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CODE: 1105
 

CLINICAL EXPERIENCE OF REMOVING AERODIGESTIVE TRACT FOREIGN BODIES WITH RIGID ENDOSCOPY IN CHILDREN.

 

 

Ozguner IF, Buyukyavuz BI, Savas C, Yavuz MS, Okutan H.

 

Pediatric Emergency Care. 20(10):671-673, October 2004.

 

 

ABSTRACT

 

Objectives: This study was undertaken to document the aerodigestive tract foreign body accidents among children, and to investigate the circumstances surrounding these events.

Methods: A review of the charts of pediatric patients admitted with the definitive or suspicious diagnosis of aerodigestive tract foreign bodies was carried out in the period between January 1, 1998 to December 31, 2002.

 

Results: There were 53 eligible children; 39 boys and 14 girls, with an age range of 7 months to 14 years. Food items were the most common airway foreign bodies and coins were the most common esophageal foreign bodies. Among the 32 patients who underwent bronchoscopy, no foreign body was identified in 9 patients. Among the 21 patients who underwent esophagoscopy, foreign body was removed in 19 patients. In 2 cases, large foreign bodies which we could not extract with forceps were pushed into the stomach.

 

Conclusions: Foreign bodies in the airway and esophagus constitute a constant hazard in all age groups, which demands immediate approach and management. Although the rigid endoscopic removal of aerodigestive foreign bodies was successful in this series, the most effective treatment of foreign body accidents is their prevention.

 

Keywords: foreign body, esephagus, larenx, endoscopy.

CITED BY:

1. Després N, Lapointe A, Quintal MC, Arcand P, Giguère C, Abela A. “3-Year impact of a provincial choking prevention program”, Journal of Otolaryngology 2006; 35 (4): 216-221.

2. Arnold LD. “Ingested and aspirated foreign bodies: Making sure that what went in comes out”, Contemporary Pediatrics, 2006; 23 (11): 32-44.

3. Chung MK, Jeong HS, Ahn KM, Park SH, Cho JK, Son YI, Baek CH. “Pulmonary recovery after rigid bronchoscopic retrieval of airway foreign body”, Laryngoscope, 2007; 117 (2): 303-307.

4. Eren Ş, Avcı A, Nasır A, Gürkan F. “Esophageal button battery ingestion: a delayed diagnosis”, Turkish Respiratory Journal 2007; 8(1): 32-33.

5. Bagheri R, Maddah Gh, Abdollahi A. “Massive upper gastrointestinal bleeding due to esophago- thyroidal artery fistula following foreign body aspiration: a case report”, Tehran University Medical Journal; 2007; 65(8): 91-95.

6. Gregori D, Morra B, Berchialla P, Salerni L, Scarinzi C, Snidero S, Corradetti R, Passali D; the ESFBI Study Group. "Foreign bodies in the ears causing complications and requiring hospitalization in children 0-14 age: Results from the ESFBI study" Eur Arch Otorhinolaryngol (2008) 265:971–8.

7. Dong IS, Kwang JC, Jung HH, Min SK. A case of esophageal foreign body resulting in unilateral vocal cord paralysis in an infant. Korean J Otolaryngol 2005; 48: 1064-6.

8. Shubha AM, Das K. “Tracheobronchial foreign bodies in infants”. Int J Pediatr Otorhinolaryngol. 2009 Jul 31. [Epub ahead of print]

9. Losacco T, Cagiano R, Luperto P, Bera I, Santacroce L “An unusual foreign body in the upper aerodigestive tract: esophageal obstruction due to bran impaction”. Eur Rev Med Pharmacol Sci. 2009 Nov-Dec;13(6):475-8.

 

10. Manoach S, Wilkerson RG, Russo CM, Charchaflieh J. Case report: a 12-month-old girl with partial airway obstruction caused by an esophageal coin. Am Soc Crit Care Anesthestol. 2010; 21(2): 13-4.

LÜTFEN YAYINLARIMIZA YAPTIGINIZ SİTASYONLARI, SİTASYON FORMU' NU DOLDURARAK BİZE BİLDİRİNİZ. TEŞEKKÜR EDERİZ.
 
 
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