Abstract
Introduction: The ingestion of a foreign body (FB) is very common in childhood, 10 to 20% of the cases require endoscopic removal.
The aim of this study is to analyze the demographic, clinical and endoscopic characteristic of patients with FB ingestion requiring endoscopic management.
Patients and Methods: The design corresponded to a Prospective Cohort Study. It included patients referred to the Clinica Alemana ER in Santiago in order to remove foreign bodies from their digestive systems between November 2007 and November 2011. Demographic, clinical and endoscopic characteristics were recorded, classifying the symptoms as respiratory, digestive and other manifestations. Risk factors and complications were evaluated.
Results: 170 patients, 52.4 % male with average age of four years and three months old. In 78.5 % of the cases, the FB ingestion occurred at home, 82.1% sought medical attention within two hours from the ingestion. Digestive, respiratory and local pain were among the most common symptoms. The location of the FB took place using simple x-ray in 87.6 % of the cases. 91.8% of the FBs were extracted. Location: retropharyngeal 1.3%, 69.3% esophagus, stomach 23 %, duodenum 1.9 % and 3.8 % distal duodenum. Round FB were the most frequent (56.4%) like coins, sharp objects (24.1%), batteries (14.7%), magnets (2.9%) and other large items (1.8%). Mucosal lesion was found in 53.5% of the cases and 9.8% required hospitalization
Conclusions: The ingestion of FB occurred at home, and it is most frequent in preschool children. The most common FB was a coin. The location of the FB was through x-ray and no failure or complications were described during the endoscopic removal.
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