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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Gastroenterol+Res+Pract
2016 ; 2016
(ä): 1982567
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English Wikipedia
Foreign Bodies Ingestion in Children: Experience of 61 Cases in a Pediatric
Gastroenterology Unit from Romania
#MMPMID26949384
Diaconescu S
; Gimiga N
; Sarbu I
; Stefanescu G
; Olaru C
; Ioniuc I
; Ciongradi I
; Burlea M
Gastroenterol Res Pract
2016[]; 2016
(ä): 1982567
PMID26949384
show ga
The ingestion of foreign bodies is a worldwide pediatric pathology. We assessed
the clinical, endoscopic, and therapeutic aspects of this condition in a
pediatric gastroenterology unit. We reviewed 61 patients (median age of 3.25 ±
4.7 years). The most frequently ingested objects were coins (26.23%),
unidentified metal objects (13.11%), bones (8.19%), batteries, and buttons
(6.55%). The clinical features we encountered included abdominal pain (55.73%),
vomiting (34.42%), and asymptomatic children (29.5%). Routine X-ray examination
enabled finding the foreign body in 42 of the cases. An
esophagogastroduodenoscopy was performed within 24-72 hours. 25 cases resulted in
a negative endoscopy (40.98%), 19 objects (31.14%) were removed using a
polypectomy snare, and extraction failure occurred in 17 patients (27.86%). 28
foreign bodies were passed without incidents; in 14 cases, the swallowed objects
were never found. In one case, a battery was stuck in the esophageal folds and
led to tracheal-esophageal fistula and bronchopneumonia and later to esophageal
stenosis. We report a large proportion of foreign bodies that could not be
identified or removed due to lack of early endoscopy and poor technical settings.
Batteries and sharp objects lead to severe complications and preschool-age
children are at high risk for such events.