Endoscopic esophageal foreign body removal among children at Lubaga Hospital, Kampala, Uganda

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

African Health Sciences Pub Date : 2023-10-11 DOI:10.4314/ahs.v23i3.27

Michael Okello, Sabrina Bakeera-Kitaka, Ponsiano Ocama, Esther Patience Nabwire, Dave Darshit, Christine Namata, Annah Ainembabazi Tinka

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引用次数: 0

Abstract

Background: Diagnostic upper gastrointestinal endoscopy involves examination of the lining of the esophagus, stomach and part of the duodenum. Interventional endoscopy in addition to evaluating the upper gastrointestinal tract to make a diagnosis, also offers a treatment benefit. Traditionally, esophageal foreign bodies (FBs) in Uganda were removed using rigid endoscopy. We therefore report an emerging trend of using flexible endoscopy to remove these FBs. Objective: To describe participant characteristics and endoscopic findings among children who underwent esophageal FB removal in Lubaga Hospital in Kampala. Methods: This was a retrospective review of endoscopy reports for children who underwent endoscopic esophageal FB removal at Lubaga Hospital from December 2014 to March 2022. Results: Overall, 61 symptomatic children underwent this procedure. The majority of the FBs were removed by flexible endoscopy (n=55, 90.16%). The mean age of the participants was 7.88 (SD=2.12) years old. The majority of the children were females (72.13%) and coins were the most ingested FBs (84%), others included steel crucifix, nails etc. The upper esophageal sphincter was the commonest site for FB impaction (74%). Conclusion: We report high success rates of 90.16% for endoscopic removal of impacted esophageal foreign bodies among Ugandan children using the now widely available flexible endoscopy. Keywords: Endoscopy; esophagus; foreign body.

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乌干达坎帕拉卢巴加医院儿童食管异物内窥镜移除术

背景:诊断性上消化道内窥镜包括对食管、胃和部分十二指肠的检查。介入内窥镜检查除了对上消化道进行诊断外，还提供了治疗益处。传统上，乌干达的食管异物(FBs)是用刚性内窥镜去除的。因此，我们报告了使用柔性内窥镜切除这些FBs的新趋势。目的:描述在坎帕拉卢巴加医院接受食管FB切除术的儿童的参与者特征和内镜检查结果。方法:回顾性分析2014年12月至2022年3月在卢巴加医院内镜下食管FB切除的儿童内镜报告。结果:总共有61名有症状的儿童接受了该手术。大多数FBs通过柔性内窥镜切除(n=55, 90.16%)。参与者的平均年龄为7.88岁(SD=2.12)。大多数儿童为女性(72.13%)，硬币是摄入最多的FBs(84%)，其他包括钢十字架、钉子等。食管上括约肌是FB嵌塞最常见的部位(74%)。结论:我们报告使用现已广泛使用的柔性内窥镜在乌干达儿童中进行内窥镜切除阻生食管异物的成功率高达90.16%。关键词:内窥镜检查;食道;异物。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

African Health Sciences MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

0.00%

发文量

179

审稿时长

>12 weeks

期刊介绍： The African Health Sciences is an internationally refereed journal publishing original articles on research, clinical practice, public health, policy, planning, implementation and evaluation, in the health and related sciences relevant to Africa and the tropics. Its objectives are to: Advocate for and promote the growth of reading culture in sub Saharan Africa; Provide a high quality journal in which health and policy and other researchers and practitioners in the region can and world wide, can publish their work; Promote relevant health system research and publication in the region including alternative means of health care financing, the burden of and solution of health problems in marginalized urban and rural communities amongst the displaced and others affected by conflict; Promote research and the systematic collection and collation and publication of data on diseases and conditions of equity and influence; Promote development of evidence-based policies and guidelines for clinical, public health and other practitioners. African Health Sciences acknowledges support provided by the African Health Journals Partnership Project that is funded by the US National Institutes of Health (through the National Library of Medicine and the Fogarty International Center) and facilitated by the Council of Science Editors.