Improving treatment methods for children with foreign bodies in the esophagus
https://doi.org/10.66825/2949-4664-apps-4-1-34-40
Abstract
Objective: To assess the effectiveness and safety of using a Foley catheter for the removal of esophageal foreign bodies in young children.
Materials and Methods: We analyzed cases of esophageal foreign bodies in children from 6 months to 15 years of age. The type of ingested objects, their location, time to presentation, and outcomes of removal using a Foley catheter were evaluated.
Results. An increase in the number of such cases has been observed in recent years. The most common foreign bodies were coins (335 cases; 44.2%) and button batteries (157 cases; 20.7%). In most cases, the objects were located at the upper (580; 76.5%) and middle (146; 19.2%) esophageal constrictions. Nearly half of the patients (365; 48.1%) were admitted within the first 24 hours after ingestion or onset of symptoms. Foley catheter extraction was successful in 734 patients (96.8%). No serious complications related to the procedure were observed.
Conclusions. The Foley catheter appears to be an effective and safe option for removing esophageal foreign bodies in children. It can be considered in cases where the foreign body is located in the upper or middle esophagus, provided that proper indications and technique are followed.
About the Authors
T. O. Omurbekov
Kyrgyz State Medical Academy named after I.K. Akhunbaev
Kyrgyzstan
Competing Interests:
Kyrgyzstan
Talantbek O. Omurbekov, Holder of an Advanced Doctorate in Medical Sciences, Professor, Head of the Department of Pediatric Surgery
92 I. Ahunbaeva str., Bishkek, 720020, Bishkek
num: +996557297070
Competing Interests:
The authors declare no conflict of interest.
T. N. Nurmukhammedov
Kyrgyz-Russian Slavic University named after B.N. Yeltsin
Kyrgyzstan
Competing Interests:
Kyrgyzstan
Temirlan N. Nurmukhammedov, senior lecturer, Department of Pediatric Surgery
44 Kievskaya str., Bishkek, 720021
Competing Interests:
The authors declare no conflict of interest.
V. N. Poroschay
Kyrgyz-Russian Slavic University named after B.N. Yeltsin
Kyrgyzstan
Competing Interests:
Kyrgyzstan
Vladimir N. Poroschay, Ph.D. of Medical Sciences, Associate Professor at the Department of Pediatric Surgery
44 Kievskaya str., Bishkek, 720021
num: +996772415904
Competing Interests:
The authors declare no conflict of interest.
R. A. Peredereev
Kyrgyz State Medical Academy named after I.K. Akhunbaev
Kyrgyzstan
Competing Interests:
Kyrgyzstan
Roman A. Peredereev, Assistant of the Department of Pediatric Surgery, KSMA named I.K. Akhunbayeva, doctor of Thoracic-surgery department
92 I. Ahunbaeva str., Bishkek, 720020, Bishkek
Competing Interests:
The authors declare no conflict of interest.
A. N. Sadykov
City Children’s Clinical Emergency Hospital
Kyrgyzstan
Competing Interests:
Kyrgyzstan
Amir N. Sadykov, Head of the Department of Emergency, Thoracic Surgery
8а Baitik baatira str., Bishkek, 720020, Bishkek
Competing Interests:
The authors declare no conflict of interest.
References
1. Iklasova F.B., Razumov S.A., Baysalova A.M. Legal aspects of analgesia in pediatrics in the Republic of Kazakhstan. Medicine (Almaty). 2017; 4(178): 159–161. DOI: 10.31082/1728-452X-2017-4-178-159-161 (in Russ.).
2. Doletsky S.Ya. Treatment tactics for foreign bodies in the gastrointestinal tract in children. Pediatric Surgery. 2008; 5: 34–36 (in Russ.).
3. Vozgoment O.V. On the problems of treating children with esophageal injuries caused by a foreign body. Difficult Patient. 2013; 6: 6–9 (in Russ.).
4. Babich I.I., Bagnovsky I.O. Foreign bodies of the digestive tract in children. Russian Bulletin of Pediatric Surgery, Anesthesiology and Intensive Care. 2017; 7(4): 26–30 (in Russ.).
5. Gavrilyuk V.P., Severinov D.A., Sytkov V.V., et al. Intestinal anastomosis in children with complicated Meckel’s diverticulum. Vopr. prakt. pediatr. (Clinical Practice in Pediatrics). 2024; 19(4): 107–112 (in Russ.). DOI: 10.20953/1817-7646-2024-4-107-112.
6. Gavrilyuk VP, Kostin SV, Muchkina VA, et al. A foreign body (a coin) of Meckel’s diverticulum in a two-year-old child. I.P. Pavlov Russian Medical Biological Herald. 2020; 28(1): 73–8. DOI: 10.23888/PAVLOVJ202028173-78.
