Clinical and epidemiological characteristics of patients seen with foreign bodies in the digestive tract at the Instituto Nacional de Salud del Niño from January 2009 through December 2011

Authors

  • Alexis Ormeño
  • Ángel Florián Servicio de Gastroenterología, Hepatología y Nutrición, Instituto Nacional de Salud del Niño. Lima, Perú

DOI:

https://doi.org/10.61651/rped.2013v66n2p51-61

Keywords:

Foreign Bodies, Endoscopy, Gastrointestinal, Child

Abstract

Introduction: The ingestion of foreign bodies (FB) is more and more frequently reported in medical practice, constituting the second indication of upper endoscopy in pediatric emergency after gastrointestinal bleeding.

Objective: To describe the clinical and epidemiological characteristics of patients treated with EC in the digestive tract at the Instituto Nacional de Salud del Niño from January 2009 to December 2011.

Methods: We reviewed the medical records of 148 patients with CE in digestive tract treated between January 1, 2009 and December 31, 2011 at the Instituto Nacional de Salud del Niño who met the inclusion criteria. For statistical analysis we used SPSS (Statistical Package for Social Sciences) v. 19 for Windows.

Results: The age group most affected was from 6 months to 3 years, with a slight male predominance. In 16.9% of cases were reported prior extraction maneuvers without success and in 75.7% of cases the extraction was performed after 24 hours. Most frequently reported vomiting, drooling and dysphagia when the FB lodged in the esophagus. The endoscopic removal was performed in 76.4% of cases and FB most frequently found were coins and disc batteries. Complications occurred in 29.1%, being more frequent ulcers and erosions in the gastrointestinal mucosa. Hospitalization was required in 16.2% of patients.

Conclusions: The most frequently affected age group was 6 months to 3 years, endoscopic removal was performed in most patients, CE most commonly ingested was coins and the most frequent location was the upper esophagus. The most frequent complications were ulcers and erosions in the gastrointestinal mucosa.

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Author Biographies

Alexis Ormeño

Médico Pediatra Residente de Segundo Año de la Subespecialidad de Gastroenterología Pediátrica en el Instituto de Salud del Niño. Lima, Perú.

Ángel Florián, Servicio de Gastroenterología, Hepatología y Nutrición, Instituto Nacional de Salud del Niño. Lima, Perú

Médico Asistente del Servicio de Gastroenterología, Hepatología y Nutrición del Instituto Nacional de Salud del Niño. Lima, Perú

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Published

2013-12-31

How to Cite

1.
Ormeño A, Florián Ángel. Clinical and epidemiological characteristics of patients seen with foreign bodies in the digestive tract at the Instituto Nacional de Salud del Niño from January 2009 through December 2011. Rev Peru Pediatr [Internet]. 2013 Dec. 31 [cited 2025 Feb. 22];66(2):51-6. Available from: https://pediatria.pe/index.php/pedperu/article/view/425

Issue

Vol. 66 Num. 2 (2013)

Section

ORIGINAL ARTICLE

Categories

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