Gastrointestinal Foreign Bodies: Review of 96 Cases

Lee, Min Hye; Kang, Ki Su; Jung, Hae Sung; Seo, Ji Hyoun; Lim, Jae Young; Park, Chan Hoo; Choi, Myoung Bum; Woo, Hyang Ok; Youn, Hee Shang

doi:10.5223/kjpgn.2002.5.2.136

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“…Food-related foreign body was the most common (461 patients, 55.5%), followed by toy and magnets (150, 18.1%) and coin (112 patients, 13.5%). The result was different from previous studies, which reported that coins were the most frequently ingested foreign bodies [ 8 11 12 ]. The previous studies were conducted on cases in which the foreign bodies were endoscopic removed.…”

Section: Discussioncontrasting

confidence: 98%

Factors Associated with Removal of Impactted Fishbone in Children, Suspected Ingestion

Lim

Park

Jeong

et al. 2016

Pediatr Gastroenterol Hepatol Nutr

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PurposeThe management and clinical course in pediatric patients who had ingested foreign body were investigated retrospectively to evaluate the frequency and factor associated with successful removal of fishbone foreign body.MethodsBased on the medical records of patients younger than 15 years old who visited emergency room because of foreign body ingestion from January 1999 to December 2012, the authors reviewed clinical characteristics including type of ingested foreign bodies, time to visits, managements and complications.ResultsFishbone (50.1%) was the most common ingested foreign body in children. Among 416 patients with ingested fishbone, 245 (58.9%) were identified and removed using laryngoscope, rigid or flexible endoscope from pharynx or upper esophagus by otolaryngologists and pediatric gastroenterologists. The kind of ingested fish bone in children was diverse. The mean age of identified and removed fishbone group was 7.39 years old, and higher than that of unidentified fishbone group (5.81 years old, p<0.001). Identified and removed fishbone group had shorter time until hospital visit than the unidentified fishbone group (2.03 vs. 6.47 hours, p<0.001). No complication due to ingested fishbone or procedure occurred.ConclusionOlder age and shorter time from accident to hospital visit were the different factors between success and failure on removal of ingested fish bone in children.

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Section: Discussioncontrasting

confidence: 98%