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

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

scholarly journals Esophageal foreign bodies: Retrospective study in 203 cases

2010 ◽  
Vol 63 (3-4) ◽  
pp. 254-257 ◽  
Author(s):  
Goran Pudar ◽  
Ljiljana Vlaski
Keyword(s):  
Retrospective Study ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Structure Type ◽  
Animal Origin ◽  
Age Group ◽  
Rigid Esophagoscopy ◽  
Male Patients ◽  
Esophageal Foreign Bodies ◽  
Group 1

Introduction A retrospective study of Rigid Esophagoscopy, with the suspect of foreign body, was performed in General Hospital Zrenjanin 'Djordje Joanovic', at the Department of Otorhinolaryngology during the period of 1988 - 2007. Results and discussion The result of 517 esophagoscopies performed in the above period was 203 (39.26%) foreign bodies, with the average of 7,8 annually per 100.000 inhabitants. The patients age ranged from 1 to 91 years, (X = 48.98). Considering the gender, there were 95 male patients (46,79%), and 108 female patients (53.21%). The highest number of foreign bodies was found in the patients from the age group 60-69, (43/22.15%). According to the structure type of foreign bodies the most frequent were bones of animal origin (86/42.36%), followed by meat bolus (67/33%), metal coins (23/11.33%), and bodies of vegetable origin (14/6.89%). Metal coins were most frequently found in the age group 1-9. In regard to the level at which a foreign body was found (described in 157 cases, (77.30%)), 94 (59.87%) were found at the pharyngoesophageal junction, 58 (36.94%) were found in middle constriction of oesophagus, and in the area of diaphragmatic constriction and cardia there were 5 (3.18%) cases. The efficiency of removing foreign bodies by rigid esophagoscopy in the above mentioned sample was 99.01% (201/203). In 2 cases (0.99%), due to the impaction of foreign body, the patients were referred to the higher referent tertiary unit institution. Conclusion Foreign bodies represent a constant casuistics in Zrenjanin Municipality, dominantly connected to work of an otorhinolaryngologist on duty. Rigid esophagoscopy is safe and efficient diagnostic and therapeutic method.

scholarly journals Upper gastro intestinal foreign bodies in pediatrics patients

2015 ◽  
Vol 05 (04) ◽  
pp. 040-044
Author(s):  
Venkatesh M. Annigeri ◽  
Bahubali D. Gadgade ◽  
Rashmi V. Annigeri ◽  
Anil B. Halgeri
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Major Complication ◽  
Esophageal Disease ◽  
Age Group ◽  
Magill Forceps ◽  
Upper Digestive Tract ◽  
Flexible Esophagoscopy ◽  
A Prospective Study

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.

scholarly journals Multiple esophageal foreign bodies in an infant: a rare case of serious parental neglect

2016 ◽  
Vol 6 (3) ◽  
Author(s):  
Arunabha Chakravarti ◽  
Sunil Garg ◽  
Rahul Bhargava
Keyword(s):  
Foreign Body ◽  
Rare Case ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Parental Neglect ◽  
Rigid Esophagoscopy ◽  
The Family ◽  
History Of ◽  
Esophageal Foreign Bodies

A case of multiple esophageal foreign bodies, which were retrieved successfully by rigid esophagoscopy in a 1-year old child is being reported. There are few cases of multiple esophageal foreign bodies in children reported in the literature; this case was unique in presentation as there was no history of foreign body ingestion. This case also highlights the serious neglect present in our society towards children of lower socio-economic strata despite this child being the 1<sup>st</sup> child in the family.

scholarly journals Do Times until Treatment for Foreign Body Aspiration Relate to Complications?

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Walailak Tatsanakanjanakorn ◽  
Surapol Suetrong
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Delayed Diagnosis ◽  
Foreign Body Aspiration ◽  
University Hospital ◽  
Age Group ◽  
Common Site ◽  
Plant Seeds ◽  
The Right

Introduction. Foreign body aspiration is an emergency condition and may be fatal. Delayed diagnosis and treatment may be associated with complications. This study evaluated the association between time until treatment and complications due to foreign body aspiration.Methods. This study was a retrospective study conducted at Khon Kaen University Hospital, Thailand. We enrolled patients diagnosed with foreign body aspiration with evidence of foreign body detected using direct laryngobronchoscopy at any area from the larynx to the bronchus. Descriptive statistics were used to analyze the association of times of treatment with complications of foreign body aspiration.Results. During the study period, there were 43 patients that met the study criteria. The most common age group was 0–2 years. Plant seeds were the most common foreign bodies (41.9%), and the right main bronchus was the most common site (16 patients, 37.2%). There were 30 patients (69.8%) that experienced complications from foreign body aspiration. Pneumonia was the most common complication (14 patients, 32.6%). The retention time was not significantly associated with the presence of complications (pvalue: 0.366). Two patients (4.7%) died due to complete airway obstruction and prolonged hypoxia.Conclusion. Times until treatment were not significantly associated with complications from foreign body aspiration.

