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2024, Number 3

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Rev Mex Pediatr 2024; 91 (3)

Esophageal injuries caused by ingestion of foreign bodies in relation to the time of extraction by endoscopy

Lozano-Arenas AM, Mar-Villegas NE, Raya-Garza LP, Obregón-García JA
Full text How to cite this article 10.35366/119373

DOI

DOI: 10.35366/119373
URL: https://dx.doi.org/10.35366/119373

Language: Spanish
References: 15
Page: 96-100
PDF size: 320.37 Kb.


Key words:

foreign body, endoscopy, esophageal injury, children.

ABSTRACT

Introduction: the ingestion of foreign bodies is frequent in the pediatric population, constituting one of the main causes of urgent endoscopy, since the esophagus is the main site of lodging. Objective: to compare the type of esophageal injuries caused by ingestion of foreign bodies according to the time of their removal by endoscopy. Material and methods: a cross-sectional study was conducted, which included 73 pediatric patients who underwent endoscopic removal of foreign bodies in a third-level pediatric hospital. The severity of the lesions found in the esophagus was analyzed according to the time between ingestion and removal of the foreign body. Results: patients with an evolution > 24 hours had a higher proportion of superficial ulcers (31.3%) and deep ulcers (37.4%), which was lower in patients with an evolution of 12 to 24 hours, since they presented superficial ulcers in 19.4%; while patients with < 12 hours had superficial lesions in 14.3%. Conclusions: in patients with ingestion of foreign bodies, the longer the time taken for their removal, the greater the severity of esophageal injuries.


REFERENCES

  1. Fung BM, Sweetser S, Wong Kee Song LM, Tabibian JH. Foreign object ingestion and esophageal food impaction: An update and review on endoscopic management. World J Gastrointest Endosc. 2019; 11(3): 174-192. doi: 10.4253/wjge.v11.i3.174

  2. Navia-López LA, Cadena-León JF, Ignorosa-Arellano KR, Toro-Monjaraz EM, Zárate-Mondragón F, Loredo-Mayer A et al. Foreign body ingestion and associated factors in pediatric patients at a tertiary care center. Rev Gastroenterol Mex. 2021; S0375-0906(21)00032-X. doi: 10.1016/j.rgmx.2020.09.009.

  3. Chen X, Milkovich S, Stool D, van As AB, Reilly J, Rider G. Pediatric coin ingestion and aspiration. Int J Pediatr Otorhinolaryngol. 2006; 70(2): 325-329. doi: 10.1016/j.ijporl.2005.07.010.

  4. Tander B, Yazici M, Rizalar R, Ariturk E, Ayyildiz SH, Bernay F. Coin ingestion in children: which size is more risky? J Laparoendosc Adv Surg Tech A. 2009; 19(2): 241-243. doi: 10.1089/lap.2008.0206.

  5. Caballero Mateos AM, Martínez Cara JG, Jiménez Rosales R, Redondo Cerezo E. Manejo de cuerpos extraños en el tracto digestivo superior. RAPD Online. 2018; 41(2): 73-77.

  6. Seo JK. Endoscopic management of gastrointestinal foreign bodies in children. Indian J Pediatr. 1999; 66(1 Suppl): S75-S80.

  7. Lim CW, Park MH, Do HJ, Yeom JS, Park JS, Park ES et al. Factors associated with removal of impacted fishbone in children, suspected ingestion. Pediatr Gastroenterol Hepatol Nutr. 2016; 19(3): 168-174. doi: 10.5223/pghn.2016.19.3.168.

  8. Kramer RE, Lerner DG, Lin T, Manfredi M, Shah M, Stephen TC et al. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Endoscopy Committee. Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr. 2015; 60(4): 562-574. doi: 10.1097/MPG.0000000000000729.

  9. Lee JH. Endoscopic removal of foreign body. Clin Endosc. 2018; 51: 129-136. doi: 10.5946/ce.2018.039.

  10. Jayachandra S, Eslick GD. A systematic review of paediatric foreign body ingestion: presentation, complications, and management. Int J Pediatric Otorhinolaryngol. 2013; 77(3): 311-317. doi: 10.1016/j.ijporl.2012.11.025.

  11. Brayer AF, Conners GP, Ochsenschlager DW. Spontaneous passage of coins lodged in the upper esophagus. Int J Pediatr Otorhinolaryngol. 1998; 44: 59-61.

  12. Alexander W, Kadish JA, Dunbar JS. Ingested foreign bodies in children. In: Kaufmann HJ, ed. Progress in pediatric radiology. 2nd ed. Chicago (IL): Yearbook Medical Publishers; 1969. p. 256-285.

  13. Sethia R, Gibbs H, Jacobs IN, Reilly JS, Rhoades K, Jatana KR. Current management of button battery injuries. Laryngoscope Investig Otolaryngol. 2021; 6(3): 549-563. doi: 10.1002/lio2.535.

  14. Carneiro BC, Cruz IAN, Chemin RN, Rizzetto TA, Guimaraes JB, Silva FD et al. Multimodality imaging of foreign bodies: new insights into old challenges. Radiographics. 2020; 40(7): 1965-1986. doi: 10.1148/rg.2020200061

  15. Litovitz TL, Klein-Schwartz W, White S, Cobaugh DJ, Youniss J, Omslaer JC et al. 2000 Annual report of the American Association of poison control centers toxic exposure surveillance system. Am J Emerg Med. 2001; 19(5): 337-395. doi: 10.1053/ajem.2001.25272.




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Rev Mex Pediatr. 2024;91