دورية أكاديمية
Gastrointestinal transit time of radiopaque ingested foreign bodies in children: experience of two paediatric tertiary centres.
| العنوان: | Gastrointestinal transit time of radiopaque ingested foreign bodies in children: experience of two paediatric tertiary centres. |
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| المؤلفون: | Ang CX; Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Mun WK; Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Aw MM; Department of Paediatrics, National University Hospital, Singapore., Lin D; Department of Paediatrics, National University Hospital, Singapore., Chong SL; Department of Emergency Medicine, KK Women's and Children's Hospital, Singapore., Ong LY; Department of Paediatric Surgery, KK Women's and Children's Hospital, Singapore., Nah SA; Department of Paediatric Surgery, Faculty of Medicine, University of Malaya, Malaysia. |
| المصدر: | Singapore medical journal [Singapore Med J] 2023 Apr 25. Date of Electronic Publication: 2023 Apr 25. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer - Medknow Country of Publication: India NLM ID: 0404516 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2737-5935 (Electronic) Linking ISSN: 00375675 NLM ISO Abbreviation: Singapore Med J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: July 2022- : [Mumbai] : Wolters Kluwer - Medknow Original Publication: Singapore, Singapore Medical Assn. |
| مستخلص: | Introduction: Foreign body (FB) ingestion is a common paediatric emergency. While guidelines exist for urgent intervention, less is known of the natural progress of FBs passing through the gastrointestinal tract (GIT). We reviewed these FB transit times in an outpatient cohort. Methods: A retrospective review was performed on all children (≤18 years) treated for radiopaque FB ingestion at two major tertiary paediatric centres from 2015 to 2016. Demographic data, FB types, outcomes and hospital visits (emergency department [ED] and outpatient) were recorded. All cases discharged from the ED with outpatient follow-up were included. We excluded those who were not given follow-up appointments and those admitted to inpatient wards. We categorised the outcomes into confirmed passage (ascertained via abdominal X-ray or reported direct stool visualisation by patients/caregivers) and assumed passage (if patients did not attend follow-up appointments). Results: Of the 2,122 ED visits for FB ingestion, 350 patients who were given outpatient follow-up appointments were reviewed (median age 4.35 years [range: 0.5-14.7], 196 [56%] male). The largest proportion (16%) was aged 1-2 years. Coins were the most common ingested FB, followed by toys. High-risk FB (magnets or batteries) formed 9% of cases (n=33). The 50 th centile for FB retention was 8, 4 and 7 days for coins, batteries and other radiopaque FBs, respectively; all confirmed passages occurred at 37, 7 and 23 days, respectively. Overall, 197 (68%) patients defaulted on their last given follow-up. Conclusion: This study provides insight into the transit times of FB ingested by children, which helps medical professionals to decide on the optimal time for follow-up visits and provide appropriate counsel to caregivers. Competing Interests: None |
| فهرسة مساهمة: | Keywords: Complications; epidemiology; foreign body; gastrointestinal tract; paediatric |
| تواريخ الأحداث: | Date Created: 20230512 Latest Revision: 20230512 |
| رمز التحديث: | 20240628 |
| DOI: | 10.4103/singaporemedj.SMJ-2021-408 |
| PMID: | 37171420 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2737-5935 |
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| DOI: | 10.4103/singaporemedj.SMJ-2021-408 |