scholarly journals Esophageal foreign bodies in adults with different durations of time from ingestion to effective treatment

2017 ◽  
Vol 45 (4) ◽  
pp. 1386-1393 ◽  
Author(s):  
Xiaowen Zhang ◽  
Yan Jiang ◽  
Tao Fu ◽  
Xiaoheng Zhang ◽  
Na Li ◽  
...  
Keyword(s):  
Effective Treatment ◽  
Complication Rate ◽  
Medical Records ◽  
Foreign Bodies ◽  
Fish Bones ◽  
Rigid Esophagoscopy ◽  
Group A ◽  
Flexible Esophagoscopy ◽  
Group B ◽  
Esophageal Foreign Bodies

Objective This study was performed to identify the differences in clinical characteristics, operative methods, complications, and postoperative hospitalization stays for adults with esophageal foreign bodies with different durations of time from ingestion to effective treatment. Methods We retrospectively reviewed the medical records of 221 patients with a diagnosis of a foreign body in the esophagus, confirmed by rigid esophagoscopy, flexible esophagoscopy, or surgery. The differences between the two groups (Group A, ≤24 hours from ingestion to effective treatment; Group B, >24 hours from ingestion to effective treatment) were analyzed. Results Sharp foreign bodies comprised the majority of objects in the two groups, including jujube pits, bones (excluding fish bones), fish bones, dentures, and seafood shells. Foreign bodies located in the upper esophagus were more commonly observed in Group A than B. Significant differences were observed in the complication rate and length of postoperative hospitalization stays. Adults with esophageal foreign bodies had a high complication rate. Conclusions Rigid esophagoscopy can be used to remove sharp and bulky foreign bodies if more effective methods are unavailable. Effective treatment within 24 hours resulted in fewer complications and shorter postoperative hospitalization stays.

Use of Foley Catheter for Removal of Esophageal Foreign Bodies a Survey

1982 ◽  
Vol 91 (6) ◽  
pp. 599-601 ◽  
Author(s):  
W. Frederick McGuirt
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foley Catheter ◽  
Esophageal Disease ◽  
Negative Results ◽  
Trained Personnel ◽  
Barium Esophagogram ◽  
Esophageal Foreign Bodies

A survey was conducted among otolaryngologists, thoracic surgeons, pediatric surgeons and pediatric radiologists to determine the frequency of removal of esophageal foreign bodies with a Foley catheter. The 245 physicians responding reported 1,512 cases, 96% of which were treated with this technique by radiologists and pediatric surgeons. Although no deaths or serious complications were reported, the author warns that increasing use of this procedure by nonendoscopists carries the risk of serious complications unless certain safeguards are taken. These include trained personnel, use of fluoroscopy, a cooperative patient with a single, smooth, radiopaque foreign body lodged in the esophagus and a barium esophagogram with negative results for total obstruction and underlying esophageal disease.

Aerodigestive Tract Foreign Bodies in the Older Child and Adolescent

1996 ◽  
Vol 105 (4) ◽  
pp. 267-271 ◽  
Author(s):  
Paul S. Lemberg ◽  
David H. Darrow ◽  
Lauren D. Holinger
Keyword(s):  
Foreign Body ◽  
Children And Adolescents ◽  
Foreign Bodies ◽  
Distinct Group ◽  
Aerodigestive Tract ◽  
Older Children ◽  
Patients At Risk ◽  
History Of ◽  
Group 5 ◽  
Esophageal Foreign Bodies

This study was undertaken in order to establish the incidence of aerodigestive tract foreign body accidents among older children and adolescents, and to investigate the circumstances surrounding these events. A review of patients treated over a 5-year period identified 367 children from whom aerodigestive tract foreign bodies were removed. Seventeen percent of these patients were 5 years of age or older. Among these children, 88% aspirated nonfood items, half of which were school supplies; 78% of the group 5 years old and under aspirated food items. Among older children with esophageal foreign bodies, 31 % had food impactions, compared with 7% in the younger group; 70% of these children had a history of some anatomic abnormality of the esophagus. These data suggest that older children and adolescents represent a distinct group of patients at risk for foreign body accidents. Pediatricians and parents of children in this age group should discourage the practice of using the oral cavity as a repository for school supplies, and should stress the need for adequate preparation and mastication of food, particularly among children with esophageal abnormalities.

