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 Esophageal foreign body removal using endoscopy in cat

2020 ◽  
Vol 4 (2) ◽  
pp. 21-22
Author(s):  
Sitaria Fransiska Siallagan ◽  
Herawati Napitu ◽  
Arni Diana Fitri ◽  
Nindya Dwi Utami ◽  
Soenarti D. Waspada ◽  
...  
Keyword(s):  
Veterinary Medicine ◽  
Foreign Body ◽  
Physical Examination ◽  
General Anesthesia ◽  
Clinical Symptom ◽  
Esophageal Wall ◽  
Esophageal Foreign Body ◽  
Foreign Body Removal ◽  
Esophageal Lumen ◽  
Sewing Thread

A 10-months-old cross long hair cat named Casper with clinical symptom of vomiting mixed with slimy cat feed was referred to Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Bogor Agricultural University to endoscopy examination and therapy. The owner believed that Casper ate a 5 cm long sewing needle a few days earlier. The history and physical examination were examined at DNA Clinic with symptoms of lack of appetite and becoming quieter and calmer. Radiogram showed the needle was in thorax area with a vertical needle penetrating the esophageal wall. Removal of the needle and observation of the esophagus area were done using endoscopy under general anesthesia. Using endoscopy, it was known that the needle was swallowed along with the sewing thread with position of all needles penetrating the esophagus wall and leaving a small amount of thread on the lumen. The needle was pulled back to the esophageal lumen by pulling the remaining thread and then both needle and the thread were pulled back out using an alligator grasping forceps that used through working channel. Therapy given after endoscopy was antibiotics and anti-emetics.

scholarly journals Respiratory Distress Secondary to Esophageal Foreign Body. A Case Report

2006 ◽  
Vol 6 ◽  
pp. 16-19 ◽  
Author(s):  
Jacob Urkin ◽  
Yair Bar-David
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Respiratory Distress ◽  
Preventive Measure ◽  
Rapid Diagnosis ◽  
Healthcare Personnel ◽  
Medical Attention ◽  
Foreign Object ◽  
Esophageal Foreign Body ◽  
Ingested Foreign Body

The ingestion or aspiration of a foreign body is a common, but preventable occurrence in childhood. Primary healthcare personnel should alert parents to the risk of swallowing a foreign object, the signs and the need for immediate medical attention. It should be emphasized that protecting children from access to objects that can be swallowed or aspirated is the best preventive measure. A case of an eight year old child, who had swallowed a marble ball is presented and the symptoms and intervention discussed. Medical staff should be aware of the symptomatic variation in ingested foreign body presentation and the importance of rapid diagnosis and management.

scholarly journals Removal of Foreign Body (Glass of Mirror) in Esophagus with Direct Laryngoscope

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Fachzi Fitri ◽  
Deni Amri
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
Mental Disorder ◽  
Foreign Bodies ◽  
Radiological Finding ◽  
Esophageal Foreign Body ◽  
Direct Laryngoscope ◽  
Choice Of Treatment ◽  
Foreign Body Extraction ◽  
Ingested Foreign Body

AbstractLiterature contains fewer reports discussing the use of direct laryngoscope in esophageal foreign body extraction. Foreign bodies in esophagus was diagnosed based on anamnesis, physical examination, radiological finding. The choice of treatment influenced by many factors, such as the patient’s age and clinical condition, the size and shape of the ingested foreign body, the anatomic location and the skills of the physician. A case of impacted glass of mirror in esophagus and mental disorder in a 38 years old male was reported, which had been perfomed direct laryngoscope and an extraction with Magill forcep.Keywords: Foreign body, glass of mirror, direct laryngoscope, Magill forcepAbstrakSedikit sekali kepustakaan yang membahas mengenai penggunaan laringoskopi langsung pada pengangkatan benda asing esofagus. Benda asing esofagus didiagnosis berdasarkan anamnesis, pemeriksaan fisik, radiologi. Pilihan penatalaksanaan dipengaruhi oleh usia pasien dan kondisi klinis, ukuran dan bentuk benda asing, lokasi anatomi dan kemampuan dokter.Dilaporkan satu kasus kaca cermin di esofagus pada laki-laki usia 38 tahun dengan gangguan mental, yang telah dilakukan laringoskopi langsung dan ekstraksi dengan forsep Magill.Kata kunci: Benda asing, kaca cermin, laringoskopi langsung, Forsep Magill

