[Foreign body ingestion in children: our experience and review of the literature].
Foreign body ingestion is a frequent event in paediatric population, especially in the first six years of life. Even if the event is normally cause of anxiety for the parents witness of the situation, fortunately most ingested foreign bodies ingestion, about 80-90%, pass spontaneously, 10-20% of cases needs an endoscopic intervention and only in less than 1% of cases surgery is necessary. Many authors suggest different guide-lines for diagnosis and therapy of foreign body ingestion in children. These purposes are discordant not only on potential danger of foreign body, but also on timing and last of waiting period before endoscopic extraction. Here we report our own experience: a retrospective review of three hundred consecutive paediatric cases of foreign body ingestion between June 2001 and February 2008. This study don't take in account patients with pathology either organic either functional, that can cause stop of food progression. We describe and discuss about medical diagnostic and therapeutic procedures that have been done during the time of hospitalization and performed according to classic and new international literature, with the objective to propose recommendations helpful for a correct management of children presenting with a history of suspected ingestion of a foreign body.
Azienda Ospedaliero-Universitaria Consorziale Policlinico, UO Complessa di Chirurgia Pediatrica, Ospedale Pediatrico Giovanni XXIII, Bari, Italy. orofino@libero.it
Antonio
A
Orofino
Maria Paola
MP
Lanzillotto
Michele
M
D'Amato
Vincenzo
V
Rutigliano
Benito
B
Fanelli
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies