Foreign Body in the Esophagus-Comparison Between Adult and Pediatric Population

Abstract

Background: Foreign body (FB) impaction in the esophagus is a common emergency in all age groups. In the children coins are the commonest foreign bodies while bones have been found as the commonest in adults. Methods: This is a retrospective study comparing FB in the esophagus in adult and pediatric population between June 2007 and May 2010 in Manipal Teaching Hospital, Pokhara, Nepal. Most of the patients underwent rigid esophagoscopy and FB removal; few were removed under anesthesia by the anesthesiologists. Comparison was done in terms of pattern of FB, their site of impaction and relative ease of removal. Data were collected from the case file available from the medical record department and analysed using SPSS 11.6. Results: A total of 63 cases were included in this study. Out of which 28 (44.4%) patients were children and 35 (55.5%) were adults. Coin was the most common foreign body in the pediatric population (82.1%) whereas bones were the commonest ones (91.4%) in adults. In the pediatric population the commonest site of impaction was upper esophagus (92.8%) whereas mid esophagus was the commonest site (65.7%) in adults. Conclusion:There are differences in various aspects of impacted foreign bodies in esophagus in adult and pediatric populations. Coins being the commonest foreign bodies in children are relatively easier to remove due to their higher location and less chances of trauma. Contrary in the adults, bones being the commonest foreign body are difficult to remove due to the lower location and chances of trauma. Keywords: Foreign body; esophagus; rigid bronchoscopy DOI: http://dx.doi.org/10.3126/njms.v1i1.5797 Nepal Journal of Medical Sciences. 2012; 1(1): 42-44

Management of Esophageal Foreign Body Using Endoscopic Approach: an Experience from Kathmandu Medical College Teaching Hospital

“…al compared esophageal foreign body in pediatric and adult population the result of which showed that out of total cases of foreign body impaction, 44.4% patients were children and 55.5% were adults. Coin was the most common foreign body in the pediatric population (82.1%) whereas bones were the commonest ones (91.4%) in adults 5 . The study concluded that coins being the commonest foreign bodies in children were relatively easier to remove due to their higher location and less chances of trauma where as in the adults, bones being the commonest foreign body were diffi cult to remove due to the lower location and increased chances of trauma 5 .…”

Esophageal foreign bodies in children and adults: 20 years experience

“…Erişkinlerde özofagus yabancı cisimlerinin çoğunluğunun torasik özofagusa yerleştiği rapor edilmiştir. [4,13] Slaone ve arkadaşları ise 150 hastadan elde ettikleri sonuçlarda yabancı cisimlerin erişkinler-de %53 oranında diyafragmatik özofagusa yerleştiğini bildirmiştir. [4,14] Aynı çalışmada erişkinlerde buldukları bu sonucun özofagus hastalıklarının en sık lokalize olduğu yer olması açısından da uyumlu olabileceği dile getirilmiştir.…”

Removal of Foreign Body (Glass of Mirror) in Esophagus with Direct Laryngoscope

“…These patients are at risk of complications from expectant management of foreign body ingestion. 3,4 Additionaly, the literature contains fewer reports on this topic that focus on psyciatric issues involved.…”

“…Children having the common habit of putting things in their mouth will swallow the foreign body that might get stuck in the esophagus without being noticed by the parent. 3 Mirrors are commonly used for personal grooming or admiring one self (in which case the archaic term looking-glass is sometimes still used), decoration, and architecture. Glass of mirror are object that are rarely found in the case of foreign bodies impaction at esophagus.…”

“…Additional findings may be present in case of complications. 3 Physical examination may be normal in as many as 90% of patients with esophageal impaction.…”