Abstract
Introduction: Greatest percentage of the upper gastro intestinal accidently swallowed foreign bodies in adults are related to food bolus impaction with meat. Most patients who swallow a true foreign body typically are younger, however young children were recorded to accidently swallow other objects rather than food poluses. Males are more often recorded, and often have significant psychiatric illness and/or drug abuse. Foreign body (FB) ingestion is a very common problem in children. FB may pass through gastrointestinal (GI) system silently without any indication, or it may need an intervention to prevent complications. The diagnosis, decision for involvement and management may have some difficulties, and it’s usually decided according to the case, especially in cases with protracted lodgment. Complications caused by lodgment of ingested GI FBs varies according to many factors and are associated with important morbidity and mortality in children.
 Objectives: to show an overview of gastrointestinal foreign bodies in children, its epidemiology, risk factors, hazards and management.
Highlights
Greatest percentage of the upper gastro intestinal accidently swallowed foreign bodies in adults are related to food bolus impaction with meat
Esophageal Foreign body (FB) should be suspected in children who complain of a sore throat or difficulty swallowing saliva or meals for no apparent reason
If the FB is still there after a week, children should go to the hospital and get an X-ray to identify the precise position of the FB
Summary
Management of accidently foreign body ingestion in children (FBI) is considered one of the most challenging problems in pediatric medicine. The Endoscopy Committee of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) recently advised considering endoscopic assessment and removal in certain cases of BBI if the battery lies beyond the oesophagus [3]. This advice contrasts prior National Battery Ingestion Hotline (NBIH) and National Capital Poison Center guidelines, which recommended only conservative initial care in asymptomatic children with postesophageal BB. The responsible physician of the case must maintain a high index of suspicion and a more extensive history; physical check and radiodiagnostic investigation should be obtained in assumed cases [4]
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