scholarly journals Anesthesia for Removal of Foreign Bodies in Lower Respiratory Tracts in Souro Sanou University Hospital Center in Bobo-Dioulasso: About 46 Cases

2018 ◽  
Vol 5 (3) ◽  
pp. 3625-3629
Author(s):  
Barro SD ◽  
Tankoano A I ◽  
Ouedraogo RW-L ◽  
Guibla I
Keyword(s):  
Foreign Body ◽  
General Anesthesia ◽  
Foreign Bodies ◽  
Anesthetic Management ◽  
University Hospital ◽  
Foreign Body Extraction ◽  
Bobo Dioulasso ◽  
Consultation Time ◽  
Hospital Center

Introduction : The inhalation of foreign body is a common cause of respiratory distress in children. Anesthesia for this endoscopy represents a challenge for the anesthesiologist. Objective : To assess the anesthetic management of foreign body extraction of the lower respiratory tracts in a context of limited resources. Patients and methods : This is a retrospective study in descriptive aim, over 3 years from 1st January 2014 to 31st December 2016. It involved patients admitted for foreign bodies of the lower respiratory tracts in Resuscitation service and ENT in Souro Sanou University Hospital Center in Bobo-Dioulasso . Results : A total of 46 patients were hospitalized for foreign bodies of the lower respiratory tracts during the study period. The mean age of the patients was 2.6 years ± 8.23. Patients were predominantly male with 27 cases (58.70 %), a sex ratio of 1.42. The foreign bodies were of organic type in 82.60% of the cases, against 17.4 % of non organic. The location of foreign bodies was laryngeal in 03 cases (06.52%), tracheal in 06 cases (13.04%) and bronchial in 37 cases (80.43%). The average consultation time was 3.12 days ± 4.7. The circumstances of discovery were a notion of penetration syndrome in 69.57%, respiratory dyspnea in 91.30%, a queasy cough in 56.52% of cases and a chance discovery in 2.17% of cases. . The foreign bodies were radio-opaque in 17.39% of cases. Extraction of foreign bodies was performed under general anesthesia. In intraoperative operating room, incidents / accidents were noted in 23.91 %. Operative follow-up was simple in 82.60% of cases and complications were recorded in 15.21% of cases. Conclusion : Foreign bodies of the lower respiratory tracts remain a topical issue for the child. The therapeutic treatment is based on the realization of a Laryngo-tracheo-bronchial endoscopy, under general anesthesia by an experienced crew.

scholarly journals Hoarseness of Voice: Presentation of Neglected Denture Esophagus

2013 ◽  
Vol 3 (1) ◽  
pp. 30-32
Author(s):  
Sunil Kumar ◽  
Devendra Bahadur Singh
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Adult Population ◽  
Life Threatening ◽  
Pass Through ◽  
Esophageal Foreign Bodies

ABSTRACT Aspiration or ingestion of a foreign body is well-known in the pediatric as well as in the adult population. The majority of esophageal foreign bodies pass through the gastrointestinal tract without causing complications. However, large sharp foreign bodies like dentures and meat bones can get deeply embedded in the wall leading to life-threatening complications. We report a case of a neglected denture in a 55-year-old patient who presented with an unusual complaint as hoarseness of voice and was removed with the help of rigid esophagoscope. How to cite this article Kumar S, Singh DB. Hoarseness of Voice: Presentation of Neglected Denture Esophagus. Int J Prosthodont Restor Dent 2013;3(1):30-32.

scholarly journals Unusual Bronchial Foreign Bodies with Localized Bronchiectasis in Five Children

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Xi-Ling Wu ◽  
Lei Wu ◽  
Zhi-Min Chen
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Causal Relationship ◽  
Foreign Bodies ◽  
Foreign Body Aspiration ◽  
University Hospital ◽  
Body Retention ◽  
Age Range

Obstructive foreign bodies are uncommon causes of bronchiectasis in children, the causal relationship between foreign body aspiration and bronchiectasis remains unclear. We conducted a review of children who were diagnosed with bronchiectasis due to foreign body retention in a university hospital between 2014 and 2019. Five patents were studied (four boys, one girl; age range: 15 months to 13 years old). Computed tomography showed localized cylindrical bronchiectasis in all five patients. After removal of the foreign body by bronchoscopy, the prognoses were good. Patients with localized cylindrical bronchiectasis should be examined to exclude foreign body. As long as foreign body aspiration is diagnosed early and appropriately removed, the possibility of a lobectomy or even mortality is greatly reduced.

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