Alenezi Mazyad M, Alrashidi Sami H, Al-Harbi Faisal A, Al-Mutairi Turki A, Alsweed Ziyad A, Al-Oadah Emad K, Alharbi Abdulaziz F
From the Department of Otorhinolaryngology-Head and Neck Surgery, Ad Diriyah Hospital, Third Health Cluster, Riyadh, Saudi Arabia.
From the Department of Pediatrics, Maternity and Children Hospital, Qassim, Saudi Arabia.
Ann Saudi Med. 2025 May-Jun;45(3):177-181. doi: 10.5144/0256-4947.2025.177. Epub 2025 Jun 5.
Aerodigestive foreign bodies (ADFBs) are a common pediatric emergency, often caused by tiny objects like toys, coins, seeds, and other foreign materials getting lodged in the airway during swallowing or breathing. Inadequate handling and delayed treatment could lead to potentially life-threatening complications. Understanding the symptoms and dangers associated with ADFBs is crucial in implementing preventative measures to reduce their occurrences.
The study aimed to evaluate the epidemiology, clinical characteristics, management strategies, and outcomes of pediatric patients with ADFBs in the Qassim region.
Single-center, retrospective study.
Maternal and Children's Hospital, Qassim, Saudi Arabia.
Retrospective data of pediatric patients (0-14 years) with confirmed ADFBs recorded over the past 5 years at Maternal and Children Hospital (MCH) in Buraidah, Saudi Arabia. Data was first cleaned and then analyzed using SPSS version 26 to obtain crucial insights.
Common characteristics and management strategies of ADFBs in pediatric patients, including demographic factors, such as age and gender, the type and location of the foreign bodies, and the clinical presentation and outcomes following intervention.
149 patients.
Most patients were symptomatic 89 (59.7%) with frequent symptoms such as vomiting 38 (42.7%) followed by drooling 14 (15.7%) and cough 13 (14.6%). Most of the objects 122 (81.9%) were radiopaque, impacted in the upper esophagus above clavicle 90 (60.4%). The common foreign body type identified were coin 96 (64.4%); seeds 8 (5.4%) and battery 8 (5.4%). Most objects (91.94%) were visualized, and 76.5% were removed via endoscopy. Only 10 (6.7%) of the patients had complications with nearly one-third 3 (30.0%) of them presenting with erosion.
Common foreign body types reported are coins, seeds, and batteries. Most objects impacted are radiopaque; with endoscopy commonly used in visualization and foreign body extraction from patients. The study highlights the need for increased awareness among caregivers regarding pediatric safety and the potential risks and complications associated with ADFBs. It recommends prompt action, including medical intervention and preventive measures, to reduce the incidence and risks of ADFBs.
Single-center and retrospective design limited the generalizability of the investigation.
气消化道异物（ADFBs）是常见的儿科急症，通常由玩具、硬币、种子和其他异物等小物件在吞咽或呼吸时卡在气道中引起。处理不当和治疗延迟可能导致危及生命的并发症。了解与气消化道异物相关的症状和危险对于实施预防措施以减少其发生至关重要。
本研究旨在评估卡西姆地区患有气消化道异物的儿科患者的流行病学、临床特征、管理策略和治疗结果。
单中心回顾性研究。
沙特阿拉伯卡西姆的妇幼医院。
回顾性收集过去5年在沙特阿拉伯布赖代的妇幼医院（MCH）确诊为气消化道异物的儿科患者（0至14岁）的数据。数据首先进行清理，然后使用SPSS 26版进行分析以获得关键见解。
儿科患者气消化道异物的常见特征和管理策略,包括人口统计学因素，如年龄和性别、异物的类型和位置，以及干预后的临床表现和结果。
149例患者。
大多数患者有症状，89例（59.7%），常见症状如呕吐38例（42.7%），其次是流口水14例（15.7%）和咳嗽13例（14.6%）。大多数异物122例（81.9%）为不透射线，嵌顿于锁骨上方的上段食管90例（60.4%）。常见的异物类型为硬币96例（64.4%）；种子8例（5.4%）和电池8例（5.4%）。大多数异物（91.94%）被发现，76.5%通过内镜取出。只有10例（6.7%）患者出现并发症，其中近三分之一3例（30.0%）出现糜烂。
报告的常见异物类型为硬币、种子和电池。大多数嵌顿的异物为不透射线；内镜常用于患者的异物可视化和取出。该研究强调需要提高护理人员对儿科安全以及与气消化道异物相关的潜在风险和并发症的认识。建议采取迅速行动，包括医疗干预和预防措施，以降低气消化道异物的发生率和风险。
单中心和回顾性设计限制了该调查结果的普遍性。
