Endoscopy 2020; 52(S 01): S323
DOI: 10.1055/s-0040-1705041
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00-17:00 Pediatric endoscopy ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

GASTROINTESTINAL FOREIGN BODY IN KOREAN CHILDREN: A NATIONWIDE STUDY

E Ryoo
13   Gachon University Gil Medical Center, Pediatrics, Incheon, Korea, Republic of
,
TH Kim
1   Seoul National University College of Medicine, Pediatrics, Seoul, Korea, Republic of
,
JS Moon
1   Seoul National University College of Medicine, Pediatrics, Seoul, Korea, Republic of
,
JS Ko
1   Seoul National University College of Medicine, Pediatrics, Seoul, Korea, Republic of
,
BH Choe
2   Kyungpook National University Children’s Hospital, Pediatrics, Daegu, Korea, Republic of
,
B Kang
2   Kyungpook National University Children’s Hospital, Pediatrics, Daegu, Korea, Republic of
,
JY Choe
3   Kyungpook National University School of Medicine, Emergency Medicine, Daegu, Korea, Republic of
,
HJ Jang
4   Keimyung University School of Medicine, Pediatrics, Daegu, Korea, Republic of
,
KS Lee
5   Dankook University Medical College, Pediatrics, Cheonan, Korea, Republic of
,
HJ Lee
6   Sungkyunkwan University Samsung Changwon Hospital, Pediatrics, Changwon, Korea, Republic of
,
YM Lee
7   Soonchunhyang University Bucheon Hospital, Pediatrics, Bucheon, Korea, Republic of
,
MJ Kim
8   Chungnam National University School of Medicine, Emergency Medicine, Daejeon, Korea, Republic of
,
JM Yoon
9   Konyang University College of Medicine, Pediatrics, Daejeon, Korea, Republic of
,
DY Yi
10   Chungang University College of Medicine, Pediatrics, Seoul, Korea, Republic of
,
KR Moon
11   Chosun University School of Medicine, Pediatrics, Gwangju, Korea, Republic of
,
KM Kim
12   University of Ulsan College of Medicine, Pediatrics, Seoul, Korea, Republic of
,
SH Oh
12   University of Ulsan College of Medicine, Pediatrics, Seoul, Korea, Republic of
,
H Tchah
13   Gachon University Gil Medical Center, Pediatrics, Incheon, Korea, Republic of
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Aims Many children suffer from ingestion of foreign body (FB) and sometimes require an emergency endoscopy or surgery. Up to now, few domestic data study on FB ingestion in children by pediatric gastroenterologists has been reported. This study aims to investigate the clinical characteristics and outcomes of FB ingestion in children and clarify proper tools for evaluating FB patients.

Methods Total of 472 children (260 girls) with FB ingestion who visited Department of Pediatrics at twelve medical centers between January 2018 and December 2018 were reviewed. Our study include age, gender, time of accident, time to visit, presenting symptoms, types and size of FB, and diagnostic and therapeutic modalities with FB removal.

Results The median age of diagnosis was 2.8 years (0.3–18.3 years). Most common place of FB ingestion was their home (88.5%). Among the children with identified FB, coin (22%) was the most common gastrointestinal FB. Magnet (14%) and disc battery (10%) were also significant. The locations of identified FB were the esophagus (17.3%), stomach (53%), small and large intestine (23.7%), respectively. Endoscopic and surgical removal were conducted in 29%. Among them, toddler (ages 1–3 year) was most frequently identified in 38.4%. Nine children underwent operations due to failure to endoscopic FB removal and prevention of complications. Severe complications related FB ingestion were identified such as gastric or esophageal ulceration in 4 children, gastric laceration in 2, small bowel (SB) or esophageal perforation in 2, and SB bowel obstruction in 1, respectively. Sharp, large (> 2.5 cm), dangerous materials and multiple magnets showed significant differences (p < 0.05) with surgery.

Conclusions The types of FB were very diversed with age, and mostly preventable in Korean children. Endoscopic evaluation is essential for investigating complications in unwitnessed event, even in rare emergencies. In addition, more meticulous protocols about pediatric FB would be urgently needed.