Foreign Body Ingestion in Children
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초록
Foreign body (FB) ingestion in children is common and most children are observed to be between 6 months and 3 years of age. Althoughmost FBs in the gastrointestinal tract pass spontaneously without complications, endoscopic or surgical removal may be required in afew children. Thus, FB ingestion presents a significant clinical difficulty in pediatric gastroenterological practice. Parameters that needto be considered regarding the timing of endoscopic removal of ingested FBs in children are the children’s age or body weight, theclinical presentation, time lapse since ingestion, time of last meal, type as well as size and shape of the FB, and its current location in thegastrointestinal tract. Esophageal button batteries require emergency removal regardless of the presence of symptoms because they cancause serious complications. Coins, magnets, or sharp FBs in the esophagus should be removed within 2 hours in symptomatic and within24 hours in asymptomatic children. Among those presenting with a single or multiple magnets and a metallic FB that have advancedbeyond the stomach, symptomatic children need a consultation with a pediatric surgeon for surgery, and asymptomatic children may befollowed with serial X-rays to assess progression. Sharp or pointed, and long or large and wide FBs located in the esophagus or stomachrequire endoscopic removal.
Abstract
Foreign body (FB) ingestion in children is common and most children are observed to be between 6 months and 3 years of age. Althoughmost FBs in the gastrointestinal tract pass spontaneously without complications, endoscopic or surgical removal may be required in afew children. Thus, FB ingestion presents a significant clinical difficulty in pediatric gastroenterological practice. Parameters that needto be considered regarding the timing of endoscopic removal of ingested FBs in children are the children’s age or body weight, theclinical presentation, time lapse since ingestion, time of last meal, type as well as size and shape of the FB, and its current location in thegastrointestinal tract. Esophageal button batteries require emergency removal regardless of the presence of symptoms because they cancause serious complications. Coins, magnets, or sharp FBs in the esophagus should be removed within 2 hours in symptomatic and within24 hours in asymptomatic children. Among those presenting with a single or multiple magnets and a metallic FB that have advancedbeyond the stomach, symptomatic children need a consultation with a pediatric surgeon for surgery, and asymptomatic children may befollowed with serial X-rays to assess progression. Sharp or pointed, and long or large and wide FBs located in the esophagus or stomachrequire endoscopic removal.
참고문헌 (32)
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