The Indian Journal of Pediatrics

, Volume 71, Issue 8, pp 689–693 | Cite as

Foreign body in upper digestive tract

  • A. M. Shivakumar
  • Ashok S. Naik
  • K. B. Prashanth
  • B. S. Yogesh
  • Girish F. Hongal
Original Article

Abstract

Objective : Foreign body ingestion is a common clinical problem, encountered in children.Methods : A total number of 104 patients with ingested foreign body admitted in our hospital are reviewed. Endoscopic removal was done for all foreign objects impacted in esophagus.Result; In 84.6% cases, history of having swallowed the foreign body was most common symptom. Majority of patients (61.53%) presented within 24 hours after ingestion of foreign body. Coins were the most frequent offending agents in children (87.5%). Seventy six cases of coins were impacted in the postcricoid region. Complications of retropharyngeal abscess was seen in two cases (1.92%), which was associated with sharp foreign body.Conclusion : Early removal of these sharp foreign bodies must be considered to reduce the risk of this complication.

Key words

Foreign body Pharynx Esophagus 

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References

  1. 1.
    Webb WA, McDaniel L, Jone L. Foreign bodies of the upper gastrointestinal tract: Current management.South Med J 1984; 77: 1083–1086.PubMedCrossRefGoogle Scholar
  2. 2.
    Hamilton JK, Polter DE. Gastrointestinal foreign bodies. In Sleisenger MH, Fordtran JS, eds.Gastrointestinal Disease: Pathophysiology, Diagnosis and Management; Philadelphia, London, Toronto; W.B. Saunders Company, 1993; 286–292.Google Scholar
  3. 3.
    Marcon NE. Overtubes and foreign bodies.Can J Gastroenterol, 1990; 4: 599–602.Google Scholar
  4. 4.
    Tibbling L, Stenquist M. Foreign bodies in the esophagus. A study of causative factors:Dysphagia 1991; 6: 224–227.PubMedCrossRefGoogle Scholar
  5. 5.
    Hawkins D. Removal of blunt foreign bodies from the esophagus.Ann Otol Rhinol Laryngol 1990; 99: 935–940.PubMedGoogle Scholar
  6. 6.
    Campbell JB, Foley LC. A safe alternative to endoscopic removal of blunt esophageal foreign bodies.Arch Otolaryngol 1983; 109: 323–325.PubMedGoogle Scholar
  7. 7.
    Mariani PJ, Wagner DK. Foley catheter extraction of blunt esophageal foreign bodies.J Emerg Med 1986; 4: 301–306.PubMedCrossRefGoogle Scholar
  8. 8.
    Bonadio WA, Jona JZ, Glicklich M, Cohen R. Esophageal bouginage technique for coin ingestion in children.J Pediatr Surg 1988; 23: 917–918.PubMedCrossRefGoogle Scholar
  9. 9.
    Vyas K, Prabha Sawant, Rathi P, Das HS, Borse N. Foreign bodies in gut.JAPI 2000; 48(4): 394–396.PubMedGoogle Scholar
  10. 10.
    Jona JZ, Glicklich M, Cohen RD. The contraindications for blind esophageal bouginage for coin ingestion in children.J Pediatr Surg 1988; 23: 328–30.PubMedCrossRefGoogle Scholar
  11. 11.
    Bhuvanesh Singh, Gady Har EL, Manoj Kantu, Frank E. Lucente. Complications associated with 327 foreign bodies of the pharynx, larynx, and esophagus.Ann Otol Rhinol laryngol 1997; 106: 301–304.Google Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2004

Authors and Affiliations

  • A. M. Shivakumar
    • 1
  • Ashok S. Naik
    • 1
  • K. B. Prashanth
    • 1
  • B. S. Yogesh
    • 1
  • Girish F. Hongal
    • 1
  1. 1.Department of E.N.T.Bapuji Hospital J.J.M. Medical CollegeKamatakaIndia

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