scholarly journals PECULIARITIES OF DIAGNOSIS AND TREATMENT OF THE ESOPHAGEAL FOREIGN BODIES (COINS) IN CHILDREN – CLINICOSTATISTICAL STUDY

2015 ◽  
Vol 64 (3) ◽  
pp. 272-276
Author(s):  
Corneliu Toader ◽  
◽  
Miorita Toader ◽  
Iolanda Cristina Vivisenco ◽  
◽  
...  
Keyword(s):  
Retrospective Study ◽  
Foreign Bodies ◽  
Statistical Study ◽  
Average Length ◽  
X Ray ◽  
Rigid Endoscopy ◽  
Average Length Of Stay ◽  
Study Results ◽  
Esophageal Foreign Bodies

Objective. The authors performed a clinical and statistical study on cases of esophageal foreign bodies, with particular reference to ingested coins, admitted and treated in the ENT Department of the “Grigore Alexandrescu” Emergency Hospital for Children, between 01.01.2006 – 01.08.2007. Method and materials. A retrospective study, involving the interpretation and corroboration of the clinical and paraclinical findings of each case study. Results. Of all cases of foreign bodies, coins held the highest percentage; the average length of stay in hospital was 2 days; there were no cases of major complications (esophageal perforation, bleeding by intercepting a large vessel, mediastinitis); were also recorded particular cases that required special attention. Conclusion. All cases were approached and resolved by rigid endoscopy; shortening the time elapsed before presenting to ENT specialist facilitates the therapeutic approach, dramatically lowering the risk of complications; X-ray examination, although essential, can sometimes provide incomplete information, the diagnosis certainty being ensured only by endoscopy.

scholarly journals Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Beata Rybojad ◽  
Grazyna Niedzielska ◽  
Artur Niedzielski ◽  
Ewa Rudnicka-Drozak ◽  
Pawel Rybojad
Keyword(s):  
Retrospective Study ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Clinical Symptoms ◽  
X Rays ◽  
Chi Square ◽  
X Ray ◽  
Rigid Esophagoscopy ◽  
Plain Chest ◽  
Esophageal Foreign Bodies

We discuss clinical symptoms and radiological findings of variable esophageal foreign bodies as well as therapeutic procedures in Caucasian pediatric patients. A retrospective study of 192 cases of suspected esophageal foreign bodies between 1998 and 2010 was conducted. Data were statistically analyzed by chi-square test. A foreign body was removed from a digestive tract of 163 children aged 6 months to 15 years (mean age 4.9). Most objects were located within cricopharyngeal sphincter. Dysphagia occurred in 43%, followed by vomiting (29%) and drooling (28%). The most common objects were coins. Plain chest X-rays demonstrated aberrations in 132 cases, and in doubtful situations an esophagram test was ordered. In the group of thirty-seven patients whose radiograms were normal, esophagoscopy revealed fifteen more objects, which were eventually successfully removed. No major complications occurred. Esophagram should be a second X-ray examination if an object is not detected in plain chest X-ray. We recommend a rigid esophagoscopy under general anesthesia in doubtful cases as a safe treatment for pediatric patients.

Total Population Estimate of Newborn Special-Care Bed Needs

PEDIATRICS ◽  
1985 ◽  
Vol 75 (6) ◽  
pp. 993-996
Author(s):  
August L. Jung ◽  
Nan Sherman Streeter
Keyword(s):  
Length Of Stay ◽  
Total Population ◽  
Average Length ◽  
Special Care ◽  
Care Hospital ◽  
Total Hospital ◽  
Live Births ◽  
Average Length Of Stay ◽  
Study Results ◽  
Hospital Days

In 1977, 7% of the 38,855 infants born in Utah were estimated to have required a total of 27,439 special-care hospital days. About half (53%) were mildly ill; their average length of stay was 4.6 days, or 24% of the total hospital-days. Another 20% of the infants had intermediate illness, with a 12-day average stay, or 23% of the total hospital-days. The remaining 27% of the infants required intensive care and used 53% of the total hospital-days; their average length of stay was 20 days. As a total population, the state's 38,855 births generated a need for two beds per 1,000 annual live births in special-care facilities. The estimated bed need was: mild illness (Level I), 0.5 beds per 1,000 annual live births; intermediate illness (Level II), 0.5 beds per 1,000 annual live births; and intense illness (Level III), one bed per 1,000 annual live births. Results are based on the assumption that nonstudy births, 30% of the total, have needs proportionate to study births. The following considerations are necessary to extrapolate these bed needs to other populations: (1) convalescence of intensely ill babies may require that up to 50% of their bed needs may be shifted to intermediate care; (2) compliance with criteria for transport to the next level of care may not be 100% as assumed in the study, thus redistributing bed needs; (3) census characteristically fluctuates in special-care nurseries (study results are reported for an unchanging daily census); and (4) the low birth rate of a population is intimately related to the bed needs.

