Singh Gurjit, Sharma Surendra, Khurade Shrikant, Gooptu Somnath
Department of General Surgery, Padm. Dr. D.Y. Patil Medical College, Pimpri, Pune, Maharashtra, India.
J Family Med Prim Care. 2014 Oct-Dec;3(4):452-5. doi: 10.4103/2249-4863.148148.
Accidental foreign body ingestion and impaction of food bolus present as an emergency. Pediatric population is the most vulnerable. Since the act may go unnoticed, the child may present late. However, most foreign bodies pass spontaneously in the stools.
Two children were brought with history of battery ingestion. In one case, an emergency gastro intestinal endoscopy had to be done for the foreign body removal which was made up of corroded battery. In the other case, no interventation was undertaken & an uncorroded battery passed per anum along with stools after 15 days of ingestion.
Decision regarding immediate intervention or conservative approach will require consideration of the level of lodgement & type of foreign body. Prevention is possible if parents/guardians exercise control on their wards & are aware of implications of such an event.
意外吞食异物及食物团块嵌塞是一种急症。儿童群体最为脆弱。由于这种行为可能未被注意到，孩子可能就诊较晚。然而，大多数异物会随粪便自行排出。
两名儿童因吞食电池前来就诊。其中一例，因异物为腐蚀的电池，必须进行紧急胃肠内镜检查以取出异物。另一例未采取干预措施，吞食后15天，一枚未腐蚀的电池随粪便经肛门排出。
关于立即干预或保守治疗的决策需要考虑异物嵌塞的位置及异物类型。如果家长/监护人对其孩子加以照管并了解此类事件的影响，预防是可行的。
