Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study
We discuss clinical symptoms and radiological findings of variable esophageal foreign bodies as well as therapeutic procedures in Caucasian pediatric patients. A retrospective study of 192 cases of suspected esophageal foreign bodies between 1998 and 2010 was conducted. Data were statistically anal...
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| Language: | English |
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Wiley
2012-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/2012/102642 |
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| author | Beata Rybojad Grazyna Niedzielska Artur Niedzielski Ewa Rudnicka-Drozak Pawel Rybojad |
| author_facet | Beata Rybojad Grazyna Niedzielska Artur Niedzielski Ewa Rudnicka-Drozak Pawel Rybojad |
| author_sort | Beata Rybojad |
| collection | DOAJ |
| description | We discuss clinical symptoms and radiological findings of variable esophageal foreign bodies as well as therapeutic procedures in Caucasian pediatric patients.
A retrospective study of 192 cases of suspected esophageal foreign bodies between 1998 and 2010 was conducted. Data were statistically analyzed by chi-square test. A foreign body was removed from a digestive tract of 163 children aged 6 months to 15 years (mean age 4.9). Most objects were located within cricopharyngeal sphincter. Dysphagia occurred in 43%, followed by vomiting (29%) and drooling (28%). The most common objects were coins. Plain chest X-rays demonstrated aberrations in 132 cases, and in doubtful situations an esophagram test was ordered. In the group of thirty-seven patients whose radiograms were normal, esophagoscopy revealed fifteen more objects, which were eventually successfully removed. No major complications occurred. Esophagram should be a second X-ray examination if an object is not detected in plain chest X-ray. We recommend a rigid esophagoscopy under general anesthesia in doubtful cases as a safe treatment for pediatric patients. |
| format | Article |
| id | doaj-art-e976812f4ffe4deba2d3765f9a5c0fca |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-e976812f4ffe4deba2d3765f9a5c0fca2025-02-03T01:03:18ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/102642102642Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective StudyBeata Rybojad0Grazyna Niedzielska1Artur Niedzielski2Ewa Rudnicka-Drozak3Pawel Rybojad4Department of Anesthesiology and Intensive Care, Children’s University Hospital of Lublin, Chodzki Street 2, 20-093 Lublin, PolandDepartment of Pediatric Otolaryngology, Phoniatrics and Audiology, Medical University of Lublin, Chodzki Street 2, 20-093 Lublin, PolandDepartment of Pediatric Otolaryngology, Phoniatrics and Audiology, Medical University of Lublin, Chodzki Street 2, 20-093 Lublin, PolandIndependent Laboratory of Medicine of Disasters, Medical University of Lublin, Chodzki Street 6, 20-093 Lublin, PolandDepartment of Thoracic Surgery, Medical University of Lublin, Jaczewskiego Street 8, 20-954, PolandWe discuss clinical symptoms and radiological findings of variable esophageal foreign bodies as well as therapeutic procedures in Caucasian pediatric patients. A retrospective study of 192 cases of suspected esophageal foreign bodies between 1998 and 2010 was conducted. Data were statistically analyzed by chi-square test. A foreign body was removed from a digestive tract of 163 children aged 6 months to 15 years (mean age 4.9). Most objects were located within cricopharyngeal sphincter. Dysphagia occurred in 43%, followed by vomiting (29%) and drooling (28%). The most common objects were coins. Plain chest X-rays demonstrated aberrations in 132 cases, and in doubtful situations an esophagram test was ordered. In the group of thirty-seven patients whose radiograms were normal, esophagoscopy revealed fifteen more objects, which were eventually successfully removed. No major complications occurred. Esophagram should be a second X-ray examination if an object is not detected in plain chest X-ray. We recommend a rigid esophagoscopy under general anesthesia in doubtful cases as a safe treatment for pediatric patients.http://dx.doi.org/10.1100/2012/102642 |
| spellingShingle | Beata Rybojad Grazyna Niedzielska Artur Niedzielski Ewa Rudnicka-Drozak Pawel Rybojad Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study The Scientific World Journal |
| title | Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study |
| title_full | Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study |
| title_fullStr | Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study |
| title_full_unstemmed | Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study |
| title_short | Esophageal Foreign Bodies in Pediatric Patients: A Thirteen-Year Retrospective Study |
| title_sort | esophageal foreign bodies in pediatric patients a thirteen year retrospective study |
| url | http://dx.doi.org/10.1100/2012/102642 |
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