Abstract
Foreign body (FB) ingestion is common in children worldwide. Type of FB ingestion varies among cultures and countries. We retrospectively reviewed all patients of foreign body ingestion who were admitted in Department of Pediatric Surgery, Chittagong Medical College Hospital from January 2017 to December 2019 (total 3 years). Age, Sex, type of foreign body, hospital stay, management and outcome were analyzed. A total of 91 children were admitted with ingestion of FB during this period; male 61, female 30 (male to female ratio 2:1). Age ranged from 3 months to 12 years (median 3.5 ± 3.8 years). Fifty eight percent were less than 5 years old. Children ingested 21 different types of FB; however ingestion of coin was most common (24 patients, 26.37%) followed by different types of pins (19 patients, 20.88%), nail (6 patients, 6.59%), battery (5 patients, 5.49%), screw (5 patients, 5.49%), needle (4 patients, 4.40%), ring (4 patients, 4.40%) and others (18 patients). Sharp object ingestion is higher in older (>5 year) age group. Hospital stay ranged from 0 day to 19 days (mean 1.6 ± 2.1 day). Endoscopic removal needed in 4 patients (coin-2, chain 2), bronchoscopic removal in 1 (pin) and one patient needed laparotomy (open hair pin). There was no mortality. The pattern of FB ingestion is similar to many other countries. Small, smooth objects pass spontaneously. Endoscopic or surgical intervention is sometimes needed if significant symptoms develop or if the object fails to progress through the gastrointestinal tract.
 Asian J. Med. Biol. Res. June 2020, 6(2): 299-304
Highlights
Foreign body (FB) ingestion in children is common and a world-wide problem
FB ingestion causes serious problem in less than 1% of all cases, it causes about 1500 deaths per year in USA. (Chung et al, 2010)
Fifty-three (58%) children were less than 5 years old, 27 (29%) were between 5-10 years and 11(12%) patients were more than 10 years old
Summary
Foreign body (FB) ingestion in children is common and a world-wide problem. Small children tend to put foreign bodies in their mouth due to oral orientation after the age of six months (Yalçin, 2007). Especially before 6 years of age, are more susceptible to FB injuries due to the lack of molar teeth, the tendency toward oral exploration, to play while they eat, and the poor coordination of swallowing (Gregori et al, 2010). The European Survey on Foreign Bodies Injuries (ESFBI) study reported that the most common FB were coins, batteries and fish bones (Gregori et al, 2010). Since there is scarcity of reports from Bangladesh, the aim of the study is to report the types of FB ingested, their management and outcome in a tertiary pediatric surgical center in Bangladesh
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