scholarly journals Esophageal Foreign Bodies: Report of Three Unusual Cases with Interesting Scenario

2014 ◽  
Vol 6 (3) ◽  
pp. 106-108
Author(s):  
JC Passey ◽  
Shilpi Dabas ◽  
Nikhil Arora ◽  
Kirti Jain
Keyword(s):  
Case Report ◽  
Foreign Bodies ◽  
Previous Literature ◽  
Rigid Endoscopy ◽  
Esophageal Foreign Bodies

ABSTRACT We are reporting three cases of unusual foreign bodies of the esophagus along with the unusual scenario in which they were ingested. The objective of the case report is to add to the list of foreign bodies in the previous literature with increasing awareness of otolaryngologists about them and emphasizing the role of rigid endoscopy for safe removal of foreign bodies from the esophagus. How to cite this article Arora N, Jain K, Passey JC, MalhotraV, Dabas S. Esophageal Foreign Bodies: Report of Three Unusual Cases with Interesting Scenario. Int J Otorhinolaryngol Clin 2014;6(3):106-108.

A Thirty-Year Retrospective Study of Hospitalization among Severely Mentally III Patients

1994 ◽  
Vol 39 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Céline Mercier ◽  
Claude Renaud ◽  
Suzanne King
Keyword(s):  
Retrospective Study ◽  
Length Of Stay ◽  
Psychiatric Hospitalization ◽  
Average Length ◽  
Process Of Change ◽  
Average Length Of Stay ◽  
Hospitalization Rates ◽  
Disabled Patients ◽  
One Year

This study examines the effects of deinstitutionalization policies on psychiatric hospitalization rates over a thirty-year period. It is based on a retrospective study of successive hospitalizations in severely disabled patients. The data indicate that in any five-year period these patients still spend over 20% of their time in hospital. For patients who have stayed for a total of more than one year every five years in hospital, the average length of stay has been decreasing far less rapidly in the last fifteen years than it had previously. Patients who were first admitted after 1971 spent proportionally as much time in hospital as those whose first stay was earlier. These results show that the groups primarily affected by deinstitutionalization are those who were first hospitalized prior to the 1970s and those who are the heaviest hospital users. However, the data from the patients admitted since the seventies seem to reveal that the process of change may have reached its limits.

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 A complication during endoscopic removal of a long esophageal foreign body in an eight-month-old girl

2018 ◽  
Vol 146 (7-8) ◽  
pp. 433-435
Author(s):  
Zlatko Djuric ◽  
Dragoljub Zivanovic
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Acute Onset ◽  
Endoscopic Removal ◽  
Esophageal Foreign Body ◽  
X Ray ◽  
Magill Forceps ◽  
Polypectomy Snare ◽  
Delayed Complications ◽  
Esophageal Foreign Bodies

Introduction. Esophageal foreign bodies can cause a wide array of acute and delayed complications. The aim of this paper was to report a complication during endoscopic removal of a long esophageal foreign body. Case outline. An eight-month-old girl was admitted to our hospital due to an acute onset of dysphagia, drooling, and vomiting. From the result of a plain anteroposterior X-ray, the patient was found to have a long hairpin retained in her esophagus. During endoscopic removal using a polypectomy snare, the hairpin was found to be stuck in the hypopharynx. It could not be removed by moving the scope and placing the patient in different positions. Finally, the hairpin was pulled out using a pair of Magill forceps under the control of a laryngoscope. Conclusion. The Magill forceps can be a very useful tool if a foreign body is stuck in the hypopharynx during an endoscopic removal and should be readily available in any setting where this kind of endoscopic procedure is being performed.

scholarly journals The Use of a Soft Gel Capsule as a Medium for Modified Barium Esophagogram in Detecting Esophageal Foreign Body

2015 ◽  
Vol 30 (1) ◽  
pp. 59-62
Author(s):  
Philip Jan P. Arenga ◽  
Joebert M. Villanueva
Keyword(s):  
Foreign Body ◽  
Barium Sulfate ◽  
Foreign Bodies ◽  
Esophageal Foreign Body ◽  
Convenience Sample ◽  
X Ray ◽  
Diagnostic Test Assessment ◽  
Radiolucent Foreign Body ◽  
Barium Esophagogram ◽  
Esophageal Foreign Bodies

