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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.
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