ENDOSCOPIC MANAGEMENT OF PEDIATRIC FOREIGN BODY INGESTION: A RETROSPECTIVE STUDY

NIZAR BAKIR YAHYA

NIZAR BAKIR YAHYA Department of Pediatrics, college of Medicine, University of Duhok

Keywords: Foreign body ingestion, Pediatric, Turkish lira, Batteries, Endoscopy, Accidental

Abstract

https://doi.org/10.31386/dmj.2025.19.2.12

Abstract

Background: Foreign body ingestion is prevalent among pediatric patients, with most accidental cases resolving naturally without intervention. However, immediate action is required in certain situations to mitigate risks and complications.

Methods: The present study was conducted at Hevi Pediatrics Teaching Hospital in Duhok Governorate which analyzed 58 pediatric patients diagnosed with foreign body ingestion from August 2022 to February 2025. Data included demographics, symptoms, clinical presentations, radiological findings, localization, and outcomes.

Results: The mean patient age was 4.63 ± 3.55 years, with 67.2% older than 2 years. Most foreign bodies were metallic objects, including, Turkish lira (29.3%), followed by disk batteries (17.6%), food, sharp objects, and others. Foreign bodies were found in the upper esophagus (75.9%), with symptoms such as drooling/dysphagia (25.9%) and drooling/vomiting (22.4%). Upper gastrointestinal endoscopy was performed for all cases, achieving successful retrieval in 56 patients.

Conclusion: Endoscopic intervention proved to be an effective and well-tolerated method for managing foreign body ingestion in the upper gastrointestinal tract.

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References

REFERENCES
1. Oobudi R, Moghtaderi M, Salarian L, Agahi M. Foreign body ingestion and aspiration in Iranian children: experience of 369 cases in a pediatric unit. Int J Pediatr. 2019;7:9567–76.
2. Seo JK. Endoscopic management of gastrointestinal foreign bodies in children. Indian J Pediatr. 1999;66(Suppl 1):S75–80.
3. Gatto A, Capossela L, Ferretti S, Orlandi M, Pansini V, Curatola A, et al. Foreign body ingestion in children: epidemiological, clinical features and outcome in a third-level emergency department. Children (Basel). 2021;8(12):1182.
4. Denney W, Ahmad N, Dillard B, Nowicki MJ. Children will eat the strangest things: a 10-year retrospective analysis of foreign body and caustic ingestions from a single academic center. Pediatr Emerg Care. 2012;28(8):731–4.
5. Litovitz T, Whitaker N, Clark L. Preventing battery ingestions: an analysis of 8648 cases. Pediatrics. 2010;125:1178–83.
6. Speidel AJ, Wolfle L, Mayer B, Posovszky C. Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017. BMC Pediatr. 2020; 20:560.
7. Tambakis G, Schildkraut T, Delaney I, Gilmore R, Loebenstein M, Taylor A, et al. Management of foreign body ingestion in adults: time to STOP and rethink endoscopy. Endosc Int Open. 2023; 11(12): E1161–7. doi: 10.1055/a-2201-6928.
8. Altamimi E, Yusef D, Rawabdeh N. Endoscopic management of foreign body ingestion in children. Prz Gastroenterol. 2020;15(4):349–53. doi:10.5114/pg.2020.101563.
9. Wright CC, Closson FT. Updates in pediatric gastrointestinal foreign bodies. Pediatr Clin North Am. 2013;60:1221–39.
10. Al Lawati TT, Al Marhoobi R. Ingestion of foreign bodies in Omani children: patterns and problems. Oman Med J. 2018;33:463–7.
11. Singh RB, Dubey RK, Pandey V, Kumar V, Sharma SP, Annavi B. Foreign bodies in digestive tract of children: a tertiary care hospital experience. Int J Med Public Health. 2014;4(4):463–6.
12. Asif M, Haroon T, Khan Z, Muhammad R, Malik S, Khan F. Foreign body oesophagus: types and site of impaction. Gomal J Med Sci. 2013;11:163–6.
13. Kalra V, Yadav SPS, Ranga R, Moudgil H, Mangla A. Epidemiological, clinical, and radiological profile of patients with foreign body oesophagus: a prospective study. Indian J Otolaryngol Head Neck Surg. 2022;74(4):443–8. doi:10.1007/s12070-021-02553-5.
14. Hesham A-Kader H. Foreign body ingestion: children like to put objects in their mouth. World J Pediatr. 2010;6(4):301–10. doi:10.1007/s12519-010-0231-y.
15. Singh G, Sharma S, Khurade S, Gooptu S. Ingested foreign bodies in children: a report on two cases. J Fam Med Prim Care. 2014;3:452–5. doi:10.4103/2249-4863.148148.
16. Sharma B, Raina S, Sharma N, et al. Endoscopic management of foreign bodies from the upper gastrointestinal tract in the hills of Himachal Pradesh, India: a 5-year tertiary care experience. J Dig Endosc. 2016; 7: 144–7. doi:10.4103/0976-5042.195763.
17. Lin CH, Chen AC, Tsai JD, Wei SH, Hsueh KC, Lin WC. Endoscopic removal of foreign bodies in children. Kaohsiung J Med Sci. 2007; 23: 447–52.
18. Sugawa C, Ono H, Taleb M, Lucas EC. Endoscopic management of foreign bodies in the upper gastrointestinal tract: a review. World J Gastrointest Endosc. 2014; 16: 475–81.
19. Speidel AJ, Wölfle L, Mayer B, et al. Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017. BMC Pediatr. 2020; 20: 560. doi:10.1186/s12887-020-02444-8.
20. Aleem A, Ullah H, Akhtar M. Esophageal foreign body: comparison between adult and pediatric population. World J Pharm Med Res. 2018; 4(8): 63–5.
21. Geraci G, Sciume’ C, Di Carlo G, et al. Retrospective analysis of management of ingested foreign bodies and food impactions in emergency endoscopic setting in adults. BMC Emerg Med. 2016; 16: 42. doi:10.1186/s12873-016-0104-3.
22. Joyamaha D, Conners GP. Managing pediatric foreign body ingestions. Mo Med. 2015;112(3):181–6.
23. Diaconescu S, Gimiga N, Sarbu I, et al. Foreign bodies ingestion in children: experience of 61 cases in a pediatric gastroenterology unit from Romania. Gastroenterol Res Pract. 2016; 2016: 1982567. doi:10.1155/2016/1982567.
24. Antoniou D, Christopoulos-Geroulanos G. Management of foreign body ingestion and food bolus impaction in children: a retrospective analysis of 675 cases. Turk J Pediatr. 2011; 53: 381–7.
25. Marom T, Goldfarb A, Russo E, Roth Y. Battery ingestion in children. Int J Pediatr Otorhinolaryngol. 2010; 74: 849–54. doi:10.1016/j.ijporl.2010.05.019.
26. Shafiq S, Devarbhavi H. Endoscopic management of pediatric foreign body ingestions and food bolus impactions: a retrospective study from a tertiary care center. J Dig Endosc. 2023; 14:68–73.