Esophageal foreign bodies in children: diagnosis, treatment, and complications.

Macpherson, R. I.; Hill, Jeanne G.; Othersen, H. Biemann; Tagge, Edward P.; Smith, C. Daniel

doi:10.2214/ajr.166.4.8610574

Cited by 113 publications

(68 citation statements)

References 5 publications

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“…10 Even though a large number of them will also pass through the gastrointestinal tract once past the gastroesophageal junction; nevertheless it is preferable to observe them in the hospital for possible need for immediate abdominal exploration should bleeding or features of perforation occurs. 11 Two patients among hairpin group who were put on conservative treatment because of late presentation developed signs of peritonitis and computerized tomography scan abdomen showed pin outside intestines and free fluid in peritoneal cavity, were operated by midline abdominal incision.…”

Section: Discussionmentioning

confidence: 99%

Accidental ingestion of hairpins in adolescent Muslim girls while doing or undoing the headscarf

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Accidental ingestion of hairpins in adolescent Muslim girls while doing or undoing the headscarf

et al. 2015

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“…Most frequent lodgment site in our study was at cricopharyngeal muscle, which is in agreement with the literature. [11,12] Sharp items can lodge anywhere, and patients who have esophageal abnormalities such as TEFs are at risk of entrapment in atypical locations. Two of our follow-up cases of TEF presented with lodged peanuts.…”

Section: Discussionmentioning

confidence: 99%

Foreign bodies in digestive tract of children: A tertiary care hospital experience

Singh¹,

Dubey²,

Pandey³

et al. 2014

Int J Med Public Health

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Introduction: Foreign bodies in the digestive tract are an important cause of morbidity and mortality in paediatric age group and pose diagnostic and therapeutic challenges We performed this study to evaluate our experience of foreign bodies of digestive tract in children over a fi ve year period in a tertiary referral center. Patients and Method: A retrospective study was conducted over a 5-year period between April 2009 and March 2013. All patients who were managed for foreign body in digestive tract up to 12 years of age were included and analysis was performed from case record of patients. Results: Total 97 patients with FB in digestive tract were included in the study FB was most commonly lodged in Upper esophagus in 61 patients, middle esophagus in 12 cases lower third of esophagus in 14 cases and beyond gastro-oesophageal junction in 10 cases. The most common clinical presentations were dull pain. Coins were the most common type of foreign body in the esophagus accounting for 71.1% of patients. Plain neck and chest x-rays antero-posterior and lateral view was diagnostic in all cases, with all FB being opaque. Rigid oesophagoscopy and removal under general anesthesia was the main treatment modality performed in 63 (65.8%) and Magill forceps extraction was done in 20 cases. Conclusion: Foreign bodies in digestive tract of children are a common problem with diverse presentation. Disc battery ingestion is prone for complication and expedient removal is required & associated conditions can pose risk for lodgment of foreign bodies.

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“…The most frequent presenting symptoms of esophageal foreign bodies are gastrointestinal, including dysphagia, drooling, and vomiting. 3 Approximately half of the incidents are unwitnessed. In addition, there is often a relatively asymptomatic period after ingestion, before significant signs and symptoms appear.…”

Section: Discussionmentioning

confidence: 99%

Vocal Cord Paralysis Secondary to Impacted Esophageal Foreign Bodies in Young Children

Virgilis¹,

Weinberger²,

Fisher

et al. 2001

Pediatrics

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ABSTRACT. Impacted foreign bodies in the esophagus can result in respiratory symptoms including stridor and aphonia. Several mechanisms have been proposed to explain these symptoms, but the possibility of vocal cord paralysis and its cause has not been adequately emphasized.Two cases of young children with esophageal foreign body are described; both presented with respiratory symptoms, 1 with aphonia and the other with stridor. In both cases, the symptoms were secondary to vocal cord paralysis. A possible mechanism of recurrent nerve injury is proposed. Pediatrics 2001;107(6). URL: http:// www.pediatrics.org/cgi/content/full/107/6/e101; esophageal foreign body, vocal cord paralysis, recurrent nerve injury, respiratory symptoms. E sophageal foreign bodies are a common and potentially serious cause of morbidity and mortality in children. The common presenting symptoms of esophageal foreign bodies are excessive drooling, poor feeding, dysphagia, and vomiting. Occasionally, esophageal foreign bodies, particularly those with a long duration in the esophagus, may cause respiratory symptoms, such as cough, stridor, and wheezing.In this report we describe 2 cases of infants who had ingested foreign bodies that were impacted in the esophagus and whose presenting symptoms were primarily respiratory. In both cases, fiberoptic bronchoscopy revealed posterior budging of the trachea with vocal cord paralysis. CASE REPORTS Case 1A 7-month-old girl with an uneventful history was first admitted to another hospital with fever, stridor, barking cough, and dyspnea. She was diagnosed as having laryngotracheobronchitis and was treated with nebulized salbutamol and oral prednisone with improvement in her clinical condition. She was discharged from the hospital after 10 days. At home, she continued using nebulized salbutamol.She was brought to our institution 4 weeks later because of intermittent dyspnea, barking cough, nasal congestion, and most recently poor feeding and weight gain (failure to thrive). On presentation, she was awake, alert, and without respiratory distress, but she was aphonic. Arterial oxygen saturation was 93% in room air. Except for mild conjunctivitis and purulent rhinorrhea, the physical examination was unremarkable. A lateral neck radiograph revealed narrowing of the upper trachea. Flexible bronchoscopy (using fentanyl and midazolam for sedation and with the patient breathing spontaneously) revealed that the cords were situated in the paramedian position with a persistent glottic chink of ϳ2 mm. There was slight irregular movement of the left vocal cord and some inspiratory indrawing of both arytenoids. Two centimeters below the cords posterior extrinsic compression of the trachea was noted that reduced the lumen ϳ90%. Barium esophagram revealed an occult foreign body within a dilated upper third of the esophagus and associated circumferential narrowing of the airway (Fig 1). Rigid esophagoscopy revealed polypoid tissue above the aortic arch. Half of a nutshell enveloped by fibrin was removed. After the procedu...

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Esophageal foreign bodies in children: diagnosis, treatment, and complications.

Cited by 113 publications

References 5 publications

Accidental ingestion of hairpins in adolescent Muslim girls while doing or undoing the headscarf

Accidental ingestion of hairpins in adolescent Muslim girls while doing or undoing the headscarf

Foreign bodies in digestive tract of children: A tertiary care hospital experience

Vocal Cord Paralysis Secondary to Impacted Esophageal Foreign Bodies in Young Children

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