Management of foreign body ingestion in children with cerebral palsy: Need for proper trauma management protocol

Prasad, Vishnu; Samuel, Victor; Ramakrishnan, Mahesh; Ravikumar, Dhanalakshmi; Sharna, N

doi:10.4103/jfmpc.jfmpc_91_18

Cited by 6 publications

(6 citation statements)

References 8 publications

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“…[17,18] Our study tends to agree with other authors who claimed that the optimal clinical procedure for removing the FB is largely dependent on many factors including the children's age, the clinical features, type, shape, location, and sharpness of the FB. [19] The drawn clustered bar chart between interventional procedure and shape of FB indicates that a high percentage of children treated spontaneously with the stool were swallowed round shape of FB (64.7%) while it was only 5.9% spherical shape of FB and there were no cases in a tubular shape. Moreover, a statistically significant relationship between procedure and shape of FB was identified (P = 0.000) through the Chi-squared test.…”

Section: Discussionmentioning

confidence: 95%

A non-invasive novel approach for managing digestive tract foreign body ingestion in children

Balasubramaniam

Abeygunasekara

Arunasalam

et al. 2022

KPJ

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Objectives: The phenomenon of foreign body ingestion (FB) is considered a common scenario in children’s tertiary care clinical settings. This study aimed to assess the sociodemographic factors of ingested FB, and its details and find the efficient clinical outcomes of a novel non-invasive interventional approach for removing FB in children. Material and Methods: This was a prospective study of 55 patients in a tertiary care centre, Sri Lanka for 1 year from 2019. The univariate, bivariate analysis, and the Chi-squared test were used to check the relationship between two categorical variables as this study dataset comprises more than 50 observations, where 5% was used as the significance level. Results: This study’s mean age was 5.18 ± 3.1 years and the median 5 years. The higher number of ingested FB was metal (88.5%) among this coin (33.3%) recorded the highest contribution and round shape was 62% whereas the ratio between sharp edge and none sharp edge was 1:4. A greater number of children both males (58.3%) and females (30.6%) were managed spontaneously to pass the FB through stool while vomiting (2.78%) was observed only in males. In comparison, the endoscopy removal cases were female (5.56%) and their mean age was 7.7 years. Conclusion: There are a number of studies that claim that the management of FB ingestion relatively depends on children’s age, developmental stage, the type of the ingested object, and clinical presentation. However, our study contends that the majority of FB ingestion can be moved spontaneously through stool by applying the noninvasive therapeutic approach without causing clinical complications.

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Section: Discussionmentioning

confidence: 95%

A non-invasive novel approach for managing digestive tract foreign body ingestion in children

Balasubramaniam

Abeygunasekara

Arunasalam

et al. 2022

KPJ

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“…Their removal cannot be delayed, just like fish bones stuck in the tonsils or palatine arches [31][32][33][34][35] . However, death outcome because of ingestion is rare [33][34][35][36][37][38] .…”

Section: Foreign Body Ingestionmentioning

confidence: 99%

“…Various abnormalities of the digestive system as consequences of surgical procedures (strictures and fistulas), esophagitis, neuromuscular illnesses, or presence of congenital malformations increase the risk of complications with ingestion of a foreign body [33][34][35][36][37][38] . Swallowed objects usually get stuck in the cricoesophageal sling at C6 vertebral level, then in the middle of the esophagus, where carina and aortic arch are located [33][34][35][36][37][38] .…”

Section: Foreign Body Ingestionmentioning

confidence: 99%

Foreign Body Aspiration and Ingestion in Children

Karišik

2023

ACC

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SUMMARY Aspiration and ingestion of a foreign body is most frequently seen in children younger than 3 years. Foreign body aspiration is always a life-threatening, urgent state demanding quick recognition and treatment to avoid potentially lethal complications. Most foreign bodies that are ingested pass spontaneously through the gastrointestinal tract without complications, however, some could lead to problems if they become lodged. A literature review was performed via MEDLINE database using key terms. Primary care providers should be trained to give proper initial care. Aspirated/ingested foreign bodies in children removed by rigid or flexible bronchoscopy/gastroscopy always are challenging procedures that require well-planned anesthesia management and excellent intercommunication between anesthesiologists and surgeons. Extracorporeal membrane oxygenation can be used as a rescue mode of support in children with life-threatening foreign body aspiration for stabilization before, during and after removal of the aspirated foreign body. It is of utmost importance that all foreign body extractions, if possible, be done in centers supplied with all the necessary equipment and trained personnel. However, prevention of foreign body aspiration and ingestion is still the best therapy.

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“…[ 1 2 ] Preschool children and children with mental health issues are at the high risk of swallowing foreign bodies. [ 3 ] Although deliberate ingestion of a FB can occur, most FB ingestion is accidental. Majority of swallowed foreign bodies will pass through the gastrointestinal tract (GIT) without problems.…”

Section: Introductionmentioning

confidence: 99%

Foreign Body in the Gastrointestinal Tract in Children: A Tertiary Hospital Experience

Emeka,

Chukwuebuka,

Tochukwu

2023

African Journal of Paediatric Surgery

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Background: Foreign body (FB) ingestion in the gastrointestinal tract (GIT) in children is common. Although most foreign bodies will pass spontaneously, surgical intervention is required when they fail to pass. Aims and Objectives: The aim of this study was to evaluate our experience in the management of children who presented with FB in the GIT. Materials and Methods: This was a retrospective study of children that underwent laparotomy for the removal of FB in the GIT at the paediatric surgery unit of Enugu State University Teaching Hospital, Enugu over a 10-year period. Results: A total of 272 children presented with FB in the GIT during the study period, out of which 30 patients had laparotomy. This gave an operative incidence rate of 11%. There was a slight male predominance and the ages of the patients ranged from 6 months to 5 years (median 3 years). About half of the patients had no symptoms and all the patients were investigated with an abdominal radiograph. Only one-third of the patients had a predisposing factor that could have led to FB impaction. FB impaction was the most common indication for surgery, and enterotomy with FB removal was the most performed surgical procedure. The most common FB removed were tiny parts of toys, and the most common post-operative complication was surgical site infection. There was no mortality. Conclusion: FB in GIT in children could be associated with complications that require surgical treatment. FB ingestion is preventable. Focus should be placed on caregivers preventing children from ingesting FB.

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Management of foreign body ingestion in children with cerebral palsy: Need for proper trauma management protocol

Cited by 6 publications

References 8 publications

A non-invasive novel approach for managing digestive tract foreign body ingestion in children

A non-invasive novel approach for managing digestive tract foreign body ingestion in children

Foreign Body Aspiration and Ingestion in Children

Foreign Body in the Gastrointestinal Tract in Children: A Tertiary Hospital Experience

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