Ghulam Muhammad, Islam Gul, Muahmad Hafeez, Sunia Arif.
Oesophageal foreign bodies and their management.
J Med Sci May ;23(2):92-5.

Objectives: To determine the type of foreign bodies in esophagus, pattern of symptoms, signs and their management techniques. Material and Methods: First 50 consecutive cases of all ages with a definite or suspected history of foreign bodies ingestion were included in this study during May to November 2007. All the relevant information like age, sex, history, symptoms, signs, type of foreign bodies removed and complications if any during and after the procedure were recorded on a printed proforma. Results: We managed 50 cases out of which 60% were male while 40% were female. Common symptoms were dysphagia, food refusal followed by vomiting. Foreign bodies were found in 100% cases, they were mainly metallic in nature. Coin was the commonest foreign body recovered in 52%. Crisco esophageal junction was the main site 70% followed by mid esophagus 20%. Most of the children were under the age of 10 years 58%, while 20% were those female having esophageal strictures (iron deficiency anemia) leading to foreign body enlargement. X-rays finding were positive in 80% of cases. Complications observed were recorded. Conclusion: Most experience surgeon available should manage all cases of foreign body ingestion. Children less than 3 should not be allowed to play with coins, or other smaller object.

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