Vikas Jain
Postgraduate Institute of Child Health, IndiaPresentation Title:
Spectrum of foreign body ingestion in Indian children
Abstract
Background and Objectives: Foreign body (FB) ingestion is a common pediatric problem. Study objective is to evaluate spectrum and management of FB ingestion in children.
Materials and Methods: Retrospective study included children < 18 yrs with FB ingestion treated in PGICH, Noida from March 2017 - July 2023. Diagnosed on history and radiograph of chest or abdomen. Clinical, endoscopic management and complications were recorded. Data analyzed using SPSS.
Results: 92 children (Gr-A; coin ingestion, n=56 vs Gr-B; non-Coin ingestion, n=36) were managed with median age of 4 (0.6-17) years, boys 66% (n=61) and spectrum includes 61% coin (n=56), 12% button battery (n=11), 12% metallic objects (n=11), 7.6% plastic object (n=7), 4.3% food bolus (n=4), 3.3% magnet (n=3). Underlying post-repair tracheoesophagealfistula stricture was present in 2 children with food bolus impaction. Impacted FB in 35% (n=32, 30 in esophagus and 2 in duodenum second part). Female (25 vs 47.2%, p= 0.028) and vomiting (25 vs 7 %, p =0.016) were high in Gr-B vs Gr-A. Successful endoscopic removal was done in 100% children after median [45 (12-144) vs 23 (2-142), p=0.007] hrs of ingestion in Gr-A vs Gr-B respectively. Complication like small superficial ulcer occured in 3/92, deep ulcer in 2/92 (one with button battery in upper esophagus and second with coin in stomach after 12 hrs and 6 days of ingestion respectively). Age at presentation [4 (1-11) vs 2.7 (0.5-17) y, p=0.313] and complication [2/56 (3.5%) vs 3/36 (8.3%), p=0.575] were similar in Gr-A and Gr-B respectively.
Conclusion: Coin, button battery and metallic objects are common FB. FB in esophagus, button battery and non progression are independent risk factors require urgent endoscopic removal.
Biography
To be added