Foreign bodies in digestive system of children 
 

Ryzhenko O. V., Yankova M. V. 
Municipal Healthcare Institution «Chernihiv Regional Children’s Hospital», Ukraine

Objective of the study — to improve the treatment outcomes in children with foreign bodies in digestive system (FBDS) through the development of therapeutic approach depending on the location and type of foreign bodies.

Materials and methods. Diagnosis and treatment analysis were carried out in 181 children with FBDS who were treated in the surgical department of MHCI «Chernihiv regional children’s hospital» from 2009 to 2014. For the diagnosis, we have used clinical and laboratory data and X-ray examination of the digestive system, often with contrast enhancement. Endoscopic study was performed by means of fiberoptic endoscopes and rigid Friedel tubes.

Results and discussion. In the study group, foreign bodies of the esophagus were observed in 41 (22.7%) children, stomach — in 4 (2.2%), bowel — in 136 (75.1%). Most children swallowed coins of different values (n=79; 43.6%), less often — decorations (n=20; 11.0%), metal objects (n=20; 11.0%), the plastic parts of toys (n=17; 9.4%), batteries (n=15; 8.3%), animal and fish bones (n=15; 8.3%), glass and stones (n=11; 6.1%), magnets (n=4; 2.2%). Removal of foreign bodies of the esophagus, stomach and duodenum using endoscopic equipment was performed in 32 (17.7%) children. Surgical removal of intestinal foreign bodies was carried out in 2 (1.1%) children. Postoperative complications and mortality were not detected. Conclusions. Foreign bodies of the esophagus should be removed urgently. Such aggressive FBDS, as magnets and batteries, are subject to immediate removal, if there are no changes in their location on the comparison X-rays during 12 hours. In case of non-aggressive foreign bodies of the stomach and intestine, expectant management and X-ray control every 5–7 days are indicated.

Key words: foreign bodies, digestive system, children.

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