Mistakes in paediatric foreign body ingestion and how to avoid them

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Mistakes in paediatric foreign body ingestion and how to avoid them

Raoul I. Furlano, Lissy de Ridder, Jorge Amil Dias, Christos Tzivinikos

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References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8

Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, et al. Management of ingested foreign bodies and food impactions. Gastrointes Endosc 2011; 73 (6): 1085–1091.

Cheng W, Tam PKH. Foreign-body ingestion in children: Experience with 1,265 cases. J Pediatr Surg 1999; 34 (10): 1472–1476.

Labadie M, O’Mahony E, Capaldo L, Courtois A, Lamireau T, Nisse P, et al. Severity of button batteries ingestions: data from French Poison Control Centres between 1999 and 2015. Eur J Emerg Med 2018; 25 (4): e1–8.

Gerner P, Pallacks F, Laschat M, Hermanns-Clausen M. Health damages after ingestion of button batteries in childhood. Bundesgesundheitsblatt Gesundheits-forschung Gesundheitsschutz 2019; 62 (11):1354–1361.

Jiraki K. Aortoesophageal Conduit Due to a Foreign Body. Am J Forensic Med Pathol 1996; 17 (4): 347.

Guelfguat M, Kaplinskiy V, Reddy SH, DiPoce J. Clinical Guidelines for Imaging and Reporting Ingested Foreign Bodies. Am J Roentgenol 2014; 203 (1): 37–53.

Tseng HJ, Hanna TN, Shuaib W, Aized M, Khosa F, Linnau KF. Imaging Foreign Bodies: Ingested, Aspirated, and Inserted. Ann Emerg Med 2015; 66 (6): 570-582.e5.

Thomson M, Tringali A, Dumonceau JM, Tavares M, Tabbers MM, Furlano R, et al. Paediatric Gastrointestinal Endoscopy: European Society for Paediatric Gastroenterology Hepatology and Nutrition and European Society of Gastrointestinal Endoscopy Guidelines. J Pediatr Gastroenterol Nutr 2017; 64 (1): 133.

Donnelly LF, Frush DP, Frush KS. Aspirated contrast material contributing to respiratory arrest in a pediatric trauma patient. Am J Roentg 1998; 171 (2): 471–473.

10.

Schalamon J, Haxhija EQ, Ainoedhofer H, Gössler A, Schleef J. The use of a hand-held metal detector for localisation of ingested metallic foreign bodies - a critical investigation. Eur J Pediatr 2004; 163 (4–5): 257–259.

11.

Spina P, Minniti S, Bragheri R. Usefulness of ultrasonography in gastric foreign body retention. Pediatr Radiol 2000; 30 (12): 840–841.

12.

Hissa M, Al-Edreesi M, Abdi R. Sonographic diagnosis of gastric-outlet foreign body: case report and review of literature. J Family Community Med 2009; 16 (1): 33–36.

13.

Ingraham CR, Mannelli L, Robinson JD, Linnau KF. Radiology of foreign bodies: how do we image them? Emerg Radiol 2015; (4): 425–430.

14.

Spiers A, Jamil S, Whan E, Forbes D, Gollow I, Andrews D. Survival of patient after aorto-oesophageal fistula following button battery ingestion. ANZ J Surgery 2012; 82 (3): 186–187.

15.

Litovitz T, Whitaker N, Clark L, White NC, Marsolek M. Emerging battery-ingestion hazard: clinical implications. Pediatrics 2010; 125 (6): 1168–1177.

16.

Wright K, Parkins K, Jahn H, Rowlands R, Davies F. Catastrophic haemorrhage from BB ingestion in children: a growing problem. Acta Paediatr 2017;106 (9): 1391-1393.

17.

Heckstall RL, Hollander JE. Aortoesophageal Fistula: Recognition and Diagnosis in the Emergency Department. Ann Emerg Med 1998; 32 (4): 502–505.

18.

Brumbaugh DE, Colson SB, Sandoval JA, Karrer FM, Bealer JF, Litovitz T, et al. Management of Button Battery–induced Hemorrhage in Children. J Pediatr Gastroenterol Nutr 2011; 52 (5): 585.

19.

Jatana KR, Litovitz T, Reilly JS, Koltai PJ, Rider G, Jacobs IN. Pediatric button battery injuries: 2013 task force update. Int J Pediatr Otorhinolaryngol 2013; 77 (9): 1392–1399.

20.

Whelan R, Shaffer A, Dohar JE. Button battery versus stacked coin ingestion: A conundrum for radiographic diagnosis. Int J Pediatr Otorhinolaryngol 2019; 126: 109627.

21.

Lerner DG, Brumbaugh D, Lightdale JR, Jatana KR, Jacobs IN, Mamula P. Mitigating Risks of Swallowed Button Batteries: New Strategies Before and After Removal. J Pediatr Gastroenterol Nutr 2020; 70 (5): 542-546.

22.

Sethia R, Gibbs H, Jacobs IN, Reilly JS, Rhoades K, Jatana KR. Current management of BB injuries. Laryngoscope Investig Otolaryngol 2021; 6 (3): 549-563.

23.

Anfang RR, Jatana KR, Linn RL, Rhoades K, Fry J, Jacobs IN. pH-neutralizing esophageal irrigations as a novel mitigation strategy for BB injury. Laryngoscope 2019; 129 (1): 49-57.

24.

Mubarak A, Benninga MA, Broekaert I, Dolinsek J, Homan M, Mas E. Diagnosis, Management, and Prevention of BB Ingestion in Childhood: A European Society for Paediatric Gastroenterology Hepatology and Nutrition Position Paper. J Pediatr Gastroenterol Nutr 2021; 73 (1):129-136.

25.

Leinwand K, Brumbaugh DE, Kramer RE. BB Ingestion in Children: A Paradigm for Management of Severe Pediatric Foreign Body Ingestions. Gastrointest Endosc Clin N Am 2016; 26 (1): 99-118.

26.

Bendig DW, Mackie GG. Management of Smooth-Blunt Gastric Foreign Bodies in Asymptomatic Patients. Clin Pediatr (Phila) 1990; 29 (11): 642–645.

27.

Farmakakis T, Dessypris N, Alexe DM, Frangakis C, Petoussis G, Malliori M, et al. Magnitude and object-specific hazards of aspiration and ingestion injuries among children in Greece. Int J Pediatr Otorhinolaryngol 2007;7 (2): 317–324.

28.

Seng Loh K, Siang Tan LK, Smith JD, Hian Yeoh K, Dong F. Complications of Foreign Bodies in the Esophagus. Otolaryngol Head Neck Surg 2000;123 (5): 613–616.

29.

Park JH, Park CH, Park JH, Lee SJ, Lee WS, Joo YE, et al. Review of 209 cases of foreign bodies in the upper gastrointestinal tract and clinical factors for successful endoscopic removal. Korean J Gastroenterol 2004; 43 (4): 226–233.

30.

Laserna-Mendietaa E J, Navarroa P, Casabona-Francés S, Savarino EV, Pérez-Martínez I, Guagnozzi D. Differences between childhood- and adulthood-onset eosinophilic esophagitis: An analysis from the EoE connect registry. Digestive Liver Dis 2023; 55 (3): 350-359.

31.

Hachimi-Idrissi S, Corne L, Vandenplas Y. Management of ingested foreign bodies in childhood: our experience and review of the literature. Eur J Emerg Med 1998; 5 (3): 319–324.

32.

Panieri E, Bass DH. The management of ingested foreign bodies in children - a review of 663 cases. Eur J Emerg Med 1995;2 (2):83–87.

33.

Lee JH. Foreign Body Ingestion in Children. Clin Endosc 2018; 51 (2): 129-136.

34.

Kramer RE, Lerner DG, Lin T, Manfredi M, Shah M, Stephen TC, et al. Management of Ingested Foreign Bodies in Children: A Clinical Report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr 2015; 60 (4): 562.

35.

Braumann C, Goette O, Menenakos C, Ordemann J, Jacobi CA. Laparoscopic removal of ingested pin penetrating the gastric wall in an immunosuppressed patient. Surg Endosc 2004;18 (5): 870–870.

36.

Mehran A, Podkameni D, Rosenthal R, Szomstein S. Gastric Perforation Secondary to Ingestion of a Sharp Foreign Body. JSLS 2005; 9(1): 91–93.

37.

Goh BKP, Chow PKH, Quah HM, Ong HS, Eu KW, Ooi LLPJ, et al. Perforation of the Gastrointestinal Tract Secondary to Ingestion of Foreign Bodies. World J Surg 2006; 30 (3): 372–377.

38.

Akçam M, Koçkar C, Tola HT, Duman L, Gündüz M. Endoscopic removal of an ingested pin migrated into the liver and affixed by its head to the duodenum. Gastrointest Endosc 2009; 69 (2): 382–384.

39.

Garcia-Segui A, Bercowsky E, Gómez-Fernández I, Gibernau R, Gascón Mir M. Late migration of a toothpick into the bladder: initial presentation with urosepsis and hydronephrosis. Arch Esp Urol 2012; 65 (6): 626–629.

40.

.Karadayı Ş, Şahin E, Nadir A, Kaptanoğlu M. Wandering pins: case report. Cumhuriyet Med J 2009; 31: 300-302

41.

Prasad TS, Low Y, Tan C, Jacobsen A. Swallowed Foreign Bodies in Children: Report of Four Unusual Cases. Ann Acad Med Singap 2006; 35 (1): 49–53.

42.

Madrona AP, Hernández JAF, Prats MC, Riquelme JR, Paricio PP. Intestinal Perforation by Foreign Bodies. Eur J Surg 2000;166 (4): 307–309.

43.

Palta R, Sahota A, Bemarki A, Salama P, Simpson N, Laine L. Foreign-body ingestion: characteristics and outcomes in a lower socioeconomic population with predominantly intentional ingestion. Gastrointest Endosc 2009; 69 (3, Part 1): 426–433.

44.

Hameed K, Hassan MK, Rehman S, Khan D, Khan IM, Khattak AK. Management of foreign bodies in the upper gastrointestinal tract with flexible endoscope. J Postgrad Med Inst 2011; 25 (1).

45.

Tokar B, Cevik AA, Ilhan H. Ingested gastrointestinal foreign bodies: predisposing factors for complications in children having surgical or endoscopic removal. Pediatr Surg Int 2007; 23(2):135–139.

46.

Gregori D, Scarinzi C, Morra B, Salerni L, Berchialla P, Snidero S, et al. Ingested foreign bodies causing complications and requiring hospitalization in European children: Results from the ESFBI study. Pediatr Int 2010; 52 (1): 26–32.

47.

Paul RI, Christoffel KK, Binns HJ, Jaffe DM, The Pediatric Practice Research Group. Foreign Body Ingestions in Children: Risk of Complication Varies With Site of Initial Health Care Contact. Pediatrics 1993; 91 (1):121–127.

48.

Rodríguez-Hermosa JI, Codina-Cazador A, Sirvent JM, Martín A, Gironès J, Garsot E. Surgically treated perforations of the gastrointestinal tract caused by ingested foreign bodies. Colorectal Dis 2008; 10 (7): 701–707.

49.

Nugud AA, Tzivinikos C, Assa A, Borrelli O, Broekaert I, Martin-de-Carpi J, et al. Pediatric Magnet Ingestion, Diagnosis, Management, and Prevention: A European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) Position Paper. J Pediatr Gastroenterol Nutr 2023; 76 (4): 523–32.

50.

Lancashire MJR, Legg PK, Lowe M, Davidson SM, Ellis BW. Surgical aspects of international drug smuggling. Br Med J (Clin Res Ed). 1988; 296 (6628): 1035–1037.

51.

Beno S, Calello D, Baluffi A, Henretig FM. Pediatric Body Packing: Drug Smuggling Reaches a New Low. Pediatr Emerg Care 2005; 21 (11): 744–746.

52.

Popel J, El-Hakim H, El-Matary W. Esophageal foreign body extraction in children: flexible versus rigid endoscopy. Surg Endosc 2011; 25 (3): 919–922.

53.

Berggreen PJ, Edwyn Harrison M, Sanowski RA, Ingebo K, Noland B, Zierer S. Techniques and complications of esophageal foreign body extraction in children and adults. Gastrointest Endosc 1993; 39 (5): 626–630.

54.

Sethia R, Gibbs H, Jacobs IN, Reilly JS, Rhoades K, Jatana KR. Current management of button battery injuries. Laryngosc Investig Otolaryngol 2021; 6 (3): 549–563.

55.

Mubarak A, Benninga MA, Broekaert I, Dolinsek J, Homan M, Mas E, et al. Diagnosis, Management, and Prevention of Button Battery Ingestion in Childhood: A European Society for Paediatric Gastroenterology Hepatology and Nutrition Position Paper. J Pediatr Gastroenterol Nutr 2021; 73 (1): 129–136.

56.

Kodituwakku R, Palmer S, Paul SP. Management of foreign body ingestions in children: button batteries and magnets. Br J Nurs Mark Allen Publ 2017; 27; 26 (8): 456–461.

57.

Caré W, Dufayet L, Paret N, Manel J, Laborde-Casterot H, Blanc-Brisset I, et al. Bowel obstruction following ingestion of superabsorbent polymers beads: literature review. Clin Toxicol 2022; 60 (2):159–167.

Abstract

Foreign bodies swallowed by children can pose serious health risks if not handled properly. This article sheds light on common mistakes made during such emergencies and provides guidance on how to avoid them. In just a 15-minute read, you can be better prepared to address this critical situation.

Topics

Primary Care

Citation

Furlano RI, Amil-Dias J, De Ridder L and Tzivinikos C. Mistakes in paediatric foreign body ingestion and how to avoid them. UEG Education 2024; 24: 1-7.

Published

2024

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References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8

Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, et al. Management of ingested foreign bodies and food impactions. Gastrointes Endosc 2011; 73 (6): 1085–1091.

Cheng W, Tam PKH. Foreign-body ingestion in children: Experience with 1,265 cases. J Pediatr Surg 1999; 34 (10): 1472–1476.

Jiraki K. Aortoesophageal Conduit Due to a Foreign Body. Am J Forensic Med Pathol 1996; 17 (4): 347.

Guelfguat M, Kaplinskiy V, Reddy SH, DiPoce J. Clinical Guidelines for Imaging and Reporting Ingested Foreign Bodies. Am J Roentgenol 2014; 203 (1): 37–53.

Tseng HJ, Hanna TN, Shuaib W, Aized M, Khosa F, Linnau KF. Imaging Foreign Bodies: Ingested, Aspirated, and Inserted. Ann Emerg Med 2015; 66 (6): 570-582.e5.

Donnelly LF, Frush DP, Frush KS. Aspirated contrast material contributing to respiratory arrest in a pediatric trauma patient. Am J Roentg 1998; 171 (2): 471–473.

10.

11.

Spina P, Minniti S, Bragheri R. Usefulness of ultrasonography in gastric foreign body retention. Pediatr Radiol 2000; 30 (12): 840–841.

12.

Hissa M, Al-Edreesi M, Abdi R. Sonographic diagnosis of gastric-outlet foreign body: case report and review of literature. J Family Community Med 2009; 16 (1): 33–36.

13.

Ingraham CR, Mannelli L, Robinson JD, Linnau KF. Radiology of foreign bodies: how do we image them? Emerg Radiol 2015; (4): 425–430.

14.

Spiers A, Jamil S, Whan E, Forbes D, Gollow I, Andrews D. Survival of patient after aorto-oesophageal fistula following button battery ingestion. ANZ J Surgery 2012; 82 (3): 186–187.

15.

Litovitz T, Whitaker N, Clark L, White NC, Marsolek M. Emerging battery-ingestion hazard: clinical implications. Pediatrics 2010; 125 (6): 1168–1177.

16.

Wright K, Parkins K, Jahn H, Rowlands R, Davies F. Catastrophic haemorrhage from BB ingestion in children: a growing problem. Acta Paediatr 2017;106 (9): 1391-1393.

17.

Heckstall RL, Hollander JE. Aortoesophageal Fistula: Recognition and Diagnosis in the Emergency Department. Ann Emerg Med 1998; 32 (4): 502–505.

18.

Brumbaugh DE, Colson SB, Sandoval JA, Karrer FM, Bealer JF, Litovitz T, et al. Management of Button Battery–induced Hemorrhage in Children. J Pediatr Gastroenterol Nutr 2011; 52 (5): 585.

19.

Jatana KR, Litovitz T, Reilly JS, Koltai PJ, Rider G, Jacobs IN. Pediatric button battery injuries: 2013 task force update. Int J Pediatr Otorhinolaryngol 2013; 77 (9): 1392–1399.

20.

Whelan R, Shaffer A, Dohar JE. Button battery versus stacked coin ingestion: A conundrum for radiographic diagnosis. Int J Pediatr Otorhinolaryngol 2019; 126: 109627.

21.

22.

Sethia R, Gibbs H, Jacobs IN, Reilly JS, Rhoades K, Jatana KR. Current management of BB injuries. Laryngoscope Investig Otolaryngol 2021; 6 (3): 549-563.

23.

Anfang RR, Jatana KR, Linn RL, Rhoades K, Fry J, Jacobs IN. pH-neutralizing esophageal irrigations as a novel mitigation strategy for BB injury. Laryngoscope 2019; 129 (1): 49-57.

24.

25.

Leinwand K, Brumbaugh DE, Kramer RE. BB Ingestion in Children: A Paradigm for Management of Severe Pediatric Foreign Body Ingestions. Gastrointest Endosc Clin N Am 2016; 26 (1): 99-118.

26.

Bendig DW, Mackie GG. Management of Smooth-Blunt Gastric Foreign Bodies in Asymptomatic Patients. Clin Pediatr (Phila) 1990; 29 (11): 642–645.

27.

28.

Seng Loh K, Siang Tan LK, Smith JD, Hian Yeoh K, Dong F. Complications of Foreign Bodies in the Esophagus. Otolaryngol Head Neck Surg 2000;123 (5): 613–616.

29.

30.

31.

Hachimi-Idrissi S, Corne L, Vandenplas Y. Management of ingested foreign bodies in childhood: our experience and review of the literature. Eur J Emerg Med 1998; 5 (3): 319–324.

32.

Panieri E, Bass DH. The management of ingested foreign bodies in children - a review of 663 cases. Eur J Emerg Med 1995;2 (2):83–87.

33.

Lee JH. Foreign Body Ingestion in Children. Clin Endosc 2018; 51 (2): 129-136.

34.

35.

Braumann C, Goette O, Menenakos C, Ordemann J, Jacobi CA. Laparoscopic removal of ingested pin penetrating the gastric wall in an immunosuppressed patient. Surg Endosc 2004;18 (5): 870–870.

36.

Mehran A, Podkameni D, Rosenthal R, Szomstein S. Gastric Perforation Secondary to Ingestion of a Sharp Foreign Body. JSLS 2005; 9(1): 91–93.

37.

Goh BKP, Chow PKH, Quah HM, Ong HS, Eu KW, Ooi LLPJ, et al. Perforation of the Gastrointestinal Tract Secondary to Ingestion of Foreign Bodies. World J Surg 2006; 30 (3): 372–377.

38.

Akçam M, Koçkar C, Tola HT, Duman L, Gündüz M. Endoscopic removal of an ingested pin migrated into the liver and affixed by its head to the duodenum. Gastrointest Endosc 2009; 69 (2): 382–384.

39.

40.

.Karadayı Ş, Şahin E, Nadir A, Kaptanoğlu M. Wandering pins: case report. Cumhuriyet Med J 2009; 31: 300-302

41.

Prasad TS, Low Y, Tan C, Jacobsen A. Swallowed Foreign Bodies in Children: Report of Four Unusual Cases. Ann Acad Med Singap 2006; 35 (1): 49–53.

42.

Madrona AP, Hernández JAF, Prats MC, Riquelme JR, Paricio PP. Intestinal Perforation by Foreign Bodies. Eur J Surg 2000;166 (4): 307–309.

43.

44.

Hameed K, Hassan MK, Rehman S, Khan D, Khan IM, Khattak AK. Management of foreign bodies in the upper gastrointestinal tract with flexible endoscope. J Postgrad Med Inst 2011; 25 (1).

45.

Tokar B, Cevik AA, Ilhan H. Ingested gastrointestinal foreign bodies: predisposing factors for complications in children having surgical or endoscopic removal. Pediatr Surg Int 2007; 23(2):135–139.

46.

47.

48.

49.

50.

Lancashire MJR, Legg PK, Lowe M, Davidson SM, Ellis BW. Surgical aspects of international drug smuggling. Br Med J (Clin Res Ed). 1988; 296 (6628): 1035–1037.

51.

Beno S, Calello D, Baluffi A, Henretig FM. Pediatric Body Packing: Drug Smuggling Reaches a New Low. Pediatr Emerg Care 2005; 21 (11): 744–746.

52.

Popel J, El-Hakim H, El-Matary W. Esophageal foreign body extraction in children: flexible versus rigid endoscopy. Surg Endosc 2011; 25 (3): 919–922.

53.

54.

Sethia R, Gibbs H, Jacobs IN, Reilly JS, Rhoades K, Jatana KR. Current management of button battery injuries. Laryngosc Investig Otolaryngol 2021; 6 (3): 549–563.

55.

56.

Kodituwakku R, Palmer S, Paul SP. Management of foreign body ingestions in children: button batteries and magnets. Br J Nurs Mark Allen Publ 2017; 27; 26 (8): 456–461.

57.

Abstract

Microscopic colitis is an inflammatory bowel disease (IBD) that leads to chronic, watery diarrhoea. First believed to be rare, microscopic colitis has received more attention in recent decades, resulting in increasing incidence rates that exceed those of classic IBD in some countries. Hopefully, it is common practice nowadays to refer patients with chronic diarrhoea for a colonoscopy with biopsy samples taken, as this is the only way to diagnose microscopic colitis. Histology results distinguish between the subtypes of microscopic colitis — lymphocytic colitis, collagenous colitis and the more recently introduced incomplete microscopic colitis.

Topics

IBD

Citation

Münch A. Mistakes in microscopic colitis and how to avoid them. UEG Education 2021; 21: 10–13.

Published

2021

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References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8

Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, et al. Management of ingested foreign bodies and food impactions. Gastrointes Endosc 2011; 73 (6): 1085–1091.

Cheng W, Tam PKH. Foreign-body ingestion in children: Experience with 1,265 cases. J Pediatr Surg 1999; 34 (10): 1472–1476.

Jiraki K. Aortoesophageal Conduit Due to a Foreign Body. Am J Forensic Med Pathol 1996; 17 (4): 347.

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Abstract

Capsule endoscopy is a noninvasive technique intended for studying the small bowel and/or colon. The capsule endoscope consists of a small, wireless, pill-sized camera that can be swallowed and allows direct visualization of the gastrointestinal mucosa. The design of the capsule differs depending on the part of the gastrointestinal tract to be studied. The small-bowel capsule has one optical dome and is generally used in patients who have suspected bleeding or to identify evidence of active Crohn’s disease. By contrast, the colon capsule has two optical domes, a higher frame rate and can be considered as an alternative to conventional colonoscopy, especially for cases when the examination was incomplete. There is also a new capsule with two optical domes that is designed for the panendoscopic study of both the small bowel and colon.

Topics

Endoscopy

Citation

Carretero C and Sidhu R. Mistakes in capsule endoscopy and how to avoid them. UEG Education 2018; 18: 21-23.

Published

2024

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