INGESTED FOREIGN BODIES IN PHARYNX AND OESOPHAGUS: COMPARISON BETWEEN ADULT AND PAEDIATRIC POPULATION

Abstract

Vivek V. Harkare1, Sonali P. Khadakkar2, Nitin V. Deosthale3, Priti R. Dhoke4, Kanchan S. Dhote5, Madhurima Banerjee6, Vikrant Dagar7, Prajakta S. Golhar8

To determine the frequency of swallowed foreign bodies in adults and children, its location and symptoms and treatment options for removal of foreign body in those who were presented in our Department of ENT at Tertiary Health Care Hospital. STUDY DESIGN: It was a Prospective Study. SETTING: This study was done in ENT OPD at Tertiary Health Care Institute of Central India. DURATION: 2 Years. MATERIALS AND METHODS: The study was conducted from March 2012 to Feb 2014. Total 36 patients with history of foreign body ingestion were included in the study. Patients were evaluated clinically, radiologically and endoscopically. All foreign bodies were removed endoscopically. Data was analysed statistically with respect to age of the patient, kind and location of foreign body, length of retention and management of patient. RESULTS: Out of total 36 patients, 17 were of paediatric age group and 19 were adults. Coin was the most common foreign body in paediatric group (76.47%) while fish bone was the common foreign body in adults (47.37%). Upper oesophagus was the commonest site of impaction of foreign body in paediatric patients (94.12%) and in adults it was commonly found in oropharyx (47.37%). Most of the patients (69.44%) presented to the hospital within a day of ingestion of foreign body. CONCLUSION: There are differences in various aspects of impacted foreign bodies in pharynx and oesophagus in paediatric and adult population. Impaction of foreign body mandates immediate extraction.

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