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Gatto A, Capossela L, Ferretti S, et al. Foreign Body Ingestion in Children: Epidemiological, Clinical Features and Outcome in a Third Level Emergency Department. Children (Basel). 2021;8(12)doi: 10.3390/children8121182.
Gatto, A., Capossela, L., Ferretti, S., Orlandi, M., Pansini, V., Curatola, A., & Chiaretti, A. (2021). Foreign Body Ingestion in Children: Epidemiological, Clinical Features and Outcome in a Third Level Emergency Department. Children (Basel, Switzerland), 8(12), . https://doi.org/10.3390/children8121182
Gatto, Antonio, et al. "Foreign Body Ingestion in Children: Epidemiological, Clinical Features and Outcome in a Third Level Emergency Department." Children (Basel, Switzerland) vol. 8,12 (2021). doi: https://doi.org/10.3390/children8121182
Gatto A, Capossela L, Ferretti S, Orlandi M, Pansini V, Curatola A, Chiaretti A. Foreign Body Ingestion in Children: Epidemiological, Clinical Features and Outcome in a Third Level Emergency Department. Children (Basel). 2021 Dec 15;8(12). doi: 10.3390/children8121182. PMID: 34943378.
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Children (Basel). 2021 Dec 15;8(12). doi: 10.3390/children8121182.

Foreign Body Ingestion in Children: Epidemiological, Clinical Features and Outcome in a Third Level Emergency Department.

Children (Basel, Switzerland)

Antonio Gatto, Lavinia Capossela, Serena Ferretti, Michela Orlandi, Valeria Pansini, Antonietta Curatola, Antonio Chiaretti

Affiliations

  1. Institute of Pediatrics, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
  2. Institute of Pediatrics, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica Sacro Cuore, 00168 Rome, Italy.

PMID: 34943378 DOI: 10.3390/children8121182

Abstract

Ingestion of foreign bodies is a frequent pediatric cause of access to the Emergency Department (ED). The aim of this study was to determine the epidemiological and clinical features of pediatric patients with a diagnosis of foreign body ingestion and to identify the factors associated with an urgent invasive procedure or hospitalization. This is a retrospective study conducted on a population of 286 pediatric patients (0-17 years) evaluated for foreign body ingestion at the Pediatric ED of "Fondazione Policlinico Universitario A. Gemelli, IRCSS" between October 2014 and June 2019. Data concerning age and gender, underlying diseases, type of foreign body, symptoms and signs, instrumental tests, specialist visits, treatment and outcome were analyzed. The majority of foreign bodies were coins (23%). Symptoms recurred in 50% of the foreign bodies with esophageal localization and between the 92 (32%) patients with symptoms the most common was vomiting (7%). X-rays was performed in 61% of patients. Among all patients, 253 patients (88.8%) had been discharged, 21 (7%) had been hospitalized, and four (1.4%) were sent to an outpatient facility. Besides, 17 (5.9%) patients had been transferred to the Observation Unit. Of the hospitalized patients (21 (7.3%)), clinical observation was performed for 57% and endoscopic procedure for 45%. Our data confirm that the ESPGHAN-ESGE guidelines application prevents interventions that are not necessary, avoiding diagnostic and therapeutic delays.

Keywords: endoscopy; foreign bodies; ingestion

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