Factors Associated with Removal of Impactted Fishbone in Children, Suspected Ingestion
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Purpose: The management and clinical course in pediatric patients who had ingested foreign body were investigated retrospectively to evaluate the frequency and factor associated with successful removal of fishbone foreign body.Methods: Based on the medical records of patients younger than 15 years old who visited emergency room because of foreign body ingestion from January 1999 to December 2012, the authors reviewed clinical characteristics including type of ingested foreign bodies, time to visits, managements and complications.Results: Fishbone (50.1%) was the most common ingested foreign body in children. Among 416 patients with in-gested fishbone, 245 (58.9%) were identified and removed using laryngoscope, rigid or flexible endoscope from pharynx or upper esophagus by otolaryngologists and pediatric gastroenterologists. The kind of ingested fish bone in children was diverse. The mean age of identified and removed fishbone group was 7.39 years old, and higher than that of unidentified fishbone group (5.81 years old, p＜0.001). Identified and removed fishbone group had shorter time until hospital visit than the unidentified fishbone group (2.03 vs. 6.47 hours, p＜0.001). No complication due to ingested fishbone or procedure occurred.Conclusion: Older age and shorter time from accident to hospital visit were the different factors between success and failure on removal of ingested fish bone in children.
Abstract
Purpose: The management and clinical course in pediatric patients who had ingested foreign body were investigated retrospectively to evaluate the frequency and factor associated with successful removal of fishbone foreign body.Methods: Based on the medical records of patients younger than 15 years old who visited emergency room because of foreign body ingestion from January 1999 to December 2012, the authors reviewed clinical characteristics including type of ingested foreign bodies, time to visits, managements and complications.Results: Fishbone (50.1%) was the most common ingested foreign body in children. Among 416 patients with in-gested fishbone, 245 (58.9%) were identified and removed using laryngoscope, rigid or flexible endoscope from pharynx or upper esophagus by otolaryngologists and pediatric gastroenterologists. The kind of ingested fish bone in children was diverse. The mean age of identified and removed fishbone group was 7.39 years old, and higher than that of unidentified fishbone group (5.81 years old, p＜0.001). Identified and removed fishbone group had shorter time until hospital visit than the unidentified fishbone group (2.03 vs. 6.47 hours, p＜0.001). No complication due to ingested fishbone or procedure occurred.Conclusion: Older age and shorter time from accident to hospital visit were the different factors between success and failure on removal of ingested fish bone in children.
참고문헌 (15)
- Uyemura MC, "Foreign body ingestion in children", Am Fam Physician, 72, pp.287~291 (2005)
- Seo JK, "Endoscopic management of gastrointestinal foreign bodies in children", Indian J Pediatr, 66(1 Suppl), pp.S75~S80 (1999)
- Ayantunde AA, "A review of gastrointestinal foreign bodies", Int J Clin Pract, 60, pp.735~739 (2006)
- Hesham A-Kader H, "Foreign body ingestion: children like to put objects in their mouth", World J Pediatr, 6, pp.301~310 (2010)
- Alexander W, "Progress in pediatric radiology", pp.256~285 (1969), Yearbook Medical Publishers
- Panieri E, "The management of ingested foreign bodies in children--a review of 663 cases", Eur J Emerg Med, 2, pp.83~87 (1995)
- 차경만, "이물질 흡인 및 섭취를 주소로 응급실에 내원한 소아환자의 경향과 임상결과 분석", 대한응급의학회지, 25(1), pp.79~83 (2014), 대한응급의학회
- Choi ES, "Clinical analysis of foreign bodies in gastrointestinal tract in children", J Korean Assoc Pediatr Surg, 20, pp.12~16 (2014)
- Zhang S, "Endoscopic management of foreign bodies in the upper gastrointestinal tract in South China: a retrospective study of 561 cases", Dig Dis Sci, 55, pp.1305~1312 (2010)
- Pfau P, "Clinical gastrointestinal endoscopy", pp.291~304 (2005), Elsevier Saunders
- 이민혜, "소아의 위장관 이물에 대한 고찰", Pediatric Gastroenterology, Hepatology & Nutrition, 5(2), pp.136~142 (2002), 대한소아소화기영양학회
- Arana A, "Management of ingested foreign bodies in childhood and review of the literature", Eur J Pediatr, 160, pp.468~472 (2001)
- Chawla A, "Clinics in diagnostic imaging (100). Migrated pharyngeal fish bone", Singapore Med J, 45, pp.397~402 (2004)
- Kay M, "Pediatric foreign bodies and their management", Curr Gastroenterol Rep, 7, pp.212~218 (2005)
- Higo R, "Foreign bodies in the aerodigestive tract in pediatric patients", Auris Nasus Larynx, 30, pp.397~401 (2003)