Oesophageal Foreign Bodies in Children

Foreign body ingestion is a common occurrence and carries significant morbidity and mortality. Failure to treat foreign bodies immediately can lead to various serious complications. This study was done to identify the types as well as site of foreign body ingested and its complication in children....

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Main Authors: Prakash Adhakari, P Adhikari, CL Bhusal, RPS Guragain
Format: Article
Language:English
Published: Nepal Medical Association 2008-10-01
Series:Journal of Nepal Medical Association
Online Access:http://jnma.com.np/jnma/index.php/jnma/article/view/154
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spelling doaj-432847d4af2c425cab8214ae312471be2020-11-25T01:33:12ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2008-10-014717210.31729/jnma.154Oesophageal Foreign Bodies in ChildrenPrakash Adhakari0P Adhikari1CL Bhusal2RPS Guragain3Department of ENT and Head and Neck Surgery, TU Teaching Hospital, KathmanduDepartment of ENT and Head and Neck Surgery, TU Teaching Hospital, KathmanduDepartment of ENT and Head and Neck Surgery, TU Teaching Hospital, KathmanduDepartment of ENT and Head and Neck Surgery, TU Teaching Hospital, Kathmandu Foreign body ingestion is a common occurrence and carries significant morbidity and mortality. Failure to treat foreign bodies immediately can lead to various serious complications. This study was done to identify the types as well as site of foreign body ingested and its complication in children. A retrospective study of 122 cases of suspected foreign body ingestion in patients admitted in ENT and Head and Neck Surgery of TU Teaching Hospital, Kathmandu were done in between April 2004 to July 2008. Ages less than 12 years were included. In all cases x-ray soft tissue neck lateral and chest x-ray posterio-anterior views were done along with other preoperative investigations. Rigid oesophagoscopy or hypopharyngoscopy were done under general anesthesia to remove foreign bodies. There were 64.7% male and 35.3% female children. Foreign bodies were common in 0-4 year age group. Most common foreign body were coin (64.0%) followed by meat bone (14.0%). No foreign bodies were found in 2.4% patients as they were passed in stomach. No complications were noted during the entire period of this study. Most common foreign bodies in children are coin. Though complications with these foreign bodies are rare, these do occur due to delay in presentation and removal. No complications were noted in our series. Eventhough children who swallow foreign bodies are asymptomatic; we must maintain a high index of suspicion and undergo diagnostic procedure, if there is a positive history. Key words: foreign bodies, oesophagus, rigid oesophagoscopy http://jnma.com.np/jnma/index.php/jnma/article/view/154
collection DOAJ
language English
format Article
sources DOAJ
author Prakash Adhakari
P Adhikari
CL Bhusal
RPS Guragain
spellingShingle Prakash Adhakari
P Adhikari
CL Bhusal
RPS Guragain
Oesophageal Foreign Bodies in Children
Journal of Nepal Medical Association
author_facet Prakash Adhakari
P Adhikari
CL Bhusal
RPS Guragain
author_sort Prakash Adhakari
title Oesophageal Foreign Bodies in Children
title_short Oesophageal Foreign Bodies in Children
title_full Oesophageal Foreign Bodies in Children
title_fullStr Oesophageal Foreign Bodies in Children
title_full_unstemmed Oesophageal Foreign Bodies in Children
title_sort oesophageal foreign bodies in children
publisher Nepal Medical Association
series Journal of Nepal Medical Association
issn 0028-2715
1815-672X
publishDate 2008-10-01
description Foreign body ingestion is a common occurrence and carries significant morbidity and mortality. Failure to treat foreign bodies immediately can lead to various serious complications. This study was done to identify the types as well as site of foreign body ingested and its complication in children. A retrospective study of 122 cases of suspected foreign body ingestion in patients admitted in ENT and Head and Neck Surgery of TU Teaching Hospital, Kathmandu were done in between April 2004 to July 2008. Ages less than 12 years were included. In all cases x-ray soft tissue neck lateral and chest x-ray posterio-anterior views were done along with other preoperative investigations. Rigid oesophagoscopy or hypopharyngoscopy were done under general anesthesia to remove foreign bodies. There were 64.7% male and 35.3% female children. Foreign bodies were common in 0-4 year age group. Most common foreign body were coin (64.0%) followed by meat bone (14.0%). No foreign bodies were found in 2.4% patients as they were passed in stomach. No complications were noted during the entire period of this study. Most common foreign bodies in children are coin. Though complications with these foreign bodies are rare, these do occur due to delay in presentation and removal. No complications were noted in our series. Eventhough children who swallow foreign bodies are asymptomatic; we must maintain a high index of suspicion and undergo diagnostic procedure, if there is a positive history. Key words: foreign bodies, oesophagus, rigid oesophagoscopy
url http://jnma.com.np/jnma/index.php/jnma/article/view/154
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