Foreign body ingestion in children and their follow-up in a tertiary care hospital – A prospective study
Background: Foreign body (FB) ingestion is a common pediatric surgery emergency, with potential complications such as perforation, obstruction, and bleeding. The demographics, characteristics, and management of these cases can vary based on factors such as age, gender, and type of FB ingested. Ai...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2023-05-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/53248 |
| _version_ | 1797835737691848704 |
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| author | Jayakumar P Selvakumar M Meenakshi Sundari S Rock Britto D |
| author_facet | Jayakumar P Selvakumar M Meenakshi Sundari S Rock Britto D |
| author_sort | Jayakumar P |
| collection | DOAJ |
| description | Background: Foreign body (FB) ingestion is a common pediatric surgery emergency, with potential complications such as perforation, obstruction, and bleeding. The demographics, characteristics, and management of these cases can vary based on factors such as age, gender, and type of FB ingested.
Aims and Objectives: This study aimed to analyze these factors in a prospective study of children with FB ingestion.
Materials and Methods: This was a prospective observational study done under 13 years of age with FB ingestion who presented to a tertiary care hospital over a period of 15 months.
Results: A total of 133 cases were included, with a mean age of 6.15 years and a higher prevalence in males (60.2%). The most common age group affected was 5–13 years (50.4%). The mean length of ingested FB was 2.77 cm, with 52.6% of cases ingesting FBs >2 cm. The majority of FBs were blunt (92.5%) and circular in shape (61.7%). The primary reason for ingestion was playing (95.5%). The most common site of FB impaction was the intestine (50.4%). Most cases were managed by observation
(93.2%).
Conclusion: FB ingestion is a common pediatric emergency, with a higher prevalence in males. Most cases can be managed by observation, and endoscopic removal or PR may be required in a small proportion of cases. Awareness of the risk factors and clinical presentation of FB ingestion can aid in prompt diagnosis and management of these cases. |
| first_indexed | 2024-04-09T14:57:22Z |
| format | Article |
| id | doaj.art-530d6102b88448b1bfd4d8ba4c31f9c1 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-09T14:57:22Z |
| publishDate | 2023-05-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-530d6102b88448b1bfd4d8ba4c31f9c12023-05-02T02:05:24ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-05-01145182185https://doi.org/10.3126/ajms.v14i5.53248Foreign body ingestion in children and their follow-up in a tertiary care hospital – A prospective studyJayakumar P 0https://orcid.org/0000-0002-2321-2562Selvakumar M 1https://orcid.org/0009-0005-9286-0896Meenakshi Sundari S 2https://orcid.org/0009-0001-2582-2217Rock Britto D 3https://orcid.org/0000-0002-6825-9540Assistant Professor, Department of Paediatric Surgery, Government Mohan Kumaramangalam Medical College Hospital, Salem, Tamil Nadu, India Associate Professor, Department of Paediatric Surgery, Government Mohan Kumaramangalam Medical College Hospital, Salem, Tamil Nadu, IndiaProfessor, Department of Paediatric Surgery, Madurai Medical College, Madurai, Tamil Nadu, India Professor, Department of Community Medicine, Dhanalakshmi Srinivasan Medical College, Perambalur, Tamil Nadu, India Background: Foreign body (FB) ingestion is a common pediatric surgery emergency, with potential complications such as perforation, obstruction, and bleeding. The demographics, characteristics, and management of these cases can vary based on factors such as age, gender, and type of FB ingested. Aims and Objectives: This study aimed to analyze these factors in a prospective study of children with FB ingestion. Materials and Methods: This was a prospective observational study done under 13 years of age with FB ingestion who presented to a tertiary care hospital over a period of 15 months. Results: A total of 133 cases were included, with a mean age of 6.15 years and a higher prevalence in males (60.2%). The most common age group affected was 5–13 years (50.4%). The mean length of ingested FB was 2.77 cm, with 52.6% of cases ingesting FBs >2 cm. The majority of FBs were blunt (92.5%) and circular in shape (61.7%). The primary reason for ingestion was playing (95.5%). The most common site of FB impaction was the intestine (50.4%). Most cases were managed by observation (93.2%). Conclusion: FB ingestion is a common pediatric emergency, with a higher prevalence in males. Most cases can be managed by observation, and endoscopic removal or PR may be required in a small proportion of cases. Awareness of the risk factors and clinical presentation of FB ingestion can aid in prompt diagnosis and management of these cases.https://www.nepjol.info/index.php/AJMS/article/view/53248children; foreign body ingestion; outcome |
| spellingShingle | Jayakumar P Selvakumar M Meenakshi Sundari S Rock Britto D Foreign body ingestion in children and their follow-up in a tertiary care hospital – A prospective study Asian Journal of Medical Sciences children; foreign body ingestion; outcome |
| title | Foreign body ingestion in children and their follow-up in a tertiary care hospital – A prospective study |
| title_full | Foreign body ingestion in children and their follow-up in a tertiary care hospital – A prospective study |
| title_fullStr | Foreign body ingestion in children and their follow-up in a tertiary care hospital – A prospective study |
| title_full_unstemmed | Foreign body ingestion in children and their follow-up in a tertiary care hospital – A prospective study |
| title_short | Foreign body ingestion in children and their follow-up in a tertiary care hospital – A prospective study |
| title_sort | foreign body ingestion in children and their follow up in a tertiary care hospital a prospective study |
| topic | children; foreign body ingestion; outcome |
| url | https://www.nepjol.info/index.php/AJMS/article/view/53248 |
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