Pediatric Cases of Foreign Body Ingestion at Our Hospital

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  • 当院の小児消化管異物例の検討
  • トウ イン ノ ショウニ ショウカカン イブツレイ ノ ケントウ

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Abstract

<p>Although the prognosis of cases of foreign body ingestion in children is generally favorable, complications may occur if the condition is not properly addressed. We reviewed the management of 94 cases of foreign body ingestion among patients under the age of 15 years at our hospital, excluding cigarettes, liquids, drugs, or others. The foreign bodies were mostly metals, button batteries, and plastics. The location of the foreign bodies could be confirmed by radiographic examination in 54 patients, and treatment was required in 25 cases (9 cases of foreign body in the esophagus, 14 cases of foreign body in the stomach, two cases of foreign body in the small intestine). Except for the 9 cases with button batteries identified in the stomach, the foreign bodies were mainly extracted with an endoscope; open surgery was needed in 3 cases. Complications occurred in three cases, including one case each of gastric mucosal injury caused by a lithium battery, esophageal diverticulum caused by a plastic seal, and small intestinal perforation caused by magnets. Because the nature of ingested foreign bodies also changes with time, the management methods need to be updated regularly. In this context, it is necessary to fully recognize the dangers associated with the rampant use of plastics.</p>

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