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Endoscopic extraction of digestive foreign bodies Introduction: The ingestion of a foreign body (FB) is very common in childhood, 10 to 20% of the cases require endoscopic removal. The aim of this study is to analyze the demographic, clinical and endoscopic characteristic of patients with FB ingestion requiring endoscopic management. Patients and Methods: The design corresponded to a Prospective Cohort Study. It included patients referred to the Clinica Alemana ER in Santiago in order to remove foreign bodies from their digestive systems between November 2007 and No-vember 2011. Demographic, clinical and endoscopic characteristics were recorded, classifying the symptoms as respiratory, digestive and other manifestations. Risk factors and complications were evaluated. Results: 170 patients, 52.4 % male with average age of four years and three months old. In 78.5 % of the cases, the FB ingestion occurred at home, 82.1% sought medical attention within two hours from the ingestion. Digestive, respiratory and local pain were among the most common symptoms. The location of the FB took place using simple x-ray in 87.6 % of the cases. 91.8% of the FBs were extracted. Location: retropharyngeal 1.3%, 69.3% esophagus, stomach 23 %, duodenum 1.9 % and 3.8 % distal duodenum. Round FB were the most frequent (56.4%) like coins, sharp objects (24.1%), batteries (14.7%), magnets (2.9%) and other large items (1.8%). Mucosal lesion was found in 53.5% of the cases and 9.8% required hospitalization Conclusions: The ingestion of FB occurred at home, and it is most frequent in preschool children. The most common FB was a coin. The location of the FB was through x-ray and no failure or complications were described during the endoscopic removal.(Key words: Foreign body, endoscopic extraction, pediatric age, accidents).Rev Chil Pediatr 2013; 84 (5): 505-512RESUMENIntroduccion: La ingestion de cuerpo extrano (CE) es frecuente en la infancia, requiriendo en el 10-20% de los casos extraccion endoscopica. El objetivo de este trabajo fue analizar las caracteristicas demograficas, clinicas y endoscopicas de los pacientes con ingesta de CE que requieren manejo endoscopico. Pacientes y |
