Pediatric coin ingestion: A home-based survey

Conners, Gregory P.; Chamberlain, James M.; Weiner, Paul S.

doi:10.1016/0735-6757(95)90047-0

Cited by 47 publications

(30 citation statements)

References 18 publications

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“…2 Coins are the most common oesophageal foreign body. 2,3 Typical signs and symptoms of oesophageal foreign bodies are drooling, dysphasia, weight loss, emesis, unexplained fever, chest pain and compressive airways symptoms. 6 Most foreign bodies get impacted in the upper oesophagus which is at the level of thoracic inlet.…”

Section: Discussionmentioning

confidence: 99%

A ‘two-in-one’ foreign body coin in oesophagus: A case report

Kuki¹,

Gulati²

2014

IOSRJDMS

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Section: Discussionmentioning

confidence: 99%

A ‘two-in-one’ foreign body coin in oesophagus: A case report

Kuki¹,

Gulati²

2014

IOSRJDMS

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“…9 -14 Only a small fraction of ingested coins are reported to a poison control center. 5 Because coin ingestion is so common, 5 however, poison control centers receive a large number of calls regarding ingested coins each year; 3,590 such calls were made to centers participating in the American Association of Poison Control Centers Toxic Exposure Surveillance System in 1996 alone. 3 In their 1989 poison control center-based study, Caravati et al…”

Section: Discussionmentioning

confidence: 99%

“…1 -4 The large majority of ingested coins traverse the gastrointestinal (GI) tract without difficulty. 4,5 Adverse sequelae of coin ingestion typically are a result of esophageal entrapment, which is usually associated with signs or symptoms suggestive of an esophageal foreign body. 1,4,6 -8 Asymptomatic esophageal entrapment, however, has been described.…”

mentioning

confidence: 99%

Home Observation for Asymptomatic Coin Ingestion: Acceptance and Outcomes

Conners

Cobaugh

Feinberg

et al. 1999

Academic Emergency Medicine

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Abstract. Objectives: To obtain preliminary estimates of the acceptance rate and the frequency of adverse outcomes, and to identify issues related to acceptance, associated with management of asymptomatic pediatric coin ingestion by home observation, in preparation for a large-scale prospective study. Methods: Scripted telephone follow-up of callers who had reported asymptomatic pediatric coin ingestions to one of five poison control centers six to 36 months previously, which had been managed by home observation. Results: Of the 67 callers enrolled, 41 (67%) reported contacting a physician regarding the coin ingestion, despite home observation instruction by poison control center personnel. Those who did not recall being instructed in home observation were more likely to have contacted a physician than those who did. Nearly all, however, were satisfied with the advice they had been given. One child developed subsequent symptoms; as per the instructions that had been given by poison control center personnel, his parent sought physician evaluation, revealing an esophageal coin, which was removed uneventfully. No other child developed complications. Conclusions: Although all of the 67 children managed by home observation did well, most of their caretakers had not accepted this management strategy. Acceptance, while unrelated to satisfaction, may be related to comprehension of the instructions caregivers are given. A prospective study of home observation for asymptomatic pediatric coin ingestion would be safe and would allow further examination of factors affecting acceptance.

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“…[2][3][4] Retrosternale pijn, dyspneu, hoesten, speekselvloed, onrust, dysfagie, braken en voedselweigering zijn klachten die na ingestie van een CA kunnen voorkomen, vooral wanneer het voorwerp de oesofagus niet passeert. Endoscopie is de meest uitgevoerde interventie om een CA te verwijderen.…”

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Ingestie van corpora aliena op de kinderleeftijd

Matthews¹,

Benninga²,

Taminiau³

et al. 2009

KIND

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InleidingHet inslikken van een corpus alienum (CA) door kinderen is een probleem waarmee zowel huisartsen als kinderartsen regelmatig worden geconfronteerd. Ongeveer 80% van de ingesties van corpora aliena vindt plaats bij kinderen. Resultaten. In totaal werden 113 patiënten gezien (68% jongens), leeftijd tussen 7 maanden en 17 jaar (mediaan 3,6 jaar). Negentien (17%) van deze patiënten waren bekend met een onderliggend lijden: gecorrigeerde oesofagusatresie (12), eosinofiele oesofagitis (2), peptische stenose (1) en verstandelijke beperking (4). Munten werden het vaakst ingeslikt (46%). De meeste voorwerpen waren gelokaliseerd in de maag (41%, n = 46), gevolgd door proximale oesofagus (19%), midoesofageaal (14%) en distale oesofagus (9%). Bij 17% was het CA de pylorus al gepasseerd. 51% van deze kinderen was bij presentatie klachtenvrij. Frequente symptomen waren: retrosternale pijn (16%), braken (13%), speekselvloed (8%), voedselweigering (7%) en respiratoire klachten (4%). Bij 97/ 113 (86%) werd endoscopie verricht. Bij 70% waren er geen afwijkingen. Bij 26% werden er erosies/ulceraties gezien. Bij 2% was er sprake van oesofagusperforatie. Er was geen mortaliteit. Conclusie. Endoscopische verwijdering van een CA is noodzakelijk wanneer het CA de slokdarm niet gepasseerd is. Endoscopische afwijkingen werden slechts bij 30% van de patiënten gezien en treden voornamelijk op na lang verblijf van het CA in oesofagus of maag. Een afwachtend beleid is geïndiceerd wanneer het CA de slokdarm is gepasseerd.

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Pediatric coin ingestion: A home-based survey

Cited by 47 publications

References 18 publications

A ‘two-in-one’ foreign body coin in oesophagus: A case report

A ‘two-in-one’ foreign body coin in oesophagus: A case report

Home Observation for Asymptomatic Coin Ingestion: Acceptance and Outcomes

Ingestie van corpora aliena op de kinderleeftijd

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