Consultations for digestive foreign bodies ingestion in a pediatric emergency department

e202007076

Authors

  • Celia Martí-Castellote Servicio de Urgencias de Pediatría. Hospital Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España.
  • Aitor López-González Servicio de Urgencias de Pediatría. Hospital Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España.
  • Victoria Trenchs Sainz de la Maza Servicio de Urgencias de Pediatría. Hospital Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España. / Universitat de Barcelona. Barcelona. España. / Institut de Recerca Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España.
  • Ana Curcoy Barcenilla Servicio de Urgencias de Pediatría. Hospital Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España. / Institut de Recerca Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España.
  • Judit Alsina Rossell Universitat de Barcelona. Barcelona. España.
  • Carles Luaces Cubells Servicio de Urgencias de Pediatría. Hospital Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España. / Universitat de Barcelona. Barcelona. España. / Institut de Recerca Sant Joan de Déu. Esplugues de Llobregat. Barcelona. España.

Keywords:

Foreign body, Ingestion, Pediatrics, Emergency department, Public Health, Prevention

Abstract

Background: Foreign body (FB) ingestion distresses many families who consult the emergency department promptly. The objective of the study is to determine the epidemiological characteristics of children who consult due to suspected FB intake and its consequences.
Methods: Descriptive-observational study, carried out in a third-level maternal and child center. Emergency reports were selected from patients under 18 years of age with a diagnosis of discharge “Ingesta CE” (code 938 CIM-9-MC until May 2018; code T18.9XXA CIM-10-MC later) from 1/1/2017 until 12/31/2018. Miscoded and reconsultations within the same episode were excluded. Data was analysed with the statistics program SPSS 25.0.
Results: 458 cases were included; median age 3.8 years (p25-75: 1.9-6.6 years); 267 (58.3%) males. 78.9% consulted in the first 6 hours after intake. Accidental cause was reported in 98.9% of cases. In 96.7% a single FB was ingested. The most frequent types of object were metallic (46.7%), plastics (16.4%) and food bones/shells (12.9%). The 23.6% of FB involved were sharp/pointed. 49.1% of the patients presented symptoms. A complementary test was performed in 69.4%, especially radiographs (63.5%). Metal detector was used in 10%. 9.6% required endoscopy. 90.4% were discharged from the emergency department, with 12.1% of reconsultations.
Conclusions: Consultations for FB ingestion are relatively frequent in the emergency department and, although most of them are discharged, many patients require complementary tests and a non-negligible number, endoscopy. The patient’s profile is that of a preschooler who spontaneously goes to the emergency room due to an accidental ingestion of a blunt metallic object.

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References

Maluenda Carrillo C, Varea Calderón V, Bodas Pinedo A. Ingesta de cuerpos extraños [Internet]. Protocolos diagnóstico-terapéuticos de Gastroenterología, Hepatología y Nutrición Pediátrica. Ergón S.A; 2010 [cited 2019 Jan 29]. p. 131–4. Available from: https://www.aeped.es/sites/default/files/documentos/c_extranos.pdf.

Binte Hamzah H, James V, Manickam S, Ganapathy S. Handheld Metal Detector for Metallic Foreign Body Ingestion in Pediatric Emergency. Indian J Pediatr. 2018;85(8):618–24.

Errázuriz G. Ingestión de cuerpos extraños:protocolo de estudio y tratamiento. Rev Médica Clínica Las Condes. 2009;20(6):883–91.

Lee JH. Foreign Body Ingestion in Children. Clin Endosc. 2018;51(2):129–36.

Geng C, Li Xi, Rong L, Cai L, Lei X, Wang C. Endoscopic management of foreign bodies in the upper gastrointestinal tract: a retrospective study of 1294 cases. Scand J Gastroenterol. 2017;52(11):1286–91.

Lobeiras A, Zugazabeitia A, Uribarri N, Mintegui S. Consultas relacionadas con la ingesta de un cuerpo extraño en Urgencias. An Pediatr (Barc). 2015;86(4):182–7.

