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Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2008 / Cilt: 16 - Sayı: 4

Increasing cause of esophageal foreign body ingestion in children: Alkaline batteries

Çocuklarda özefagusa yabancı cisim kaçması sıklığını artıran etken: Alkalen piller

Atila EROĞLU
Yener AYDIN
Atilla TÜRKYILMAZ
Fatma GENÇ
Pages
250–253
Publication Date
2022-09-02
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Thus, they should be removed via rigid esophagoscopy without delay to prevent these complications.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: Ingestion of alkaline batteries occurs at an increasing frequency in children.
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Key Findings & Data:Methods: Seven patients (5 boys, 2 girls; mean age 4.4 years; range 1 to 14 years) who underwent rigid esophagoscopy due to ingestion of an alkaline battery were evaluated.Results: All the patients presented within the first 24 hours of ingestion.
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Conclusion & Impact:Thus, they should be removed via rigid esophagoscopy without delay to prevent these complications.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background: Ingestion of alkaline batteries occurs at an increasing frequency in children. Those that lodge in the esophagus may cause severe complications and even death. Methods: Seven patients (5 boys, 2 girls; mean age 4.4 years; range 1 to 14 years) who underwent rigid esophagoscopy due to ingestion of an alkaline battery were evaluated.Results: All the patients presented within the first 24 hours of ingestion. One patient had fever and vomiting. Foreign bodies were observed in the esophagus on direct radiograms, being in the cervical esophagus in two cases, thoracic esophagus in four cases, and distal esophagus in one case. The alkaline batteries were removed via rigid esophagoscopy under general anesthesia. Endoscopic examination showed mucosal erosion in five patients. No complications were encountered within a mean hospital stay of three days (range 1 to 5 days).Conclusion: Ingestion of alkaline batteries can result in corrosive esophagitis leading to perforation and mediastinitis. Thus, they should be removed via rigid esophagoscopy without delay to prevent these complications.

Özet

Amaç: Alkalen pil yutma çocuklarda giderek daha sık görülmektedir. Piller özefagusta takılıp kaldığında ciddi komplikasyonlar ve hatta ölümle sonuçlanabilir. Çalışma planı: Çalışmada, alkalen pil yutan ve rijit özefagoskopi ile müdahale edilen yedi hasta (5 erkek, 2 kız; ort. yaş 4.4; dağılım 1-14) geriye dönük olarak incelendi.Bulgular: Tüm olgular pil yuttuktan sonraki 24 saat içinde kliniğimize başvurdu. Bir olguda ateş ve kusma vardı. Tüm olgularda düz radyografi ile yabancı cismin özofagusta olduğu görüldü. Alkalen pil iki olguda servikal özofagusta, dört olguda torasik özofagusta, bir olguda distal özofagusta idi. Yabancı cisimler genel anestezi altında rijit özofagoskopi ile çıkartıldı. Endoskopik değerlendirmede beş hastada mukozal erozyon saptandı. Herhangi bir komplikasyon gelişmeyen olguların ortalama hastanede yatış süresi üç gündü (dağılım 1-5 gün).Sonuç: Alkalen pil yutulması kalıcı sekel bırakan perforasyon ve mediastinite yol açan koroziv özofajitle sonuçlanabilir. Bu nedenle, bu komplikasyonların gelişimini önlemek için pil acilen rijit endoskopiyle çıkartılmalıdır.

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Cite This Article

EROĞLU, A., AYDIN, Y., TÜRKYILMAZ, A., GENÇ, F. (2022). Increasing cause of esophageal foreign body ingestion in children: Alkaline batteries. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 16 - Sayı: 4, 250–253. https://ajindex.com/articles/425088

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