Abstract
Aim and method: The paper presents the results of a ten-year retrospective study covering the period January 2010 to December 2019 involving 115 child patients admitted to the Department of Pediatric Otorhinolaryngology Medical Faculty Comenius University Faculty and the National Institute of Children’s Diseases in Bratislava who were suspected to have a foreign body in their esophagus.
Results: All patients received adequate diagnosis with esophagoscopy performed under total anesthetic in the case of 115 children (100 %). The study population comprised 54 boys (47 %) and 61 girls (53 %). Most of the children were aged between 1 and 4 years. A positive finding was reported in 90 cases (78.26 %). Surgeons removed primarily 75 non-organic foreign bodies (65.21 %), the largest number of which were coins stuck in the first narrowing of the esophagus. A total of 44 coins were extracted (59 % of cases). Two cases involved disc batteries and another two involved magnetic balls. The complications associated with foreign body removal were rare and insignificant, they were about trivial esophageal lacerations. Having removed a disc battery – only in two patients – it came to partial necrosis of the mucosal esophageal wall, later healed ad integrum.
Conclusion: In the discussion, the authors compare their results with the available professional literature and highlighted the preventable nature of the studied diagnosis (Fig. 7, Ref. 8). Text in PDF www.lekarskyobzor.sk.
Key words: foreign bodies, esophagus, children, esophagoscopy.
Lek Obz 2022, 71 (4): 158 – 162
Irina ŠEBOVÁ 1, Martin ČVERHA 1, Mária HOMOLOVÁ 1, Ivana VYRVOVÁ 1, František CHOVANEC 2, Jaroslav BIBZA 3
1 Detská otorinolaryngologická klinika LF UK a NÚDCH v Bratislave, prednostka MUDr. I. Šebová, CSc.
2 Klinika detskej hematológie a onkológie LF UK a NÚDCH v Bratislave, prednostka prof. A. Kolenová, PhD.
3 Klinika detskej chirurgie LF UK a NÚDCH v Bratislave, prednosta MUDr. J. Babala, PhD.
Cite:
ŠEBOVÁ I., ČVERHA M., HOMOLOVÁ M., VYRVOVÁ I., CHOVANEC F., BIBZA J.: Foreign bodies in the esophagus in children. Lek Obz 2022; 71 (4): 158 – 162
