Complications of upper gastrointestinal foreign body in children and related risk factors.
- Author:
Yue-Sheng WANG
1
;
Jing ZHANG
;
Xiao-Qin LI
;
Zhi-Dan YU
;
Fang ZHOU
Author Information
1. Department of Gastroenterology, Children's Hospital Affiliated to Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital, Zhengzhou 450018, China (Li X-Q, Email: lixiaoqinys@126.com.
- Publication Type:Journal Article
- MeSH:
Child, Preschool;
Endoscopy, Gastrointestinal;
Esophagus;
Female;
Foreign Bodies;
Humans;
Male;
Retrospective Studies;
Risk Factors;
Upper Gastrointestinal Tract
- From:
Chinese Journal of Contemporary Pediatrics
2020;22(7):774-779
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To study the complications of upper gastrointestinal foreign body in children and related risk factors.
METHODS:Clinical data were collected from 772 children with upper gastrointestinal foreign bodies who were treated at the outpatient service or were hospitalized from January 2014 to December 2018. A multivariate logistic regression analysis was used to investigate the risk factors for the development of complications in children with upper gastrointestinal foreign bodies.
RESILTS:The upper gastrointestinal foreign bodies were taken out by electronic endoscopy for the 772 children. There were 414 boys and 358 girls, with a median age of 2.8 years. Children under 3 years old accounted for 59.5%. The foreign bodies were mainly observed in the esophagus (57.5%) and the stomach (28.9%), with a retention time of ≤24 hours in 465 children (60.2%) and >24 hours in 307 children (39.8%). The types of upper gastrointestinal foreign bodies mainly included round metal foreign bodies (37.2%), long foreign bodies (24.7%), sharp foreign bodies (16.2%), batteries (14.4%), corrosive substances (4.8%), and magnets (2.7%). As for the severity of complications, 47.7% (368 children) had mild complications, 12.7% (98 children) had serious complications, and 39.6% (306 children) had no complications. The logistic regression analysis showed that an age of <3 years, underlying diseases, location of foreign body, type of foreign body, and a retention time of >24 hours were risk factors for the development of complications in these children (OR=2.141, 7.373, 6.658, 8.892, and 6.376 respectively, P<0.05).
CONCLUSIONS:An understanding of the above high-risk factors for the complications of upper gastrointestinal foreign bodies is helpful to choose appropriate intervention methods and thus reduce the incidence of serious complications.
