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Mahmoudi A, Mehrabani S, Esmaeili Dooki M, Shirafkan H. Foreign Body Ingestion in Children Admitted to Amirkola Children's Hospital, Iran: An 8-Year Experience. CJP 2024; 10
URL: http://caspianjp.ir/article-1-215-en.html
URL: http://caspianjp.ir/article-1-215-en.html
Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran. , mehrabanisanaz@gmail.com
Abstract: (133 Views)
Background and Objective: Foreign body ingestion is one of the most common problems and reasons for emergency endoscopy in children. The aim of the present study was to determine the type and location of entrapped objects and endoscopic observations in children with foreign body ingestion.
Methods: This cross-sectional study was conducted on all children with complaints of foreign body ingestion who underwent upper endoscopy at Amirkola Children's Hospital, north of Iran during 2014-2021. Demographic information, type of foreign body, clinical symptoms, and examinations during hospitalization, endoscopic findings, and short- and long-term outcomes were recorded. A value of P<0.05 was considered significant.
Findings: The mean age of 84 the children in the study was 47.98 ± 31.51 months and 56% of them were boys. The most commonly ingested foreign bodies were food (26.2%) and coins (25.0%). The most common location of the foreign body was the upper part of the esophagus (41/7%). 29.7% of children were without clinical symptoms, and among those with clinical symptoms, vomiting (38.1%) was the most common symptom. The most common endoscopic findings were esophageal ulcer (11.9%), gastric ulcer (7.1%) and esophageal erythema (6.0%), respectively. No significant relationship was found between gender and type of ingested foreign bodies (p=0.528).
Conclusion: Most common foreign bodies were coins and food and that the most common site of injury was in the esophagus, and the incidence of dangerous complications in children was low, with no deaths. Therefore, monitoring of children and providing appropriate treatment based on existing guidelines are helpful.
Methods: This cross-sectional study was conducted on all children with complaints of foreign body ingestion who underwent upper endoscopy at Amirkola Children's Hospital, north of Iran during 2014-2021. Demographic information, type of foreign body, clinical symptoms, and examinations during hospitalization, endoscopic findings, and short- and long-term outcomes were recorded. A value of P<0.05 was considered significant.
Findings: The mean age of 84 the children in the study was 47.98 ± 31.51 months and 56% of them were boys. The most commonly ingested foreign bodies were food (26.2%) and coins (25.0%). The most common location of the foreign body was the upper part of the esophagus (41/7%). 29.7% of children were without clinical symptoms, and among those with clinical symptoms, vomiting (38.1%) was the most common symptom. The most common endoscopic findings were esophageal ulcer (11.9%), gastric ulcer (7.1%) and esophageal erythema (6.0%), respectively. No significant relationship was found between gender and type of ingested foreign bodies (p=0.528).
Conclusion: Most common foreign bodies were coins and food and that the most common site of injury was in the esophagus, and the incidence of dangerous complications in children was low, with no deaths. Therefore, monitoring of children and providing appropriate treatment based on existing guidelines are helpful.
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