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The Scientific World Journal - Volume 2012 2012, Article ID 102642, 6 pages -

Clinical Study

Department of Anesthesiology and Intensive Care, Children’s University Hospital of Lublin, Chodzki Street 2, 20-093 Lublin, Poland

Department of Pediatric Otolaryngology, Phoniatrics and Audiology, Medical University of Lublin, Chodzki Street 2, 20-093 Lublin, Poland

Independent Laboratory of Medicine of Disasters, Medical University of Lublin, Chodzki Street 6, 20-093 Lublin, Poland

Department of Thoracic Surgery, Medical University of Lublin, Jaczewskiego Street 8, 20-954, Poland

Received 24 October 2011; Accepted 25 December 2011

Academic Editors: E. Z. Dajani, L. G. Graff, and T. K. Ti

Copyright © 2012 Beata Rybojad et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We discuss clinical symptoms and radiological findings of variable esophageal foreign bodies as well as therapeutic procedures in Caucasian pediatric patients. A retrospective study of 192 cases of suspected esophageal foreign bodies between 1998 and 2010 was conducted. Data were statistically analyzed by chi-square test. A foreign body was removed from a digestive tract of 163 children aged 6 months to 15 years mean age 4.9. Most objects were located within cricopharyngeal sphincter. Dysphagia occurred in 43%, followed by vomiting 29% and drooling 28%. The most common objects were coins. Plain chest X-rays demonstrated aberrations in 132 cases, and in doubtful situations an esophagram test was ordered. In the group of thirty-seven patients whose radiograms were normal, esophagoscopy revealed fifteen more objects, which were eventually successfully removed. No major complications occurred. Esophagram should be a second X-ray examination if an object is not detected in plain chest X-ray. We recommend a rigid esophagoscopy under general anesthesia in doubtful cases as a safe treatment for pediatric patients.





Autor: Beata Rybojad, Grazyna Niedzielska, Artur Niedzielski, Ewa Rudnicka-Drozak, and Pawel Rybojad

Fuente: https://www.hindawi.com/



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