyword(s):  
Foreign Body ◽  
Child Health ◽  
Physical Examination ◽  
Intestinal Obstruction ◽  
Clinical Management ◽  
Flexible Endoscopy ◽  
Medical Attention ◽  
Esophageal Foreign Body ◽  
Button Batteries ◽  
Careful History

The majority of foreign body ingestions occur in children between the ages of six months and three years. Most cases are brought to medical attention by their parents because the ingestion was witnessed or reported to them. Commonly ingested objects include coins, button batteries, toys, toy parts, magnets, safety pins, screws, marbles, bones, and food boluses. Many of the children are asymptomatic or have transient symptoms at the time of the ingestion. A careful history and physical examination are the keystones in diagnosing an esophageal foreign body and to the prevention of its complications. Imaging can be used to confirm the findings and to localize the site of the foreign body. Clinical management focuses on identifying and treating the cases at risk for complications, which depends on the location and type of foreign body. Timing of removal depends on nature of ingested object and signs & symptoms of the airway/intestinal obstruction. Flexible endoscopy for most foreign body extractions is preferred. Bangladesh J Child Health 2019; VOL 43 (2) :106-112

scholarly journals Overtubes and Foreign Bodies

1990 ◽  
Vol 4 (9) ◽  
pp. 599-602 ◽  
Author(s):  
Norman E Marcon
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
The Elderly ◽  
Flexible Endoscopy ◽  
X Rays ◽  
Glass Bottle ◽  
New Techniques ◽  
Foreign Body Removal ◽  
Gastrostomy Tubes ◽  
Button Batteries

The most common article ingested in adults is food or food products such as nuts, shells, pits and bones. Poorly chewed steak causing bolus obstruction occurs especially in the elderly, while coins are most common in the pediatric group. New techniques of flexible endoscopy have altered and improved management, decreasing the need for surgery. A foreign body in the esophagus mandates prompt removal to avoid perforation. At least 80% of foreign, bodies reaching the stomach pass spontaneously. Once the foreign body is beyond the distal duodenum, it should be followed with serial x-rays. Techniques of removal of meat, bones, shells, bezoars, glass, bottle tops, sharps, pencils, pens, wires, thermometers, gastrostomy tubes, obesity balloons, safety pins, razor blades, button batteries and cocaine packets are described. Complications related to foreign body removal are rare.

scholarly journals Tracheo-oesophageal fistula in a case of button battery ingestion: CT virtual bronchoscopy imaging

2019 ◽  
Vol 12 (5) ◽  
pp. e229418
Author(s):  
Sanika Sanjeev Agarwal ◽  
Devdas Sudhakar Shetty ◽  
Manisha Vishnu Joshi ◽  
Siddhant Uttam Manwar
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Paediatric Population ◽  
Foreign Body Ingestion ◽  
Virtual Bronchoscopy ◽  
Severe Injuries ◽  
Button Battery ◽  
Non Invasive ◽  
Pass Through ◽  
Button Batteries

Foreign body ingestion in paediatric population is a very common problem. Usually the foreign bodies pass through the gastrointestinal tract without any complications; however, certain foreign bodies like button batteries might cause severe injuries like tracheo-oesophageal fistula (TOF), oesophago-aortic fistula, perforation and mediastinitis, vocal cord paralysis and stenosis after suspected perforation. In our case, an infant developed a TOF following ingestion of button battery which was diagnosed with the help of CT virtual bronchoscopy. It also contributed to the decision making regarding suitable operative techniques. Thus, CT virtual bronchoscopy can help in the diagnosis and detection of any complications due to foreign body ingestion with the added advantage of being non-invasive.

scholarly journals Endoscopic management of foreign bodies in the upper gastrointestinal tract

2020 ◽  
Vol 7 (7) ◽  
pp. 2226
Author(s):  
Sandip Kumar S. Chaudhari ◽  
Sonalben M. Chaudhary
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Flexible Endoscopy ◽  
Foreign Body Ingestion ◽  
Definitive Treatment ◽  
Endoscopic Management ◽  
Food Bolus Impaction ◽  
Bolus Impaction ◽  
Upper Gastrointestinal

Background: Foreign body ingestion and food bolus impaction is a common clinical scenario and can present as an endoscopic emergency. Though majority of them pass spontaneously 10-20% require endoscopic intervention. Flexible endoscopy is recommended as therapeutic measure with minimal complications. The aim of our study is to present 5 years’ experience in dealing with foreign bodies in the upper gastrointestinal tract.Methods: Cases of foreign body ingestion admitted to department of general surgery from March 2015 to March 2020 were evaluated. The patients were reviewed with details on age, sex, type of FB, its location in gastrointestinal tract, treatment and outcome.Results: A total of 55 cases were studied. Age range was 1-85 years. Males were predominant 61.81%. Coins were found most commonly 63.6%. Esophagus was the commonest site of FB lodgement 70.9%. Upper esophagus being the most common 36.36%. Upper gastrointestinal flexible endoscopy was useful in retrieving FB in all the 55 cases. There were no complications throughout the study period.Conclusions: Flexible endoscopy should be used as definitive treatment and endoscopic treatment is safe and effective. 

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