gms | German Medical Science

88th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

24.05. - 27.05.2017, Erfurt

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Management of Esophageal Foreign Bodies in Children

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  • corresponding author Nicolae Constantin Balica - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Marioara Poenaru - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Alin Horia Marin - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Caius Doros - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Gheorghe Iovanescu - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Stelian Lupescu - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Horatiu Eugen Stefanescu - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Delia Horhat - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Mihaela Prodea - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania
  • Eugen Radu Boia - Victor Babes University of Medicine and Pharmacy ENT Department Timisoara, Timisoara, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 88. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Erfurt, 24.-27.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc17hno459

doi: 10.3205/17hno459, urn:nbn:de:0183-17hno4592

Published: April 13, 2017

© 2017 Balica et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Introduction: Esophageal foreign bodies is a condition that requires emergency intervention, ENT surgeon, anesthesiologist, radiologist and pediatrician. A clinical-statistical study of hospitalized cases of esophageal bodies in ENT Department Timisoara from 2010 to 2015 was conducted.

Methods: The study included 17 cases aged between 6 months and 5 years. The diagnosis of dysphagia with or without food stop was determined by history, clinical examination and radiological examination. Treatment consisted in esophageal foreign bodies’ extraction by rigid esophagoscopy using Karl Storz esophagoscope kit for children. The procedure was performed under general anesthesia.

Results: Foreign bodies localization was: 11 cases at the esophagus mouth, 4 cases at bronchoaortic arch, and the remaining 2 cases at the cardia. By foreign body nature the incidence was: metallic foreign body (coin, battery) - in 12 cases; plastic foreign body (3 cases), organic foreign body - 2 cases. No major complications were encountered, evolution was good with a mean hospitalization of 2 days.

Conclusions: Esophageal foreign bodies’ represents a major emergency in infant digestive pathology. It is absolutely necessary a multidisciplinary team, with a close collaboration between the ENT surgeon, pediatrician, radiologist and anesthesiologist to solve with maximum safety and minimal trauma.

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