Foreign body ingestion and associated factors in pediatric patients at a tertiary care center.

Autor:	Navia-López LA; Servicio de Gastroenterología y Nutrición, Instituto Nacional de Pediatría, Ciudad de México, México. Electronic address: alexnavia138@hotmail.com., Cadena-León JF; Departamento de Gastroenterología y Nutrición Pediátrica, Unidad de Diagnóstico en Gastroenterología Pediátrica Integral (UDIGAPI), Instituto Nacional de Pediatría, Ciudad de México, México., Ignorosa-Arellano KR; Departamento de Gastroenterología y Nutrición Pediátrica, Unidad de Diagnóstico en Gastroenterología Pediátrica Integral (UDIGAPI), Instituto Nacional de Pediatría, Ciudad de México, México., E M Toro-Monjaraz; Servicio de Gastroenterología y Nutrición, Instituto Nacional de Pediatría, Ciudad de México, México., Zárate-Mondragón F; Servicio de Gastroenterología y Nutrición, Instituto Nacional de Pediatría, Ciudad de México, México., Loredo-Mayer A; Servicio de Gastroenterología y Nutrición, Instituto Nacional de Pediatría, Ciudad de México, México., Cervantes-Bustamante R; Servicio de Gastroenterología y Nutrición, Instituto Nacional de Pediatría, Ciudad de México, México., Ramírez-Mayans JA; Servicio de Gastroenterología y Nutrición, Instituto Nacional de Pediatría, Ciudad de México, México.
Jazyk:	English; Spanish; Castilian
Zdroj:	Revista de gastroenterologia de Mexico (English) [Rev Gastroenterol Mex (Engl Ed)] 2021 Apr 20. Date of Electronic Publication: 2021 Apr 20.
DOI:	10.1016/j.rgmx.2020.09.009
Abstrakt:	Introduction and Aims: Foreign body (FB) ingestion is a common problem in children under 5 years of age and is one of the main indications for endoscopy. The aim of the present study was to describe the clinical, radiographic, and endoscopic characteristics of patients with FB ingestion, as well as the factors associated with the anatomic location and the type of object ingested. Materials and Methods: An analytic cross-sectional study was conducted on all patients with FB ingestion seen at the gastroenterology service from January 2013 to December 2018. The data were analyzed using the SPSS program, obtaining frequencies, percentages, medians, and interquartile ranges. Associations were assessed through the chi-square test. Results: Eighty-five patients (52 males and 33 females) were included, with a median age of 4 years. The most common symptom was vomiting (29.4%). Two radiographic projections were carried out in 72.9% of the cases and the stomach was the site where the FB was most frequently visualized (32.9%). The objects most commonly ingested were coins (36%), with esophageal location (p <0.05), as well as objects with a diameter larger than 2cm (p <0.05). An endoscopic procedure was performed on 76 patients (89.4%) for FB extraction, with findings of erythema (28.9%), erosion (48.6%), ulcer (10.5%) and perforation (1.3%). Conclusions: Numerous factors should be taken into account in the approach to FB ingestion in pediatric patients, including type and size of the FB, time interval from ingestion to hospital arrival, and patient clinical status and age. (Copyright © 2021 Asociación Mexicana de Gastroenterología. Publicado por Masson Doyma México S.A. All rights reserved.)
Databáze:	MEDLINE
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