title: [Esophageal foreign bodies in children and adults: 20 years experience].
abstract: BACKGROUND
  Esophageal foreign object ingestion is frequently seen in all ages. Failure to treat can cause serious complications such as esophageal perforation. The aims of this study were to characterize the clinical features related to foreign objects in the esophagus and to analyze the results of commonly used methods for their removal.
  
  
  METHODS
  We analyzed 20 years of records from Siyami Ersek Hospital, Istanbul and identified 512 cases of foreign objects enlodged in the esophagus.
  
  
  RESULTS
  In pediatric patients, the majority were aged between 2-5 years (34.4%), while in adult patients, the majority were above 55 years (38.7%). Coins were the most common foreign object detected in children (68.8%), whereas meat impaction was most common in adults (87.4%). The most common location of the foreign object was the cervical esophagus in children (78.2%), and the thoracic esophagus in adults (66.4%). In 30.8% of adults, there was esophageal or systemic disease. Objects were removed with a Magill clamp in 48.3% of children. Rigid endoscopy was the main treatment in adult patients. Perforation due to endoscopy developed in three patients. Surgical repair was performed on these patients but all died due to mediastinitis.
  
  
  CONCLUSIONS
  Underlying esophageal or systemic diseases may predispose adults to foreign object ingestion in the esophagus. Improved endoscopic experience and clinical management of thoracic surgeons led to reduced morbidity and mortality in recent years.
authors.affiliation: Department of Thoracic Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey. siyamie@gmail.com
authors.forename: Sezai
authors.initials: S
authors.lastname: Celik
authors.forename: Bülent
authors.initials: B
authors.lastname: Aydemir
authors.forename: Handan
authors.initials: H
authors.lastname: Tanrıkulu
authors.forename: Tamer
authors.initials: T
authors.lastname: Okay
authors.forename: Ilgaz
authors.initials: I
authors.lastname: Doğusoy
mesh_terms: D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy; D004947:Esophagus / Q000293:injuries*; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged