Age-Specific Differences in Foreign Bodies Ingested by Children: A Cohort Study of 252 Japanese Cases
Abstract
:1. Introduction
2. Materials and Methods
2.1. Setting
2.2. Study Design and Methods
2.3. Definition
2.4. Classification
2.5. Statistical Analysis
3. Results
3.1. Patient Characteristics
3.2. Causes
3.3. Age-Specific Characteristics and Types of Foreign Bodies
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
- Kim, S.Y.; Park, B.; Kong, I.G.; Choi, H.G. Analysis of ingested foreign bodies according to age, type and location: A retrospective observational study. Clin. Otolaryngol. 2016, 41, 640–645. [Google Scholar] [CrossRef] [PubMed]
- Gummin, D.D.; Mowry, J.B.; Spyker, D.A.; Brooks, D.E.; Fraser, M.O.; Banner, W. 2016 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 34th Annual Report. Clin. Toxicol. 2017, 55, 1072–1252. [Google Scholar] [CrossRef] [PubMed]
- Uyemura, M.C. Foreign body ingestion in children. Am. Fam. Physician 2005, 72, 287–291. [Google Scholar] [PubMed]
- Simic, M.A.; Budakov, B.M. Fatal upper esophageal hemorrhage caused by a previously ingested chicken bone: Case report. Am. J. Forensic Med. Pathol. 1998, 19, 166–168. [Google Scholar] [CrossRef] [PubMed]
- Yardeni, D.; Yardeni, H.; Coran, A.G.; Golladay, E.S. Severe esophageal damage due to button battery ingestion: Can it be prevented? Pediatr. Surg. Int. 2004, 20, 496–501. [Google Scholar] [CrossRef] [PubMed]
- Wyllie, R. Foreign bodies in the gastrointestinal tract. Curr. Opin. Pediatr. 2006, 18, 563–564. [Google Scholar] [CrossRef] [PubMed]
- Waltzman, M.L.; Baskin, M.; Wypij, D.; Mooney, D.; Jones, D.; Fleisher, G. A randomized clinical trial of the management of esophageal coins in children. Pediatrics 2005, 116, 614–619. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kramer, R.E.; Lerner, D.G.; Lin, T.; Manfredi, M.; Shah, M.; Stephen, T.C.; Gibbons, T.E.; Pall, H.; Sahn, B.; McOmber, M.; et al. Management of ingested foreign bodies in children: A clinical report of the NASPGHAN Endoscopy Committee. J. Pediatr. Gastroenterol. Nutr. 2015, 60, 562–574. [Google Scholar] [CrossRef] [PubMed]
- Little, D.C.; Shah, S.R.; St Peter, S.D.; Calkins, C.M.; Morrow, S.E.; Murphy, J.P.; Sharp, R.J.; Andrews, W.S.; Holcomb, G.W., 3rd; Ostlie, D.J.; et al. Esophageal foreign bodies in the pediatric population: Our first 500 cases. J. Pediatr. Surg. 2006, 41, 914–918. [Google Scholar] [CrossRef] [PubMed]
- Banerjee, R.; Rao, G.V.; Sriram, P.V.; Reddy, K.S.; Nageshwar Reddy, D. Button battery ingestion. Indian J. Pediatr. 2005, 72, 173–174. [Google Scholar] [CrossRef] [PubMed]
- Ginsberg, G.G. Management of ingested foreign objects and food bolus impactions. Gastrointest. Endosc. 1995, 41, 33–38. [Google Scholar] [CrossRef]
- Webb, W.A. Management of foreign bodies of the upper gastrointestinal tract: Update. Gastrointest. Endosc. 1995, 41, 39–51. [Google Scholar] [CrossRef]
- Kurowski, J.A.; Kay, M. Caustic Ingestions and Foreign Bodies Ingestions in Pediatric Patients. Pediatr. Clin. N. Am. 2017, 64, 507–524. [Google Scholar] [CrossRef]
- 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 Pt 1, 426–433. [Google Scholar] [CrossRef]
- Kay, M.; Wyllie, R. Foreign body ingestions in the pediatric population and techniques of endoscopic removal. Tech. Gastrointest. Endosc. 2013, 15, 9–17. [Google Scholar] [CrossRef]
