A Retrospective Study of the Round Radiopaque Foreign Bodies in the Oesophagus
Introduction Ingested foreign bodies (FBs) of the digestive tract can be divided into radiolucent and radiopaque, based on their appearance in Roentgenogram. Coins and button-batteries (BBs) constitute majority of the radiopaque FBs that are round in shape. Materials and Methods Medical record...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2021-09-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://www.bjohns.in/journal3/index.php/bjohns/article/view/464 |
| _version_ | 1797288152530944000 |
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| author | Syamji Venkataramana Lakshmi Sameeri Khaderbad |
| author_facet | Syamji Venkataramana Lakshmi Sameeri Khaderbad |
| author_sort | Syamji Venkataramana |
| collection | DOAJ |
| description | Introduction
Ingested foreign bodies (FBs) of the digestive tract can be divided into radiolucent and radiopaque, based on their appearance in Roentgenogram. Coins and button-batteries (BBs) constitute majority of the radiopaque FBs that are round in shape.
Materials and Methods
Medical records of children admitted with foreign bodies in the GI tract during the last 5 years have been reviewed. We have taken into our study, round radio-opaque FBs and analyzed the results.
Results
Out of 120 radiopaque FBs, in 112 cases they are lodged in cricopharyngeal sphincter (CPS), which were removed. Of these, 103 were coins and 9 were BBs. Five coins, which had crossed the CPS, ultimately passed out naturally with faeces. Three BBs, impacted in the oesophagus, distal to the CPS, were removed via esophagoscopy, on emergency basis. One child with impacted BB developed mediastinitis and died.
Conclusion
A round opaque disc shaped FB which is impacted or seen below CPS should not be treated as coin every time. High index of suspicion is needed to rule out BB ingestion as it is associated with high morbidity and mortality. Aim of this study is to stress on the need for educating primary care physicians and rural medical practitioners to avoid wait and watch policy, thus reducing misdiagnosis of coins for BBs. |
| first_indexed | 2024-03-07T18:45:10Z |
| format | Article |
| id | doaj.art-2a02cc7a4a1f4b3da2e590447354c0bd |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-03-07T18:45:10Z |
| publishDate | 2021-09-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-2a02cc7a4a1f4b3da2e590447354c0bd2024-03-02T02:35:59ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072021-09-0129210.47210/bjohns.2021.v29i2.464A Retrospective Study of the Round Radiopaque Foreign Bodies in the OesophagusSyamji Venkataramana0Lakshmi Sameeri Khaderbad1Bhaskara Medical College, MoinabadMaheshwara Medical College, ChitkulIntroduction Ingested foreign bodies (FBs) of the digestive tract can be divided into radiolucent and radiopaque, based on their appearance in Roentgenogram. Coins and button-batteries (BBs) constitute majority of the radiopaque FBs that are round in shape. Materials and Methods Medical records of children admitted with foreign bodies in the GI tract during the last 5 years have been reviewed. We have taken into our study, round radio-opaque FBs and analyzed the results. Results Out of 120 radiopaque FBs, in 112 cases they are lodged in cricopharyngeal sphincter (CPS), which were removed. Of these, 103 were coins and 9 were BBs. Five coins, which had crossed the CPS, ultimately passed out naturally with faeces. Three BBs, impacted in the oesophagus, distal to the CPS, were removed via esophagoscopy, on emergency basis. One child with impacted BB developed mediastinitis and died. Conclusion A round opaque disc shaped FB which is impacted or seen below CPS should not be treated as coin every time. High index of suspicion is needed to rule out BB ingestion as it is associated with high morbidity and mortality. Aim of this study is to stress on the need for educating primary care physicians and rural medical practitioners to avoid wait and watch policy, thus reducing misdiagnosis of coins for BBs.https://www.bjohns.in/journal3/index.php/bjohns/article/view/464Foreign BodiesRadiopaqueGastrointestinal TractEsophagusChild |
| spellingShingle | Syamji Venkataramana Lakshmi Sameeri Khaderbad A Retrospective Study of the Round Radiopaque Foreign Bodies in the Oesophagus Bengal Journal of Otolaryngology and Head Neck Surgery Foreign Bodies Radiopaque Gastrointestinal Tract Esophagus Child |
| title | A Retrospective Study of the Round Radiopaque Foreign Bodies in the Oesophagus |
| title_full | A Retrospective Study of the Round Radiopaque Foreign Bodies in the Oesophagus |
| title_fullStr | A Retrospective Study of the Round Radiopaque Foreign Bodies in the Oesophagus |
| title_full_unstemmed | A Retrospective Study of the Round Radiopaque Foreign Bodies in the Oesophagus |
| title_short | A Retrospective Study of the Round Radiopaque Foreign Bodies in the Oesophagus |
| title_sort | retrospective study of the round radiopaque foreign bodies in the oesophagus |
| topic | Foreign Bodies Radiopaque Gastrointestinal Tract Esophagus Child |
| url | https://www.bjohns.in/journal3/index.php/bjohns/article/view/464 |
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