Foreign body in the gastrointestinal tract – a case report and current diagnostic and therapeutic recommendations

Česká verzia

Authors: M. Lázničková; J. Slaný; Z. Spilková
Authors place of work: Dětské lékařství Městské nemocnice Ostrava primář prof. MUDr. J. Slaný, CSc.
Published in the journal: Čes-slov Pediat 2012; 67 (Suppl 1): 36-39.
Category: Case Histories

Summary

Ingestion of a foreign body is often complaint of parents of children in pediatric clinics. The possibilities of the latest diagnostic and therapeutic procedures and techniques sometimes tempt to use them immediately without considering adverse effects. If you do not necessarily need to interfere with the functioning of the human body it is not desirable to expose a child to complications of endoscopic or surgical treatment. According to many Czech and foreign studies I’ve tried to handle this issue and the result is an overview of procedures that have worked and which are part of international recommendations.

Key words:
foreign body, child, gastrointestinal tract, conservative approach, endoscopy, surgery

Zdroje

1. Betalli P, Rossi A, Bini M, Bacis G, Borrelli O, et al. Update on Management of Caustic and Foreign Body Ingestion in Children. Diagnostic and Therapeutic Endoscopy. Hindawi Publishing Corporation, 2009. Pages 969868. DOI 10.1155/2009/ 969868. PubMed 19902009.

2. Conners GP. Management of asymptomatic coin ingestion. Pediatrics 2005 Sept; 116 (3): 752–753.

3. Kay M, Wyllie R. Techniques of foreign body removal in infants and children. Techniques in Gastrointestinal Endoscopy 2002 Oct; 4 (4): 188–195.

4. Kay M, Wyllie R. Pediatric foreign bodies and their management. Current Gastroenterology Reports 2005; 7 (3): 212–218. Pubmed 15913481.

5. Chien-Heng Lin, An-Chyi Chen, Jeng-Dau Tsai, et al. Endoscopic removal of foreign bodies in children. Chest 2007; 93 (5): 447–452. PubMed 3359838.

6. Norton VC. Gastrointestinal foreign bodies. In: Clinical Practice of Emergency Medicine. 4th ed. Chapter 75. Philadelphia: Lippincott Williams & Wilkins, 2005: 1–12.

7. Litovitz T, Whitaker N, Clark L, White NC, Marsolek M. Emerging battery-ingestion hazard. Clinical implications. Pediatrics 2010; 125 (6): 1168–1177. PubMed 20498173.

8. Nevoral J, Kotalová R. Knoflíková baterie jako cizí těleso v zažívacím traktu dítěte. Čes-slov Pediat 1990; 45 (12): 742–743.

9. Panieri E, Bass DH. The management of ingested foreign bodies in children – a review of 663 cases. Journal Oklahoma State Medical Ass 2001; 2 (2): 183–186. PubMed: 11458665.

10. Seo JK. Endoscopic management of gastrointestinal foreign bodies in children. Indian J Pediatr 1999; 66: 75–80. Pubmed 11132474.

11. Srivastava G. Foreign bodies in the oropharynx, gastrointestinal tract, ear, and nose. Clinical Pediatric Emergency Medicine 2010; 11 (2): 81–94.

12. Špičák J. Cizí tělesa v horní části trávicí trubice. In: Zavoral M, et al. Nové trendy v digestivní endoskopické diagnostice a léčbě. Praha: Grada, 2000: 109–116.

13. Vospělová J, a kol. Cizí tělesa v horním zažívacím traktu u dětí. Kdy indikovat endoskopickou extrakci? Pediatrie pro Praxi 2006; 5: 281–283.