Characteristics Of Patient With Foreign Body Ingestion In Palembang

Abstract

Abstract
 Introduction. Foreign body ingestion is a common diagnosis that presents in emergency departments—coins as the oesophagal foreign body most commonly found in infants and children. Coins retained in the oesophagus require intervention to prevent complications. This study aimed to determine oesophagal coin foreign body patient's characteristic at Mohammad Hoesin General Hospital Palembang.
 Method. This study design was retrospective descriptive. Samples were all patient diagnosed with oesophagal coin foreign bodies which underwent Extraction with esophagoscopy guidance that was performed at Mohammad Hoesin General Hospital Palembang during January 2013 – August 2017.
 Result. Forty-three patients had diagnosed with oesophageal coin foreign bodies consist of 22 males and 21 females. The most frequent age was 4fouryears old. The most presenting symptoms are Globus sensation on the throat (79%) and odynophagia (51,1%). Radiologist confirmation was done in every patient with foreign coin bodies in oesophagus. All patients underwent oesophagoscopy. 65,1% of cases of foreign coin bodies were found in the second constriction of throat. Duration of stay in hospital was the range from 1- 4 days, with the most frequent, was two days. There was no complication found in all patients.
 Conclusion. Oesophagal coin foreign body is most commonly ingested in children. The most presenting symptom is globus sensation on the throat. There is no complication found in this study.

Foreign body ingestion in children attending Rapareen Teaching Hospital: a single-centre experience

“…As assumed, most children were around 1-5 years old, and a mean or median of 4 years was most frequently reported, as in the present study, because they are unable to predict the risks of swallowing such things [2,5,9,12,13]. The variations in age group and others may be explained by sample selection, as some studies included only toddlers, while others included respiratory inhalation in older patients.…”

“…In this study, 54 patients were included, and there was no significant gender predominance. This is true for most published articles; male patients were slightly more common, at 5-10%, than female patients [2,5,[9][10][11]. One study involving 1000 cases found male predomi-nance among toddlers compared to younger infants or older children [12].…”

“…A review of the medical reports of 165 children during a period of 5 years in Turkey revealed that only 34 (20.61%) had no symptoms, and they recruited those with ENT and respiratory manifestations [1]. Thirty-three patients presented within 24 h, even when asymptomatic, justified by evolving awareness about the hazards, especially button battery ingestion, and the availability of paediatric endoscopy in the paediatric teaching hospital; most papers share the same quick consultation response [1,5,11].…”

“…The most common foreign bodies swallowed are coins. It has been reported that foreign bodies are usually passed uneventfully in 80-90% of patients, while 10-20% of patients may require endoscopic intervention to remove them, and 1% may require operative extraction [5,6].…”