scholarly journals FOREIGN BODY IN THE DIGESTIVE TRACT (ESOPHAGUS) CASE STUDY

2021 ◽  
Author(s):  
NINO SANODZE ◽  
NANO SHVANGIRADZE
Keyword(s):  
At Risk ◽  
Foreign Body ◽  
Digestive Tract ◽  
Clinical Management ◽  
Repeated Administration ◽  
The Body ◽  
Medical Attention

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 a child's caregivers following a witnessed or reported ingestion. Many of the children are asymptomatic or have transient symptoms at the time of the ingestion. Clinical management focuses on identifying and treating the cases at risk for complications, which depend on the location and type of foreign body. A battery lodged in the esophagus should be removed urgently. There was not recommended to take anything orally when swallowing a battery according to these guidelines until the body has been radiographically determined and removed endoscopically. Recent studies using natural and artificial models of batteries in the esophagus of animals have shown that early and repeated administration of honey or sucralfate before removal may reduce the degree of esophageal burns.

scholarly journals Management of Esophageal Foreign Body Using Endoscopic Approach: an Experience from Kathmandu Medical College Teaching Hospital

2018 ◽  
Vol 6 (4) ◽  
pp. 136-139
Author(s):  
Diva Shrestha
Keyword(s):  
Foreign Body ◽  
Teaching Hospital ◽  
Age Groups ◽  
College Teaching ◽  
Endoscopic Approach ◽  
Medical Attention ◽  
Management Approach ◽  
Endoscopic Removal ◽  
Esophageal Foreign Body ◽  
Medical College

Background: Esophageal foreign body is a common otolaryngological emergency encountered in clinical practice. The cases with esophageal foreign body need prompt medical attention and appropriate endoscopic or surgical intervention. The type of foreign body varies in different age groups and the level of impaction also varies accordingly. The foreign body in upper esophagus can be removed with safer and easier non-surgical techniques.Objectives: The objective of this study was to determine the demography, management approach and outcome of esophageal foreign body cases presented to Kathmandu Medical College Teaching Hospital.Methodology: This is a prospective study conducted in Kathmandu Medical College Teaching Hospital. The data was collected from the medical records of cases that presented to Kathmandu Medical College Teaching Hospital with clinical diagnosis of esophageal foreign body from July 2013 to July 2017.Results: Out of 101 cases of esophageal foreign body, there were 57% cases of chicken bone, followed by 17% mutton bone and 12% meat bolus. Among all, 71% cases had endoscopic removal of foreign body within six hours of presentation and 29% had endoscopic removal of foreign body between six to twelve hours. The most common age group was fifth decade of life. One patient had post-operative mediastinitis.Conclusion: The endoscopic approach is the mainstay of management in foreign body esophagus and timely management leads to successful outcome.Journal of Kathmandu Medical College, Vol. 6, No. 4, Issue 22, Oct.-Dec., 2017, Page: 136-139

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.

Analysis of 334 Cases of Pediatric Esophageal Foreign Body Removal Suggests that Traditional Methods Have Similar Outcomes Whereas a Magnetic Tip Orogastric Tube Appears to be an Effective, Efficient, and Safe Technique for Disc Battery Removal

2018 ◽  
Vol 84 (7) ◽  
pp. 1152-1158 ◽  
Author(s):  
P. Benson Ham ◽  
Mark A. Ellis ◽  
Erika L. Simmerman ◽  
Nathaniel J. Walsh ◽  
Alykhan Lalani ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Flexible Endoscopy ◽  
Success Rates ◽  
Esophageal Foreign Body ◽  
Traditional Methods ◽  
Foreign Body Removal ◽  
Orogastric Tube ◽  
Rigid Esophagoscopy ◽  
Procedural Time

Procedures and outcomes for pediatric esophageal foreign body removal were analyzed. Traditional methods of battery removal were compared with a magnetic tip orogastric tube (MtOGT). A single institution retrospective review from 1997 to 2014 of pediatric patients with esophageal foreign bodies was performed. Balloon extraction with fluoroscopy (performed in 173 patients with 91% success), flexible endoscopy (92% success in 102 patients), and rigid esophagoscopy (95% in 38 patients) had excellent success rates. A MtOGT had 100 per cent success in six disc battery patients, when other methods were more likely to fail, and was the fastest. Power analysis suggested 20 patients in the MtOGT group would be needed for significant savings in procedural time. Thirty-two per cent of all foreign bodies and 95 per cent of batteries had complications (P = 0.002) because of the foreign body. Overall, 1.2 per cent had severe complications, whereas 10 per cent of batteries had severe complications (P = 0.04). Each technique if applied appropriately can be a reasonable option for esophageal foreign body removal. Magnetic tip orogastric tubes used to extract ferromagnetic objects like disc batteries had the shortest procedure time and highest success rate although it was not statistically significant. Disc batteries require emergent removal and have a significant complication rate.

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.

A new multisystem inflammatory syndrome temporally associated with SARS-CoV-2 in a 6-year-old boy

2020 ◽  
Vol 16 (3) ◽  
pp. 295-300
Author(s):  
Agnieszka Pawłowska-Kamieniak ◽  
◽  
Milena Wronecka ◽  
Natalia Panasiuk ◽  
Karolina Kasiak ◽  
...  
Keyword(s):  
Child Health ◽  
Physical Examination ◽  
Medical History ◽  
Royal College ◽  
New Disease ◽  
Imaging Findings ◽  
Inflammatory Syndrome ◽  
And Child Health

In December 2019, China reported cases of infections caused by a new zoonotic coronavirus, which gradually developed into a pandemic. The disease was initially believed to be mild in children. In April 2020, a possible relationship between a new paediatric multisystem inflammatory syndrome and SARS-CoV-2 was found. In May, the Royal College of Paediatrics and Child Health published the criteria for the diagnosis of this new disease. We present a case of a 6-year-old boy retrospectively diagnosed with SARS-CoV-2-related multisystem inflammatory syndrome based on medical history, physical examination, laboratory and imaging findings, as well as the available literature.

Pancytopenia: A Challenging Problem for Treating Physician

2018 ◽  
Vol 2 (01) ◽  
pp. 22-28
Author(s):  
Md. Rezaul Karim Chowdhury ◽  
Amina Begum ◽  
Md. Haroon Ur Rashid ◽  
Md. Kamrul Hasan
Keyword(s):  
Bone Marrow ◽  
Physical Examination ◽  
Blood Smear ◽  
Peripheral Blood Smear ◽  
Bone Marrow Examination ◽  
Challenging Problem ◽  
Trephine Biopsy ◽  
Life Threatening ◽  
Underlying Pathology ◽  
Careful History

Pancytopenia is an important clinico-haematological entity and striking feature of many serious and life-threatening illnesses. Many haematological and non-haematological diseases involve the bone marrow primarily or secondarily and cause pancytopenia. Decrease in haemopoietic cell production, ineffective haemopoiesis and peripheral sequestration or destruction of the cells are the main pathophysiology of pancytopenia. The cause of pancytopenia thus may be lying in the bone marrow or in the periphery or both. Careful history, physical examination, simple blood work, review of the peripheral blood smear, sometimes bone marrow examination and trephine biopsy are required for diagnosis. Treatment and prognosis depend on the severity of pancytopenia and underlying pathology.

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