儿童异物摄入：德里一家三级医疗中心 99 例病例的经验

Q3 Medicine

Journal of Indian Association of Pediatric Surgeons Pub Date : 2024-05-01 DOI:10.4103/jiaps.jiaps_183_23

Meghna Kinjalk, Mehak Sehgal, S. Ratan, Nitin Jain, Chiranjiv Kumar Gupta, S. Neogi, Prafull Kumar, Dhruv Bhoria, Vanshika Arora, Gautam Chellani

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引用次数: 0

摘要

摘要儿童意外摄入异物至关重要，因为无法有效沟通有可能导致灾难性后果。我们的目的是确定异物误食的流行病学以及根据年龄、性别、异物类型和位置的不同而产生的差异，并描述其处理方法。目的是研究小儿外科住院患儿异物误入的各种类型及其处理方法。 2020 年 1 月至 2022 年 6 月期间，对确诊为异物误食的 12 岁以下儿童进行了一项回顾性研究。对患者进行临床和放射学评估后，按照标准方案对患者进行观察或紧急处理。紧急处理包括通过内窥镜或手术取出异物。研究分析了不同年龄组、性别、异物类型、异物位置及其处理方法之间的比较。在 99 名研究对象中，有 76 名男孩和 23 名女孩。发病年龄中位数为 5 岁。大多数患儿发病时无症状。在所有年龄组中，最常误食的异物是一枚硬币。大多数异物被怀疑位于小肠内。对穿越十二指肠空肠挠曲的异物（74 例，占 74.7%）采取了保守治疗，观察时间最短 24 小时，最长 48 小时。总体而言，在所有年龄组中，最常见的胃肠道异物是一枚硬币。纽扣电池是最令人担忧的异物；不过，根据异物的位置，可以采取保守治疗。上消化道异物可以通过内窥镜安全取出。家长的辅导对于预防异物误食非常重要。

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Foreign Body Ingestion in Children: An Experience of 99 Cases in a Tertiary Care Center in Delhi

ABSTRACT Accidental ingestion of foreign bodies in children is critical, as the inability to effectively communicate can potentially lead to devastating consequences. We aimed to determine the epidemiology of foreign body ingestion and variability according to age, gender, type, and location of foreign body, and describe its management. The aim was to study the various types of foreign body ingestions in children admitted to pediatric surgery and their management. A retrospective study was conducted from January 2020 to June 2022 on children under the age of 12 years with a confirmed diagnosis of foreign body ingestion. Patients were clinically and radiologically assessed, after which standard protocols were followed wherein patients were followed by either observation or emergent management. Emergent management included removal of the foreign body by either endoscopy or surgery. Comparisons among multiple age groups, gender, type of foreign body, location of foreign body, and their management were analyzed. Out of 99 subjects in our study, there were 76 boys and 23 girls. The median age of presentation was 5 years. Most children were asymptomatic at presentation. The most frequently ingested foreign body was a coin in all age groups. The majority of the foreign bodies were suspected to be in the small bowel. The foreign bodies that had crossed the duodenojejunal flexure (n = 74, 74.7%) were managed conservatively with the observation of a variable period of a minimum of 24 h and a maximum of 48 h. 21 cases were managed by endoscopic removal, while three cases required surgical intervention. Overall, the most common gastrointestinal foreign body was a coin in all age groups. Button battery is the most worrisome foreign body; however, depending on its position, it can be managed conservatively. Upper GI foreign bodies can be safely removed endoscopically. Parental counseling is very important for the prevention of ingestion of foreign bodies.

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来源期刊

Journal of Indian Association of Pediatric Surgeons Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.80

自引率

0.00%

发文量

148

审稿时长

30 weeks

期刊介绍： Journal of Indian Association of Pediatric Surgeons is the official organ of Indian Association of Pediatric Surgeons. The journal started its journey in October 1995 under the Editor-in-Chief Prof. Subir K Chatterjee. An advisory board was formed with well-versed internationally reputed senior members of our society like Late Prof. R K Gandhi, Prof. I C Pathak, Prof. P Upadhyay, Prof. T Dorairajan and many more. since then the journal is published quarterly uninterrupted. The journal publishes original articles, case reports, review articles and technical innovations. Special issues on different subjects are published every year. There have been several contributions from overseas experts.