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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The management of ingested foreign bodies in children — A review of 663 cases
European Journal of Emergency Medicine, Volume 2, No. 2, Year 1995
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Description
Over a 3-year period, 663 children aged under 13 years were seen with a history of foreign body (FB) ingestion. Seventy-six per cent of the children were less than 6 years old. Coins and chicken or fish bones were the most common objects ingested. In 27 (4%) children, the FB had been expelled or removed before arrival, and in a further 133 (20%), no FB could be identified. Three patients required emergency airway management. Less than 50% of the children presenting with dysphagia or vomiting had identifiable FBs lodged in the oropharynx or proximal oesophagus, whilst 22% of the children with FBs requiring removal from these sites were asymptomatic. Oesophageal FBs were removed under direct vision (six cases), by rigid oesophagoscopy under general anaesthetic (77 cases), or using a balloon catheter under sedation (26 cases). All 224 FBs detected in the stomach or beyond were allowed to pass naturally, and delayed passage occurred in only one case. Passage of 11 alkaline disc batteries occurred without complication. No patient required surgical removal of an FB. © 1995 Chapman & Hall.
Authors & Co-Authors
Panieri, Eugenio
South Africa, Rondebosch
Institute of Child Health, Rondebosch
Bass, David H.
South Africa, Rondebosch
Institute of Child Health, Rondebosch
Statistics
Citations: 134
Authors: 2
Affiliations: 1
Identifiers
Doi:
10.1097/00063110-199506000-00005
ISSN:
09699546
e-ISSN:
14735695
Research Areas
Health System And Policy
Maternal And Child Health