title: Factors Associated with Removal of Impactted Fishbone in Children, Suspected Ingestion.
abstract: OBJECTIVE
  The management and clinical course in pediatric patients who had ingested foreign body were investigated retrospectively to evaluate the frequency and factor associated with successful removal of fishbone foreign body.
  
  
  METHODS
  Based on the medical records of patients younger than 15 years old who visited emergency room because of foreign body ingestion from January 1999 to December 2012, the authors reviewed clinical characteristics including type of ingested foreign bodies, time to visits, managements and complications.
  
  
  RESULTS
  Fishbone (50.1%) was the most common ingested foreign body in children. Among 416 patients with ingested fishbone, 245 (58.9%) were identified and removed using laryngoscope, rigid or flexible endoscope from pharynx or upper esophagus by otolaryngologists and pediatric gastroenterologists. The kind of ingested fish bone in children was diverse. The mean age of identified and removed fishbone group was 7.39 years old, and higher than that of unidentified fishbone group (5.81 years old,p<0.001). Identified and removed fishbone group had shorter time until hospital visit than the unidentified fishbone group (2.03 vs. 6.47 hours,p<0.001). No complication due to ingested fishbone or procedure occurred.
  
  
  CONCLUSIONS
  Older age and shorter time from accident to hospital visit were the different factors between success and failure on removal of ingested fish bone in children.
authors.affiliation: Department of Pediatrics, Gyeongsang National University Hospital, Jinju, Korea.; Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Chun Woo
authors.initials: CW
authors.lastname: Lim
authors.affiliation: Department of Pediatrics, Gyeongsang National University Hospital, Jinju, Korea.; Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Min Hwan
authors.initials: MH
authors.lastname: Park
authors.affiliation: Department of Pediatrics, Gyeongsang National University Hospital, Jinju, Korea.; Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Hyun Jeong
authors.initials: HJ
authors.lastname: Do
authors.affiliation: Department of Pediatrics, Gyeongsang National University Hospital, Jinju, Korea.; Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Jung-Sook
authors.initials: JS
authors.lastname: Yeom
authors.affiliation: Department of Pediatrics, Gyeongsang National University Hospital, Jinju, Korea.; Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Ji Sook
authors.initials: JS
authors.lastname: Park
authors.affiliation: Department of Pediatrics, Gyeongsang National University Hospital, Jinju, Korea.; Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Eun Sil
authors.initials: ES
authors.lastname: Park
authors.affiliation: Department of Pediatrics, Gyeongsang National University Hospital, Jinju, Korea.; Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Ji Hyun
authors.initials: JH
authors.lastname: Seo
authors.affiliation: Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.; Department of Otorhinolaryngology, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Jung Je
authors.initials: JJ
authors.lastname: Park
authors.affiliation: Department of Pediatrics, Gyeongsang National University Hospital, Jinju, Korea.; Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Jae Young
authors.initials: JY
authors.lastname: Lim
authors.affiliation: Department of Pediatrics, Gyeongsang National University Hospital, Jinju, Korea.; Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Chan Hoo
authors.initials: CH
authors.lastname: Park
authors.affiliation: Department of Pediatrics, Gyeongsang National University Hospital, Jinju, Korea.; Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Hyang-Ok
authors.initials: HO
authors.lastname: Woo
authors.affiliation: Department of Pediatrics, Gyeongsang National University Hospital, Jinju, Korea.; Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Hee-Shang
authors.initials: HS
authors.lastname: Youn
keywords: Child; Fish bone; Removal