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Article: Selective upper endoscopy for foreign body ingestion in children: an evaluation of management protocol after 282 cases

TitleSelective upper endoscopy for foreign body ingestion in children: an evaluation of management protocol after 282 cases
Authors
KeywordsDirect laryngoscopy
Foreign body ingestion
Upper endoscopy
Issue Date2006
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
Journal Of Pediatric Surgery, 2006, v. 41 n. 12, p. 2016-2018 How to Cite?
AbstractPurpose: Foreign body ingestion is a common problem in both children and adults. This study aims to evaluate a management protocol where endoscopic examination was only selectively used after routine direct laryngoscopy to minimize patient discomfort and the need for general anesthesia in children. Method: A management protocol for foreign body ingestion based on symptoms was introduced in 1998 and records of children admitted to a university-affiliated hospital between January 1999 and October 2005 with suspected foreign body ingestion were evaluated. Symptoms, radiologic and endoscopic findings, and outcome were reviewed. Results: A total of 282 patients were admitted. The mean age of patients was 5.75 years (range, 9 months to 17 years). There were 167 boys and 115 girls. Based on our protocol, 84 (29.8%) patients required an upper endoscopy. Fish bones were most commonly involved (68.8%). Foreign bodies, which were either removed or dislodged, were found during upper endoscopy in only 25 (8.8%) patients overall. All patients had an uneventful outcome. No complications or mortalities were encountered. There were no readmissions for those who did not undergo endoscopic examination. Conclusion: It is safe to selectively perform upper endoscopy depending on symptoms when managing children with foreign body ingestion. © 2006 Elsevier Inc. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/54336
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, KKYen_HK
dc.contributor.authorFang, CXen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2009-04-03T07:43:43Z-
dc.date.available2009-04-03T07:43:43Z-
dc.date.issued2006en_HK
dc.identifier.citationJournal Of Pediatric Surgery, 2006, v. 41 n. 12, p. 2016-2018en_HK
dc.identifier.issn0022-3468en_HK
dc.identifier.urihttp://hdl.handle.net/10722/54336-
dc.description.abstractPurpose: Foreign body ingestion is a common problem in both children and adults. This study aims to evaluate a management protocol where endoscopic examination was only selectively used after routine direct laryngoscopy to minimize patient discomfort and the need for general anesthesia in children. Method: A management protocol for foreign body ingestion based on symptoms was introduced in 1998 and records of children admitted to a university-affiliated hospital between January 1999 and October 2005 with suspected foreign body ingestion were evaluated. Symptoms, radiologic and endoscopic findings, and outcome were reviewed. Results: A total of 282 patients were admitted. The mean age of patients was 5.75 years (range, 9 months to 17 years). There were 167 boys and 115 girls. Based on our protocol, 84 (29.8%) patients required an upper endoscopy. Fish bones were most commonly involved (68.8%). Foreign bodies, which were either removed or dislodged, were found during upper endoscopy in only 25 (8.8%) patients overall. All patients had an uneventful outcome. No complications or mortalities were encountered. There were no readmissions for those who did not undergo endoscopic examination. Conclusion: It is safe to selectively perform upper endoscopy depending on symptoms when managing children with foreign body ingestion. © 2006 Elsevier Inc. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurgen_HK
dc.relation.ispartofJournal of Pediatric Surgeryen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectDirect laryngoscopyen_HK
dc.subjectForeign body ingestionen_HK
dc.subjectUpper endoscopyen_HK
dc.subject.meshChild, Preschoolen_HK
dc.subject.meshEndoscopy, Digestive Systemen_HK
dc.subject.meshForeign Bodies - Surgeryen_HK
dc.subject.meshGastrointestinal Tract - Surgeryen_HK
dc.titleSelective upper endoscopy for foreign body ingestion in children: an evaluation of management protocol after 282 casesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-3468&volume=41&issue=12&spage=2016&epage=2018&date=2006&atitle=Selective+upper+endoscopy+for+foreign+body+ingestion+in+children:+an+evaluation+of+management+protocol+after+282+casesen_HK
dc.identifier.emailWong, KKY: kkywong@hkucc.hku.hken_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityWong, KKY=rp01392en_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturepostprinten_HK
dc.identifier.doi10.1016/j.jpedsurg.2006.08.029en_HK
dc.identifier.pmid17161195-
dc.identifier.scopuseid_2-s2.0-33845227864en_HK
dc.identifier.hkuros125295-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33845227864&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume41en_HK
dc.identifier.issue12en_HK
dc.identifier.spage2016en_HK
dc.identifier.epage2018en_HK
dc.identifier.isiWOS:000243055400017-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridWong, KKY=24438686400en_HK
dc.identifier.scopusauthoridFang, CX=15122128100en_HK
dc.identifier.scopusauthoridTam, PKH=7202539421en_HK

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