Demiroren Kaan
Department of Pediatric Gastroenterology, University of Health Sciences, Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
Pediatr Gastroenterol Hepatol Nutr. 2023 Jan;26(1):1-14. doi: 10.5223/pghn.2023.26.1.1. Epub 2023 Jan 10.
Foreign body (FB) ingestion is a common health problem that affects children more than adults. According to gastroenterologists' guidelines, the management of FB ingestion differs slightly between adult and children. This review aimed to compile adult and children guidelines and establish an understandable association to reveal the requirements and timing of the endoscopic procedure, which is the most effective and least complicated technique for gastrointestinal FBs. Coins, pins, and chicken and fish bones have been the most commonly ingested FBs. However, with their increasing use in recent years, large batteries with lithium-ion conversion, stronger magnets composed of rare earth metals, such as neodymium, and superabsorbent objects have become the most morbid and mortal, necessitating new management strategies. Although the approach to gastrointestinal FBs is controversial, with different treatment options available in different disciplines, many studies have demonstrated the efficacy and safety of endoscopic procedures. Many factors influence the timing of endoscopy, including the nature, size, and location of the ingested object and the patient's clinical condition.
异物吞食是一个常见的健康问题,儿童比成人更易受到影响。根据胃肠病学家的指南,成人和儿童在异物吞食的处理上略有不同。本综述旨在汇编成人和儿童指南,并建立一种易于理解的关联,以揭示内镜检查程序的要求和时机,这是处理胃肠道异物最有效且最不复杂的技术。硬币、别针以及鸡骨和鱼骨一直是最常吞食的异物。然而,近年来随着锂离子转换型大电池、由钕等稀土金属制成的更强磁铁以及高吸水性物品的使用增加,它们已成为导致最严重疾病和死亡的异物,因此需要新的管理策略。尽管处理胃肠道异物的方法存在争议,不同学科有不同的治疗选择,但许多研究已证明内镜检查程序的有效性和安全性。许多因素会影响内镜检查的时机,包括所吞食物体的性质、大小和位置以及患者的临床状况。