Skip to main content
SpringerLink
Log in

Esophageal Foreign Bodies in Pediatric Age Group with Different Durations of time from Ingestion to Effective Treatment

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

A foreign body(FB) is any object in a region it is not meant to be, where it can cause harm by its mere presence if immediate medical attention is not sought. Foreign body is particularly common in the pediatric population especially below 5 years of age and in whom prevalence was reported to vary between 57% and 80%. Endoscopic interventions are indicated when the foreign objects fail to pass spontaneously. The standard methods to remove these foreign bodies include push technique and retrieval methods using various endoscopic instruments. Study of 302 patients admitted with the final diagnosis of esophageal foreign body during January 2017 – April 2018, for sex, age, diagnosis on admission, estimated duration and site of impaction, type and number of foreign body removed. During the study period, 302 patients (169 males and 133 females) of different ages, maximum in the age group of 1–5 years i.e 197 cases were admitted with the diagnosis of esophageal foreign body. 11% of patients were less than 1 year of age & 23% were more than 5 years of age at the time of admission. Most of them presented to hospital within 24 hours of ingestion of foreign body i.e 85%. In this study all the children with suspected foreign body esophagus underwent Xray and FB was found in 300/302 i.e its diagnostic accuracy (sensitivity) is 98%. Rigid esophagoscopy was done in all 302 pts with 100% diagnostic accuracy. Different types of foreign bodies ingested most common being coin i.e in 91% patients followed by FB battery in 17 patients and safety pin in 6 patients. Majority of foreign bodies were located in the cricopharynx (198) followed by upper esophagus (67) and mid-esophagus (25) and only 10 cases involved the lower esophagus and spontaneous passage was found in 2 cases. The most common foreign bodies in children are coins and toys. Sharp foreign bodies are difficult to remove but need to be removed carefully at the earliest to prevent dreaded complications like - retropharyngeal abscess and mediastinitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10

Similar content being viewed by others

References

  1. https://www.ncbi.nlm.nih.gov/books/NBK482131/#

  2. Reilly JS, Cook SP, Stool D (1996) Prevention and management of aerodigestive foreign body injuries in childhood. Pediatr Clin North Am 43:1403–1411

    Article  CAS  PubMed  Google Scholar 

  3. Concept of Foreign Body- Its Past and Present Santanu Banerjee Editor, IJO & HNS pg 24–27

  4. Heinrich D Becker; a Short History Of Bronchoscopy, Cambridge University Press 978-0-521-76628-9 - Introduction to Bronchoscopy Edited by Armin Ernst

  5. Ambe P, Weber SA, Schauer M, Knoefel WT (2012) Swallowed foreign bodies in adults. Dtsch A ¨rztebl Int 109:869–875

    Google Scholar 

  6. Li ZS, Sun ZX, Zou DW, Xu GM, Wu RP, Liao Z (2006) Endoscopic management of foreign bodies in the upperGI tract: experience with 1088 cases in China. Gastrointest Endosc 64:485–92.

  7. Peng A, Li Y, Xiao Z (2012) Study of clinical treatment of esophageal foreign body induced esophageal perforation with lethal complications. Eur Arch Otorhinolaryngol 269:2027–36

  8. Shaker H, Elsayed H, Whittle I, Hussein S, Shackcloth M (2010) The influence of the ‘golden 24-h rule’ on the prognosis of oesophageal perforation in the modern era. Eur J Cardiothorac Surg 38:216–222

    Article  PubMed  Google Scholar 

  9. Binder L, Anderson WA (1994) Paediatric gastro-intestinal foreign body ingestions. Ann Emerg Med 13:112–117

    Article  Google Scholar 

  10. Saki N, Nikakhlagh S, Tahmasebi MI (2008) J Radiol 6(1):p199–204

    Google Scholar 

  11. Wu WT, Chiu CT, Kuo CJ, Lin CJ, Chu YY, Tsou YK, Su MY (2011) Endoscopic management of suspected esophageal foreign body in adults. Dis Esophagus 24:131–137. https://doi.org/10.1111/j.1442-2050.2010.01116.x

    Article  CAS  PubMed  Google Scholar 

  12. Birk M, Bauerfeind P, Deprez PH (2016) Removal of foreign bodies in the upper gastrointestinal tract in adults: european Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 48:489–496. https://doi.org/10.1055/s-0042-100456

    Article  PubMed  Google Scholar 

  13. Faigel DO, Stotland BR, Kochman ML (1997) Device choice and experience level in endoscopic foreign object retrieval: an in vivo study. Gastrointest Endosc 45:490–492. https://doi.org/10.1016/s0016-5107(97)70179-2

    Article  CAS  PubMed  Google Scholar 

  14. Tierney WM, Adler DG, Conway JD (2009) Overtube use in gastrointestinal endoscopy. Gastrointest Endosc 70:828–834. https://doi.org/10.1016/j.gie.2009.06.014

    Article  PubMed  Google Scholar 

  15. Li D, Nan L, Niu K, Yin W, Zhu W, Wang X (2019) Failure of standard methods for retrieving an unusual foreign body in esophagus: a case report. Med (Baltim) 98:e18105. https://doi.org/10.1097/MD.0000000000018105

    Article  Google Scholar 

  16. Armstrong William B, MD, & James L. Netterville, MD. Anatomy of the larynx, trachea & bronchi. Otolaryngology Clinics North American. Vol28. Number 4. Aug 1995. Pages 685–699.

Download references

Funding

This research received no specific grant from any funding agency.

Author information

Authors and Affiliations

  1. Jaipur, Rajasthan, India

    Ankita Soni

  2. Dehradun, Uttarakhand, India

    Rikta Roy

  3. Department of ENT, Mahatma Gandhi Memorial Medical college, Indore, Madhya Pradesh, India

    Yamini Gupta

Authors
  1. Ankita Soni
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Rikta Roy
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yamini Gupta
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ankita Soni.

Ethics declarations

Conflict of interest

The authors declare that there is no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institution.

Informed Consent

Was obtained from all individual participant’s attendees involved in the study.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Supplementary Material 1

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Soni, A., Roy, R. & Gupta, Y. Esophageal Foreign Bodies in Pediatric Age Group with Different Durations of time from Ingestion to Effective Treatment. Indian J Otolaryngol Head Neck Surg 75, 1421–1428 (2023). https://doi.org/10.1007/s12070-023-03578-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-023-03578-8

Keywords

Search

Navigation