7. Razumovsky A.Yu., Geraskin A.V., Obydennova R.R. Treatment of chemical burns of the esophagus in children. Surgery. Journal named after N.I. Pirogov. 2012; 1: 43–48 (in Russ.).
8. Bystrygin A.V., Suprunov A.D., Makhotin A.A., et al. Endoscopic removal of esophageal foreign bodies. 3rd International Conference on Thoracic Surgery: Conference Proceedings. M.; 2005: 264–266 (in Russ.).
9. Kerschner J.E., Beste D.J., Conley S.F., et al. Mediastinitis associated with foreign body erosion of the esophagus in children. Int J Pediatr Otorhinolaryngol. 2001; 59(2): 89–97.
10. Okunev N.A. Foreign bodies and traumatic injuries of the esophagus in children. Clinical and experimental aspects of modern medicine: Proceedings of a scientific conference. Saransk; 1999; 42: 47–48 (in Russ.).
11. Kharitonov D.A. Prevention and treatment of complications of esophageal foreign bodies. Diss... Cand. Astrakhan; 2005. 131 p. (in Russ.).
12. Davidov M.I., Nikonova O.E. Clinic and diagnosis of foreign bodies of the gastrointestinal tract from the gastroenterologist’s perspective. Medical Almanac. 2017; 1(46): 53–56 (in Russ.) DOI: 10.21145/2499-9954-2017-1- 53-56.
13. Sinev Yu.V., Volkov S.V., Pogodina A.N. et al. Endoscopic aspects of esophageal rupture during fiberoptic esophagoduadenoscopy. Herald of Surgery. 1990; 7: 124– 125 (in Russ.).
14. Lew RJ, Kochman ML. A review of endoscopic methods of esophageal dilation. J Clin Gastroenterol. 2002 Aug; 35(2): 117–26 DOI: 10.1097/00004836-200208000-00001.
15. Perlovskaya V.V., Sapukhin E.V., Stalmakhovich V.N., et al. Experience in treating children with esophageal foreign bodies. Medical Journal (Irkutsk). 2015; 3: 113–115 (in Russ.).
16. Galliger Yu.I., Godzhello E.A. Operative endoscopy of the esophagus. M.: RNUKH RAMS Publishing House; 1999. 273 p. (in Russ.).
17. Parkhisenko Yu.A., Solod N.V., Bulinin V.V., et al. Injuries and ruptures of the esophagus. Voronezh: VSU Publishing House; 2010. 325 p. (in Russ.).
18. Slesarenko S.S., Agapov V.V., Prelatov V.A. Mediastinitis. M.: Medpraktik; 2005. 200 p. (in Russ.). Слесаренко С.С., Агапов В.В., Прелатов В.А. Медиастинит. М.: Мед- практика; 2005. 200 с.
19. Drobyazgin E.A., Chikinev Yu.V., Anikina M.S. Diagnostics and treatment of patients with tool esophageal perforation. Grekov’s Bulletin of Surgery. 2016; 175(3): 64–67 (in Russ.). https://DOI.org/10.24884/0042-4625-2016-175-3-64-67.
20. Abakumov M.M., Pogodina A.N. Esophageal injury during tracheal intubation. Herald of Surgery. 1978; 2: 118– 120 (in Russ.).
21. Jayachandra S, Eslick GD. A systematic review of paediatric foreign body ingestion: presentation, complications, and management. Int J Pediatr Otorhinolaryngol. 2013 Mar; 77 (3): 311–7. DOI: 10.1016/j.ijporl.2012.11.025. Epub 2012 Dec 20. PMID: 23261258.
22. Harned R.K., Strain J.D., Hay T.C., et al. Esophageal foreign bodies: safety and efficacy of Foley catheter extraction of coins. Am J Roentgenol. 1997; 168: 443–446.
23. Ikenberry S.O., Jue T.L., Anderson M.A., et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011; 73: 1085–1091. DOI: 10.1016/j.gie. 2010.11.010.
24. Akilov Kh.A., Asadullaev D.R. Diagnosis and treatment of foreign bodies of the gastrointestinal tract in children. Pediatric Surgery. 2020; 24(3): 198–204 (in Russ.) DOI: 10.18821/1560-9510-2020-24-3-198-204.
Review
For citations:
Omurbekov T.O., Nurmukhammedov T.N., Poroschay V.N., Peredereev R.A., Sadykov A.N. Improving treatment methods for children with foreign bodies in the esophagus. Archives of Pediatrics and Pediatric Surgery. 2026;4(1):34-40. (In Russ.) https://doi.org/10.66825/2949-4664-apps-4-1-34-40
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