Complications of upper gastrointestinal foreign body in children and related risk factors
WANG Yue-Sheng, ZHANG Jing, LI Xiao-Qin, YU Zhi-Dan, ZHOU Fang
Department of Gastroenterology, Children's Hospital Affiliated to Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital, Zhengzhou 450018, China
Abstract Objective To study the complications of upper gastrointestinal foreign body in children and related risk factors. Methods Clinical data were collected from 772 children with upper gastrointestinal foreign bodies who were treated at the outpatient service or were hospitalized from January 2014 to December 2018. A multivariate logistic regression analysis was used to investigate the risk factors for the development of complications in children with upper gastrointestinal foreign bodies. Results The upper gastrointestinal foreign bodies were taken out by electronic endoscopy for the 772 children. There were 414 boys and 358 girls, with a median age of 2.8 years. Children under 3 years old accounted for 59.5%. The foreign bodies were mainly observed in the esophagus (57.5%) and the stomach (28.9%), with a retention time of ≤ 24 hours in 465 children (60.2%) and > 24 hours in 307 children (39.8%). The types of upper gastrointestinal foreign bodies mainly included round metal foreign bodies (37.2%), long foreign bodies (24.7%), sharp foreign bodies (16.2%), batteries (14.4%), corrosive substances (4.8%), and magnets (2.7%). As for the severity of complications, 47.7% (368 children) had mild complications, 12.7% (98 children) had serious complications, and 39.6% (306 children) had no complications. The logistic regression analysis showed that an age of < 3 years, underlying diseases, location of foreign body, type of foreign body, and a retention time of > 24 hours were risk factors for the development of complications in these children (OR=2.141, 7.373, 6.658, 8.892, and 6.376 respectively, P < 0.05). Conclusions An understanding of the above high-risk factors for the complications of upper gastrointestinal foreign bodies is helpful to choose appropriate intervention methods and thus reduce the incidence of serious complications.
WANG Yue-Sheng,ZHANG Jing,LI Xiao-Qin et al. Complications of upper gastrointestinal foreign body in children and related risk factors[J]. CJCP, 2020, 22(7): 774-779.
WANG Yue-Sheng,ZHANG Jing,LI Xiao-Qin et al. Complications of upper gastrointestinal foreign body in children and related risk factors[J]. CJCP, 2020, 22(7): 774-779.
Zhong Q, Jiang R, Zheng X, et al. Esophageal foreign body ingestion in adults on weekdays and holidays:a retrospective study of 1058 patients[J]. Medicine (Baltimore), 2017, 96(43):e8409.
Ma J, Kang DK, Bae JI, et al. Value of MDCT in diagnosis and management of esophageal sharp or pointed foreign bodies according to level of esophagus[J]. AJR Am J Roentgenol, 2013, 201(5):W707-W711.
[8]
Yeh HY, Chao HC, Chen SY, et al. Analysis of radiopaque gastrointestinal foreign bodies expelled by spontaneous passage in children:a 15-year single-center study[J]. Front Pediatr, 2018, 6:172.
[9]
Altokhais TI, Al-Saleem A, Gado A, et al. Esophageal foreign bodies in children:emphasis on complicated cases[J]. Asian J Surg, 2017, 40(5):362-366.
[10]
Kramer RE, Lerner DG, Lin T, et al. Management of ingested foreign bodies in children:a clinical report of the NASPGHAN Endoscopy Committee[J]. J Pediatr Gastroenterol Nutr, 2015, 60(4):562-574.
Birk M, Bauerfeind P, Deprez PH, et al. Removal of foreign bodies in the upper gastrointestinal tract in adults:European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline[J]. Endoscopy, 2016, 48(5):489-496.
Chibishev A, Markoski V, Smokovski I, et al. Nutritional therapy in the treatment of acute corrosive intoxication in adults[J]. Mater Sociomed, 2016, 28(1):66-70.
[15]
Chessman R, Verkerk M, Hewitt R, et al. Delayed presentation of button battery ingestion:a devastating complication[J]. BMJ Case Rep, 2017, 2017:bcr2017219331.
