Esophageal foreign bodies in children: Emphasis on complicated cases

Altokhais, Tariq; Alsaleem, Alhanouf; Gado, Abdulmonem; Alqahtani, Ayed; Albassam, A.A.

doi:10.1016/j.asjsur.2015.12.008

Cited by 41 publications

(70 citation statements)

References 14 publications

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“…1 The most common characteristics, clinical history, and endoscopic findings of paediatric patients with OFBs are shown in Table 1. 1,2 …”

Section: Discussionmentioning

confidence: 99%

“…Despite the finding that button batteries are rare (2%–4.3% of OFBs) their effect on the oesophageal mucosa represents an endoscopic emergency because complications of caustic injury can quickly lead to oesophageal wall perforation, with dramatic and life-threatening consequences. 2 …”

Section: Discussionmentioning

confidence: 99%

“…This can lead to a delayed diagnosis and to subsequent complications due to prolonged retention. 2 Therefore, the primary care physician should be aware that the combination of symptoms and signs (e.g., drooling, cough, and dysphagia) might be suggestive of ingesting a foreign body, even in the absence of a witnessed symptomatic event or ingestion. Our case, which unfortunately occurred at the end of the flu season, was misdiagnosed with a respiratory tract infection.…”

Section: Discussionmentioning

confidence: 99%

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An oesophageal spring

et al. 2018

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Oesophageal foreign bodies (OFBs) are a relatively common emergency in young children. OFBs are complicated by significant morbidity and mortality because their ingestion often occurs without witnesses, leading to a delay in diagnosis and treatment. We report an occult OFB in an 11-month-old infant who initially presented without any specific respiratory symptoms, mimicking a respiratory infection. Worsening of the patient’s cough, which did not show any improvement, despite treatment, and progressive onset of gastrointestinal manifestations (dysphagia, vomiting, and drooling) led to the diagnosis of an OFB (metallic spring). The complex and long-term clinical course of the patient highlights the need of promptly recognizing the presence of an occult OFB. This is because rapid diagnosis and treatment are essential for preventing severe and sometimes irreversible complications.

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“…1 The most common characteristics, clinical history, and endoscopic findings of paediatric patients with OFBs are shown in Table 1. 1,2 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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An oesophageal spring

et al. 2018

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“…Most FBs can pass or be managed uneventfully through the gastrointestinal tract; however, some FBs can cause significant morbidities and mortalities [1]. We reported three cases with unusual swallowed FB (Okra pod) presented with acute respiratory distress.…”

Section: Introductionmentioning

confidence: 93%

“…They were discharged one week after PICU admission. Regular weekly follow up for one month then monthly for 3 months revealed nothing abnormal as regard their clinical and radiological examination [1]. …”

Section: Second and Third Casementioning

confidence: 99%

Okra Pod is a Serious Swallowed Foreign Body

Hamed¹

2018

BJSTR

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Swallowed foreign bodies are common entity in our practice especially in children. Most ingested objects pass smoothly through the gastrointestinal tract or endoscopic ally removed. However, some patients experience undesirable outcomes We reported 3 cases under one year old (1 female, 2 males) brought to our ENT emergency by history of unusual ingested foreign body (Okra-pod); they were presented with severe illness, acute respiratory distress and aspiration pneumonia with respiratory failure in one case; Urgent endoscopic removal was done in all cases and postoperative monitoring was performed in Pediatric Intensive Care. Two cases were managed effectively and followed up until completely cured but dramatically one infant has died due to potentially late diagnosis and respiratory failure. To our knowledge, this foreign body has not been reported before. Okra is considered a possible cause of exogenous lipoid pneumonia as it liberates a considerable amounts of oily substance with subsequent aspiration into the respiratory passages. Early diagnosis, immediate endoscopic removal, appropriate postoperative care and follow up are mandatory in to prevent life-threatening complications, particularly respiratory failure.

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Pediatric Esophageal Foreign Bodies: The Role of Socioeconomic Status in Ingestion Patterns

Chen,

M Siu,

Madan

et al. 2024

The Laryngoscope

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ObjectivePediatric esophageal foreign bodies (EFBs) are common and can result in serious complications. Little is known about the influence of socioeconomic status (SES) on EFB ingestion in children. The goal was to study SES as a risk factor for dangerous foreign body ingestion and in‐hospital complications in children.MethodsThis was a retrospective cohort study of children presenting to a tertiary care pediatric hospital with an esophageal foreign body from 2010 to 2021. SES was assessed for each patient by linking their postal code to the Ontario Marginalization Index to determine a quintile score across four dimensions of deprivation: residential instability, material deprivation, dependency, and ethnic concentration. Dangerous EFBs were defined as magnets, batteries, sharp objects, or bones. In‐hospital complications included: intensive care unit admission, prolonged length of stay, and postoperative sequelae.ResultsA total of 680 patients were included. Dangerous EFB ingestion was higher for children with increased residential instability (odds ratio [OR], 2.1; 95% confidence interval [CI], 1.2–3.6) and increased material deprivation (OR, 2.2; CI, 1.9–2.8), which was similarly true for odds of complications. Odds of dangerous EFB ingestion were higher in older children (OR, 1.1; CI, 1.0–1.1) and odds of complications were higher in children with comorbidities (OR, 1.1; CI, 1.0–1.3).ConclusionHigher levels of housing instability and material deprivation are associated with dangerous EFB ingestion and complications related to EFB ingestion. These findings emphasize the role that SES plays on child health outcomes and the need for initiatives to mitigate these disparities.Level of Evidence3 Laryngoscope, 2024

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Esophageal foreign bodies in children: Emphasis on complicated cases

Cited by 41 publications

References 14 publications

An oesophageal spring

An oesophageal spring

Okra Pod is a Serious Swallowed Foreign Body

Pediatric Esophageal Foreign Bodies: The Role of Socioeconomic Status in Ingestion Patterns

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