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. 2012:2012:102642.
doi: 10.1100/2012/102642. Epub 2012 Apr 19.

Esophageal foreign bodies in pediatric patients: a thirteen-year retrospective study

Beata Rybojad  1 , Grazyna Niedzielska, Artur Niedzielski, Ewa Rudnicka-Drozak, Pawel Rybojad
Affiliations

Esophageal foreign bodies in pediatric patients: a thirteen-year retrospective study

Beata Rybojad et al. ScientificWorldJournal. 2012.

Abstract

We discuss clinical symptoms and radiological findings of variable esophageal foreign bodies as well as therapeutic procedures in Caucasian pediatric patients. A retrospective study of 192 cases of suspected esophageal foreign bodies between 1998 and 2010 was conducted. Data were statistically analyzed by chi-square test. A foreign body was removed from a digestive tract of 163 children aged 6 months to 15 years (mean age 4.9). Most objects were located within cricopharyngeal sphincter. Dysphagia occurred in 43%, followed by vomiting (29%) and drooling (28%). The most common objects were coins. Plain chest X-rays demonstrated aberrations in 132 cases, and in doubtful situations an esophagram test was ordered. In the group of thirty-seven patients whose radiograms were normal, esophagoscopy revealed fifteen more objects, which were eventually successfully removed. No major complications occurred. Esophagram should be a second X-ray examination if an object is not detected in plain chest X-ray. We recommend a rigid esophagoscopy under general anesthesia in doubtful cases as a safe treatment for pediatric patients.

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Figures

Figure 1
Figure 1
A radiopaque FB (a wedding ring).
Figure 2
Figure 2
A radiolucent FB (a peach seed) within first esophageal narrowing.
Figure 3
Figure 3
A spring which was later expelled spontaneously.
Figure 4
Figure 4
A clove of garlic swallowed as a pinworms treatment.
See this image and copyright information in PMC

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MeSH terms