Objective:       To test a soft gel capsule with barium sulfate as a medium for modified barium esophagogram in detecting esophageal foreign body. Methods: Study Design:             Preliminary Diagnostic Test Assessment; Consecutive Convenience Sample Setting:                       Tertiary Government Hospital Participants, Patients or Population: Soft gel capsule with barium sulfate was pilot tested on patients with a history and diagnosis of radiolucent foreign body ingestion between June 1 and November 30, 2014. Results: Seven patients (6 males, 1 female; aged 26 – 61 years) underwent the procedure. In all seven, the enhanced capsule immediately stopped above the level of the esophageal foreign body, easily identifying the exact location of the obstruction. Foreign bodies included 1 embryonated duck-egg white “balut”, 5 chunks of pork meat and 1 claspless denture.  All were successfully marked by the capsule on fluoroscopy and documented on X-ray. Esophagoscopy under general anesthesia was successfully performed after fluoroscopy in all patients. Conclusion:    We were able to improvise a new medium for use in modified barium esophagograms that was easy to prepare and that rendered good radiographic imaging and localization of radiolucent foreign bodies. A randomized trial in comparison to the prevailing test may confirm our findings further. Meanwhile, we recommend exploring the procedure in other hospitals as an alternative to barium-soaked cotton in the diagnosis of radiolucent esophageal foreign bodies Keywords: soft gel capsule, barium suphate, esophagogram, esophageal foreign body

scholarly journals Diagnosis and treatment of esophageal foregin bodies in children

2016 ◽  
Vol 63 (1) ◽  
pp. 76-80
Author(s):  
Corneliu Toader ◽  
◽  
Alina Oprea ◽  
Olivia Ştefan ◽  
Vasile Valeriu Lupu ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Foreign Bodies ◽  
Pediatric Population ◽  
Great Majority ◽  
Diagnosis And Treatment ◽  
Common Finding ◽  
Clinical Hospital ◽  
Esophageal Strictures ◽  
Esophageal Foreign Bodies

Esophageal foregin bodies are a common finding in the pediatric population. Even though the great majority passes spontaneously, a small part of them can stop at different esophageal levels resulting in occlusions which could complicate with perforations. In 75% of cases, esophageal foreign bodies stop at the anatomical esophageal strictures. The authors present an observational retrospective study performed on a cohort of 49 children who have been hospitalized for esophageal foreign bodies on the ENT Department of Grigore Alexandrescu Emergency Clinical Hospital for Children, during January 2012 and December 2013. The cohort was formed of 22 girls and 27 boys with age ranging from 9 months to 17 years. The main foreign bodies identified were coins and food.

scholarly journals Describing Serbian Hospital Activity Using Australian Refined Diagnosis Related Groups: A Case Study in Vojvodina Province

2019 ◽  
Vol 59 (1) ◽  
pp. 18-26
Author(s):  
Aleksandar P Medarevic
Keyword(s):  
Length Of Stay ◽  
Average Length ◽  
Diagnosis Related Groups ◽  
Diagnostic Category ◽  
Percentile Method ◽  
Average Length Of Stay ◽  
Medical Groups ◽  
Group Homogeneity ◽  
Major Diagnostic Category

Abstract Introduction AR-DRG system for classification hospital episodes was implemented in Serbia to improve efficiency and transparency in the health system. Methods L3H3, IQR, and 10th–95th percentile methods were used to identify outlier episodes in the classification. Classification efficiency and within-group homogeneity were measured by an adjusted reduction in variance (R2) and a coefficient of variation (CV). Results There were 246,131 hospital episodes with a total 1,651,913 bed days from 14 hospitals. All episodes were classified into 652 groups of which 441 had CV lower than 100%. “Medical groups” accounted for 51% of groups and for 72% of episodes. Chemotherapy and vaginal delivery were the highest volume groups, with 5% and 4% of total episodes. Major diagnostic category 6 (MDC 6, Diseases of the digestive system) was the highest volume MDC, accounting for 11% of episodes. “Day-cases” and “prolonged hospitalisation” accounted for 21% and 3% of episodes, respectively. The average length of stay varied from 5.6 to 8.2 days. Adjusted R2 was 0.3 for untrimmed data. Trimming by L3H3, IQR, and 10th–95th percentile method improved the value of adjusted R2 to 0.61, 0.49, and 0.51, identifying 24%, 7%, and 7% of total cases as outliers, respectively. Mental diseases (MDC 19) remained the lowest adjusted R2 in untrimmed and trimmed datasets. Conclusion A long length of stay and a small percentage of “day-cases” characterized hospital activity in Vojvodina. Trimming methods significantly improved DRG efficiency. Future studies should consider cost data.

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