Pediatric coin ingestion and aspiration

Chen, Xiaoming; Milkovich, Scott M.; Stool, Daniel; As, A B van; Reilly, Jacqueline; Rider, G. Nicole

doi:10.1016/j.ijporl.2005.07.010

Cited by 43 publications

(18 citation statements)

References 14 publications

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“…A 10-year study from the United States reported coins as the MC FB noted among >250,000 ingestions and 20 deaths. [13] Drooling/chest pain/stridor/zinc toxicity with massive ingestion of pennies has been described. [14] We were able to remove all the coins endoscopically using Roth net or forceps except for 15 cases where the coin passed out spontaneously.…”

Section: Discussionmentioning

confidence: 99%

Profile of foreign body ingestion and outcomes of endoscopic management in pediatric population

Balekuduru

Shetty

Dutta

et al. 2017

Journal of Digestive Endoscopy

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Background: Foreign body (FB) ingestion is a frequent gastrointestinal emergency in pediatric population. Improvement in endoscopic techniques and equipment enables nonsurgical management in most situations. Recent data from India on pediatric FB ingestion have been lacking. Aim: The aim of this study was to assess the profile and outcome after endoscopic management of patients <18 years of age presenting with FB ingestion. Patients and Methods: Records of all the children with FB ingestion who had undergone endoscopic removal at our institution during 5 years (2011–2016) were assessed retrospectively. The nature of FB ingested, and success and complication of endoscopic therapy were analyzed. Results: There were 150 pediatric endoscopies during the study period. Of this, 120 (80%) were for removal of ingested FB. Most common (MC) FB was coin (69%). The retrieved FBs were 83 coins, 13 batteries, 5 pins, 4 clips, 2 each of anklets, keys, marbles, and seeds, one each of spoon, blade, spanner, peanut, toe ring, and a pencil. One had trichobezoar. Esophagus was the MC site of location of FB (85/120). FB removal was successful by flexible endoscopy in 97.1%. Four (0.03%) cases were referred for rigid endoscopic/surgical removal by otolaryngologists/ pediatric surgeon. Except for one child developed bronchopneumonia, there was no morbidity or mortality in the study. Conclusion: Endoscopic removal of FB is a safe procedure with excellent outcomes in a specialized gastroenterology unit.

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Section: Discussionmentioning

confidence: 99%

Profile of foreign body ingestion and outcomes of endoscopic management in pediatric population

Balekuduru

Shetty

Dutta

et al. 2017

Journal of Digestive Endoscopy

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“…Coins are the most commonly ingested FB in children. Over 250,000 coin ingestions in children have been reported in the United States [ 10 ]. Factors influencing the spontaneous passage of a coin are its location in the esophagus, age of the child, and the size of the coin.…”

Section: Types Of Foreign Bodiesmentioning

confidence: 99%

Foreign Body Ingestion in Children

2018

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Foreign body (FB) ingestion in children is common and most children are observed to be between 6 months and 3 years of age. Although most FBs in the gastrointestinal tract pass spontaneously without complications, endoscopic or surgical removal may be required in a few children. Thus, FB ingestion presents a significant clinical difficulty in pediatric gastroenterological practice. Parameters that need to be considered regarding the timing of endoscopic removal of ingested FBs in children are the children’s age or body weight, the clinical presentation, time lapse since ingestion, time of last meal, type as well as size and shape of the FB, and its current location in the gastrointestinal tract. Esophageal button batteries require emergency removal regardless of the presence of symptoms because they can cause serious complications. Coins, magnets, or sharp FBs in the esophagus should be removed within 2 hours in symptomatic and within 24 hours in asymptomatic children. Among those presenting with a single or multiple magnets and a metallic FB that have advanced beyond the stomach, symptomatic children need a consultation with a pediatric surgeon for surgery, and asymptomatic children may be followed with serial X-rays to assess progression. Sharp or pointed, and long or large and wide FBs located in the esophagus or stomach require endoscopic removal.

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“…Accidental foreign body ingestion is a serious concern for children between the ages of 18 to 48 months, with coins being the most common foreign body ingested [1,2]. Over the course of nine years, there were 252,000 visits to the ED due to coin ingestion, with 20 fatalities in patients all under four years of age [3]. In children with normal anatomy, 80-90% of small objects that move past the pylorus will pass in the stool asymptomatically [4].…”

Section: Discussionmentioning

confidence: 99%

Not Just for Urine: A Versatile Tool for Foreign Body Removal

Singh

Lakshmanan

Setlik

et al. 2020

Cureus

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The swallowed or aspirated foreign body is a common pediatric emergency medicine complaint for which emergency providers must be familiar with the intricacies of management. Most swallowed foreign bodies will harmlessly pass through the GI tract, but children with GI tract abnormalities may have an increased risk of object impaction. There are few reported cases of foreign object ingestion in children with GI tract abnormalities, specifically ostomies. The Foley catheter is a versatile tool that is easily accessible in the ED setting. We present a novel case of foreign body ingestion in an infant with a colostomy secondary to Hirschsprung’s disease managed with Foley catheter retrieval through an ileostomy stoma. A 17-month-old infant presented to the ED with a chief complaint of an episode of bloody vomiting. He had a two-day history of increased irritability and intolerance of feeds with emesis after every feed. The child’s medical history is pertinent for Hirschsprung’s disease, for which the patient had a pull-through procedure shortly after birth and a revision of the pull-through. On physical examination, the patient’s ostomy was found to contain brown-green liquid stool. A small ovular mass was visualized at the stoma during crying episodes. Supine posteroanterior radiograph of the abdomen showed an oval-shaped radiolucency consistent with a metallic ingested foreign body at the site of the stoma. The foreign object was removed using a Foley catheter and forceps and was found to be a penny. The patient was observed and discharged without complications later that day. Treatment of a symptomatic ingested foreign object requires careful consideration of the type of object present and its location in the body. In this case report, we discussed the removal of an ingested coin in a symptomatic 17-month-old infant with a history of ileostomy secondary to Hirschsprung's disease using a Foley catheter. In children with ostomies, prompt imaging and non-surgical removal may be an option to manage retrieval of these objects if the patient is stable and symptoms are not severe.

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Pediatric coin ingestion and aspiration

Cited by 43 publications

References 14 publications

Profile of foreign body ingestion and outcomes of endoscopic management in pediatric population

Profile of foreign body ingestion and outcomes of endoscopic management in pediatric population

Foreign Body Ingestion in Children

Not Just for Urine: A Versatile Tool for Foreign Body Removal

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