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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 19, No. 1, 2014, pp. 11-16
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Bioline Code: js14002
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 19, No. 1, 2014, pp. 11-16
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Management of Ingested Foreign Bodies in Paediatric Patients: An Experience from a Tertiary Hospital in Ethiopia
Tadesse, A. & Feyo, A.
Abstract
Background: The problem of FB ingestion is commonly seen in young children, with most of the
cases being aged between 6 months and 5 years. Oesophagoscopy is the gold standard for their
management although McGill forceps, Fogarty catheter and bouginage may also be used when
appropriate.
Methods: This was a retrospective study of paediatric patients presenting with features of FB
ingestion at Black Lion Hospital between September 2011 and February 2013. A total of 85 cases
were analyzed.
Results: A total of eighty five (61.5%) males and 33 (38.8) females with a mean age of 2.86 years
were analyzed. Vomiting (70.6%) and difficulty in swallowing (50.6%) were the most common
symptoms. Coins were the most commonly ingested FB items. Plain X-rays located 78.85% of FBs
in the proximal oesophagus. The vast majority of patients (92.9%) had their FBs retrieved using
McGill forceps. Foley’s catheter was used in 15 (17.6%) and Oesophagoscopy in 9 (10.6 %) cases
Conclusion: McGill’s forceps with the aid of a McIntosh laryngoscope is a safe and effective
method for proximal oesophageal foreign body removal.
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© Copyright 2014 - East and Central African Journal of Surgery
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