Ministerio de Sanidad, Servicios Sociales e Igualdad SGT. Clasificación Internacional de Enfermedades, 10.a Revisión. Modificación Clínica. Madrid; 2018.

Yalçin S, Karnak I, Ciftci A, Senocak ME, Tanyel FC, Büyükpamukçu N. Foreign body ingestion in children: an analysis of pediatric surgical practice. Pediatr Surg Int. 2007;23(8):755–61.

Arana A, Hauser B, Hachimi-Idrissi S, Vandenplas Y. Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr. 2001;160(8):468–72.

Chung S, Forte V, Campisi P. A review of pediatric foregin body ingestion and management. Clin Pediatr Emerg Med. 2010;11(3):225–30.

Passali D, Gregori D, Lorenzoni G, Cocca S, Logliscci M. Foreign body injuries in children : a review. Acta Otorhinolaryngol Ital. 2015;35(4):265–71.

Cevik M, Gokdemir M, Boleken M, Sogut O, Kurkcuoglu C. The Characteristics and Outcomes of Foreign Body Ingestion and Aspiration in Children Due to Lodged Foreign Body in the Aerodigestive Tract. Pediatr Emerg Care. 2013;29(1):53–7.

Nastoulis E, Karakasi M, Alexandri M, Thomaidis V. Foreign Bodies in the Abdominal Area : Review of the Literature. Acta Medica Cordoba [Internet]. 2019;62(3):85–93. Available from: https://dx.doi.org/10.14712/18059694.2019.130.

Nation J, Jiang W. The utility of a handheld metal detector in detection and localization of pediatric metallic foreign body ingestion. Int J Pediatr Otorhinolaryngol. 2017;92:1–6.

James V, Hamzah H, Ganapathy S. Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children. J Vis Exp. 2018;139:1–7.

Saz EU, Arikan C, Özgenç F, Duyu M, Ozananar Y. The utility of handheld metal detector in confirming metallic foreign body ingestion in the pediatric emergency department. Turkish J Gastroenterol. 2010;21(2):135–9.

Aljasser A, Elmaraghy CA, Jatana KR. Utilization of a handheld metal detector protocol to reduce radiation exposure in pediatric patients with esophageal coins. Int J Pediatr Otorhinolaryngol. 2018;112:104–8.

Wu W, Lv Z, Xu W, Liu J, Sheng Q. An analysis of foreign body ingestion treatment below the pylorus in children. Medicine (Baltimore). 2017;96(38):e8095.

Hong KH, Kim YJ, Kim JH, Chun SW, Kim HM, Cho JH et al. Risk factors for complications associated with upper gastrointestinal foreign bodies. World J Gastroenterol. 2015;21(26):8125–31.

Marhoobi R Al. Patterns and Complications of Ingested Foreign Bodies in Omani Children. Oman Med J. 2018;33(6):463–7.

Kramer R, Lerner D, Lin T, Manfredi M, Shah M, Stephen T. Management of Ingested Foreign Bodies in Children: A Clinical Report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr. 2015;60(4):562–74.

Arora R, Kumar S, Singh GB. Predictors of nature of ingested foreign bodies in children & assessment of operative outcomes. Int J Pediatr Otorhinolaryngol. 2018;113:150–5.

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Published

2020-07-30

How to Cite

1.
Martí-Castellote C, López-González A, Trenchs Sainz de la Maza V, Curcoy Barcenilla A, Alsina Rossell J, Luaces Cubells C. Consultations for digestive foreign bodies ingestion in a pediatric emergency department: e202007076. Rev Esp Salud Pública [Internet]. 2020 Jul. 30 [cited 2024 Nov. 15];94:8 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/864

Issue

Vol. 94 (2020)

Section

Originales breves

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Copyright (c) 2020 Celia Martí-Castellote, Aitor López-González, Victoria Trenchs Sainz de la Maza, Ana Curcoy Barcenilla, Judit Alsina Rossell, Carles Luaces Cubells

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