scholarly journals Factors affecting successful esophageal foreign body removal using a Foley catheter in pediatric patients

2021 ◽  
Vol 8 (1) ◽  
pp. 30-36
Author(s):  
Donghoon Lim ◽  
Jong Kun Kim ◽  
Yun Jeong Kim ◽  
Yeon Joo Cho ◽  
Jae Wan Cho ◽  
...  
BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Weigang Gan ◽  
Ning Xiao ◽  
Yiyuan Feng ◽  
Danmei Zhou ◽  
Juanjuan Hu ◽  
...  

Abstract Background Tracheobronchial foreign body aspiration (TFBA) is a critical disease in children and is extremely dangerous, even life-threatening. The factors affecting the occurrence and prognosis of TFBA are complex. The purpose of this study is to examine the external and intrinsic factors affecting clinical features of TFBA in West China and propose potential effective intervention measures. Methods We retrospectively analyzed the clinical data of pediatric patients diagnosed with TFBA with foreign bodies (FBs) removed by rigid bronchoscopy under general anesthesia at the otolaryngology department from December 2017 to November 2018. The data included age, sex, clinical symptoms, type and location of FB, guardians, prehospital duration and residence of these pediatric patients. Results The ratio of males (72) to females (53) was 1.4:1. Children aged from 1 to 3 years accounted for 76% (95/125) of patients. Cough, continuous fever and dyspnea were the primary symptoms. The right primary bronchus was the most common location of FB detection by rigid bronchoscopy (67 cases, 53.6%). Organic FBs were most common in our study. Guardians of patients significantly differed in the rural (parents 16, grandparents 31) and urban (parents 52, grandparents 26) groups (χ2 = 12.583, p = 0.000). More children in the rural group than in the urban group had a treatment delay longer than 72 h. More children in the group with no history of FB aspiration (12, 25%) than in the group with prior FB aspiration had a treatment delay longer than 72 h. Conclusion Pediatric TFBA is a common emergency in otolaryngology. Age, sex, tracheobronchial anatomy and other physiological elements were defined as intrinsic factors, while guardians, residence, FB species and prehospital time were defined as external factors of TFBA. External and intrinsic factors both influence the occurrence and progression of TFBA. It is extremely important to take effective measures to control external factors, which can decrease morbidity and mortality.


Author(s):  
David P. Nguyen ◽  
L. Connor Nickels ◽  
Rohit Pravin Patel

2020 ◽  
Vol 4 (2) ◽  
pp. 21-22
Author(s):  
Sitaria Fransiska Siallagan ◽  
Herawati Napitu ◽  
Arni Diana Fitri ◽  
Nindya Dwi Utami ◽  
Soenarti D. Waspada ◽  
...  

A 10-months-old cross long hair cat named Casper with clinical symptom of vomiting mixed with slimy cat feed was referred to Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Bogor Agricultural University to endoscopy examination and therapy. The owner believed that Casper ate a 5 cm long sewing needle a few days earlier. The history and physical examination were examined at DNA Clinic with symptoms of lack of appetite and becoming quieter and calmer. Radiogram showed the needle was in thorax area with a vertical needle penetrating the esophageal wall. Removal of the needle and observation of the esophagus area were done using endoscopy under general anesthesia. Using endoscopy, it was known that the needle was swallowed along with the sewing thread with position of all needles penetrating the esophagus wall and leaving a small amount of thread on the lumen. The needle was pulled back to the esophageal lumen by pulling the remaining thread and then both needle and the thread were pulled back out using an alligator grasping forceps that used through working channel. Therapy given after endoscopy was antibiotics and anti-emetics.


2017 ◽  
Vol 59 (11) ◽  
pp. 1200-1204 ◽  
Author(s):  
Atsushi Hata ◽  
Takahiro Nakajima ◽  
Kota Ohashi ◽  
Terunaga Inage ◽  
Kazuhisa Tanaka ◽  
...  

Author(s):  
Tomohisa Otsu ◽  
Hiroyuki Sugimoto ◽  
Nobutake Tanaka ◽  
Hiroyuki Yokoyama ◽  
Yoshinari Mochizuki ◽  
...  

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