&lt;p&gt;Foreign Body and Caustic Substance Ingestion in Childhood&lt;/p&gt;

Dörterler, Mustafa Erman; Günendi, Tansel

doi:10.2147/oaem.s241190

Cited by 14 publications

(31 citation statements)

References 70 publications

(242 reference statements)

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“…Foreign body ingestion is a common problem in the pediatric population occurring in children aged 6 months to 5 years up to 75% of cases [1] , [5] . Foreign body in children aged under 6 months old is very rare; we only found 4 cases in neonates and 2 cases of esophageal foreign body in infant aged 2 months old with esophageal obstruction and respiratory distress [6] , [7] , [8] , [9] , [10] , [11] .…”

Section: Discussionmentioning

confidence: 99%

“…Several approaches can be the options in the case of foreign body removal, for example, the use of flexible or rigid endoscopy, McGill forceps, and Foley catheter. For the proximal esophagus, flexible endoscopy is the standard for foreign body removal in children, because it provides direct visualisation and the possibility of manipulation and the examination of potential complications in the structures of the region [1] , [13] .…”

Section: Discussionmentioning

confidence: 99%

“…The curiosity of a baby/child makes them brought to the emergency department. One of the common cases is that the ingested foreign bodies often occur in children aged 6 months to 5 years which can cause morbidity and mortality [1] . In a 2018 report from the American Association of Poison Control Centers' National Poison Data System, there were 66,519 cases of ingestion of foreign bodies in children under 5 years of age [2] , [3] .…”

Section: Introductionmentioning

confidence: 99%

“…Ingestion of foreign bodies in the esophagus has various symptoms such as vomiting, dysphagia, increase in saliva production, changes in the daily diet habit resulting from loss of appetite, or hematemesis [1] . In some institutions, the management of ingested foreign bodies is a shared specialty between pediatric surgery, pediatric gastroenterology, and pediatric otolaryngology.…”

Section: Introductionmentioning

confidence: 99%

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Unusual esophageal foreign body in neonates: A case report

Syahputra

Kusmayadi

Indriasari

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Esophageal foreign body mostly occurs in children aged 6 months to 5 years old. In neonates (babies less than 28 days old), such report is extremely rare. In this case, we report the first esophageal foreign body in neonates without any symptoms. Case presentation A 28-day-old baby boy, with normal body weight, from a low socio-economic status family, came to us with a history of ingested foreign body. No sign of unconsciousness, excessive saliva, dysphagia, and respiratory distress. The chest X-ray revealed a radiopaque foreign body in the upper third of the esophagus. The patient underwent extraction of the foreign body using a flexible endoscope under general anesthesia. We found a 1.9 cm in diameter pendant with no sign of bleeding nor inflammation in the esophageal lumen. After the foreign body removal, the patient is in good condition and recovered uneventfully. Clinical discussion Foreign body in children under 6 months old is very rare. A high index of suspicion for foreign body ingestion must be considered in unattended children from lower socio-economic status, primarily if witness statements are present and confirmed with radiological examination. Most common impaction site is at the level of the cricopharyngeus muscle. Currently, flexible endoscopy is the standard for foreign body removal in children. Conclusion High index suspiciousness, witness statements and radiological examination are the important points in diagnosing ingested foreign body in neonates. Clinicians are required to provide education to parents to supervise their children when playing together.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Unusual esophageal foreign body in neonates: A case report

Syahputra

Kusmayadi

Indriasari

et al. 2021

International Journal of Surgery Case Reports

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“…It is directly contributed to size, shape, and nature of the FB and also anatomical characteristic of the patient and region of FB lodgment. However, data manifested being male, psychotic problems like attention deficit hyperactivity disorder, younger parents with lower educational level, inadequate supervision of child, living in rural areas, congenital anatomical anomalies, and previous abdominal surgery were risk factors for ingesting of FB [8] , [9] . Lodgment of FB mostly occurs in upper gastrointestinal tract, in 75–85% of all cases.…”

Section: Introductionmentioning

confidence: 99%

Duodenal dislodgement of an ingested sharp foreign body by mucosal unfolding “Gilan maneuver”; A novel surgical approach

Baghi

Pirooz

Ebrahimian

et al. 2022

International Journal of Surgery Case Reports

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Introduction and importance Foreign body (FB) ingestion is a common challenge for pediatric health care providers globally. Although endoscopic approach for FB extraction is recommended, surgery remains life giving specifically in developing countries. We presented a novel surgical approach called ‘Gilan maneuver’ for removal of FB which lodged in duodenal loop. Case presentation An eighteen months old male infant referred to emergency department while he lied on his mother's arm. Parents stated their son has ingested a sharp metallic pointy thick needle which applies for cattle injection. On examination mid epigastric tenderness was remarkable. Laboratory finding was normal. Plain thoracoabdominal radiologic study confirmed the diagnosis. Patient underwent explorative laparotomy and the needle was removed through ‘Gilan maneuver’ in which mucosal unfolding of duodenal loop facilitated dislodgement of the FB and it was extracted on the jujenal side. Clinical discussion Duodenal lodge of sharp FB is rare and could be masked by gastric deposition diagnosis. Mucosal folding, narrow luminal diameter, retroperitoneal adherence, and hard surgical anatomy of the duodenal loop make both sharp and large FBs spontaneous dislodgement and favorable surgical outcome relatively unanticipated. Conclusion Despite rarity of duodenal deposition of FB it is possible and could be harmful due to adjacent unforgiving organs. Although endoscopic extraction of FB is generally recommended in guidelines, surgical approach is safe and could be considered.

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