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Download as PDF. Incidents involving ingestion of foreign bodies and food bolus impactions are relatively common, primarily in paediatric populations, with a notable peak between the ages of 6 months and 6 years. Only a few retrospective survey studies exist on button battery BB ingestion.
Labadie et al. Within this age group, the median age was 1. A retrospective nationwide survey of paediatric gastroenterologists and paediatric surgeons in Germany between and , identified cases of BBs located in the oesophagus. This corresponds to 0. BB ingestion was most frequent between 13 and 24 months of age. Oesophageal location led to severe complications in 47 children, and 5 of these children died as a result.
A study by Cheng et al. The bone's presence resulted in erosion of the oesophageal tissue, leading to left pleural empyema and the formation of a fistula connecting the oesophagus to the left main bronchus. After removal of the foreign body she died of systemic sepsis. Managing a child who has ingested a foreign object poses a considerable challenge for the medical team. Handling ingested blunt and sharp foreign bodies can be a delicate and potentially hazardous procedure. Here, we highlight common errors and potential issues.
Mistakes in paediatric foreign body ingestion and how to avoid them. UEG Education ; Correspondence to: [email protected]. One of the most common errors with ingested foreign bodies is incorrect diagnosis. Patients or caregivers may not recollect ingestion or the object may not manifest in initial radiological imaging studies, causing a delay in diagnosis. For the initial diagnosis, radiographs can confirm the location, size, shape and number of ingested foreign bodies, and they can help rule out aspirated objects.