- Wai Pak, M.; Chung Lee, W.; Kwok Fung, H.; van Hasselt, C.A. A prospective study of foreign-body ingestion in 311 children. Int. J. Pediatr. Otorhinolaryngol. 2001, 58, 37–45. [Google Scholar] [CrossRef]
- Ministry of Health, Labour and Welfare, Smoking Status. The National Health and Nutrition Survey in Japan. 2017. 2018; pp. 54–56. Available online: https://www.mhlw.go.jp/content/000451755.pdf (accessed on 10 January 2020). (In Japanese)
- Arana, A.; Hauser, B.; Hachimi-Idrissi, S.; Vandenplas, Y. Management of ingested foreign bodies in childhood and review of the literature. Eur. J. Pediatr. 2001, 160, 468–472. [Google Scholar] [CrossRef]
- Schuldta, T.; Großmanna, W.; Weissa, N.M.; Ovarib, A.; Mlynskia, R.; Schravena, S.P. Aural and nasal foreign bodies in children—Epidemiology and correlation with hyperkinetic disorders, developmental disorders and congenital malformations. Int. J. Pediatr. Otorhinolaryngol. 2019, 118, 165–169. [Google Scholar] [CrossRef] [PubMed]
- Ministry of Health, Labour and Welfare. A Report on Accidental Ingestion Related to Household Items in Children. Health Hazard Monitoring Related to Household Items in Japan. 2017. 2018; pp. 15–34. Available online: https://www.mhlw.go.jp/content/11124000/000451980.pdf (accessed on 10 January 2019). (In Japanese)
Background | N = 252 |
---|---|
Age (years) | 1 (0–15) |
Male/Female | 140 (55%)/112 (44%) |
Recurrence | 6 (2%) |
Place of occurrence | |
House | 170 (67%) |
Public accommodation | 11 (4%) |
Others | 71 (28%) |
First aid by bystanders | 67 (27%) |
Symptoms at the time of ingestion | |
Absent | 151 (60%) |
Present | 101 (40%) |
Nausea and vomiting | 39 (15%) |
Cough | 18 (7%) |
Disturbance of consciousness | 14 (5%) |
Pharyngeal pain | 9 (4%) |
Displeasure | 7 (3%) |
Crying | 6 (2%) |
Abdominal pain and diarrhea | 5 (2%) |
Pale | 2 (1%) |
Respiratory distress | 2 (1%) |
Age | <12 Months n = 86 | 1 to 6 Years n = 146 | ≥7 Years n = 20 | p-Value |
---|---|---|---|---|
Male/Female | 48 (56%)/38 (44%) | 82 (56%)/64 (44%) | 10 (50%)/10 (50%) | 0.872 |
Symptoms | 38 (44%) | 55 (38%) | 8 (40%) | 0.620 |
Occurrence at home | 60 (70%) | 101 (69%) | 9 (45%) | 0.082 |
First aid provided | 30 (35%) | 34 (23%) | 3 (15%) | 0.073 |
Major types | ||||
Cigarettes | 20 (23%) | 23 (16%) | 1 (5%) | <0.01 |
Plastics | 27 (31%) | 14 (10%) | 2 (10%) | |
Chemicals | 8 (19%) | 19 (13%) | 0 (0%) | |
Internal medicines | 0 (0%) | 20 (13%) | 6 (30%) | |
Metals | 5 (6%) | 18 (12%) | 3 (15%) | |
Others | 26 (30%) | 52 (36%) | 8 (40%) |
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Share and Cite
Fujisawa, J.; Mutoh, T.; Kawamura, K.; Yonezawa, R.; Hirai, M.; Morioka, I. Age-Specific Differences in Foreign Bodies Ingested by Children: A Cohort Study of 252 Japanese Cases. Medicina 2020, 56, 39. https://doi.org/10.3390/medicina56010039
Fujisawa J, Mutoh T, Kawamura K, Yonezawa R, Hirai M, Morioka I. Age-Specific Differences in Foreign Bodies Ingested by Children: A Cohort Study of 252 Japanese Cases. Medicina. 2020; 56(1):39. https://doi.org/10.3390/medicina56010039
Chicago/Turabian StyleFujisawa, Jumpei, Tomokazu Mutoh, Kengo Kawamura, Ryuta Yonezawa, Maiko Hirai, and Ichiro Morioka. 2020. "Age-Specific Differences in Foreign Bodies Ingested by Children: A Cohort Study of 252 Japanese Cases" Medicina 56, no. 1: 39. https://doi.org/10.3390/medicina56010039