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Methods for Esophageal Foreign Body Removal Among Pediatric Patients: 10 Years? Experience at a Referral Hospital.

Background and aim: Accidents with foreign bodies in children, including esophageal ones, are common in emergencies. Children are more prone due to infant curiosity, baby teeth and lack of attention from caregivers. We present the 10 years experience of an ENT referral service in the management of pediatric patients diagnosed with esophageal foreign body.

Methods: Retrospective data analysis of 0 to 12 years old children attended from 2005 to 2014 with esophageal foreign body. Results: We found 1535 children. The coins were the most prevalent foreign bodies. Batteries accounted for 36 cases. The Foley catheter removal was performed in 77,61%, rigid esophagoscopy was necessary in 22,02%, and in 1,37% cases the Magill forceps was used.

Discussion and conclusion: There are a variety of management options available. The Foley catheter removal guided or not by fluoroscopy is indicated to coins and other pointless objects, located in up to the middle third of the thoracic esophagus, shorter time of impaction and no history of previous disease or esophageal surgery. The esophagoscopy is better suited for proximal and sharp objects, longer duration of impaction and when the removal by Foley catheter was unsuccessful. Magill forceps removal under laryngoscopy is used to upper esophageal foreign bodies. The Foley catheter removal is a good tolerability and costeffective option. The esophagoscopy may be reserved for cases of more complex foreign bodies. Magill forceps is also a minimally invasive method compared to rigid esophagoscopy.

Author(s): Janaína Oliveira Bentivi Pulcherio, Édio Júnior Cavallaro Magalhães, Cláudia Márcia Malafaia de Oliveira Velasco, Licia Oliveira Resende, Armênio Cunha Ferreira, Bruno Bavaresco Gambassi, Walter Sedlacek Machado