Evaluation of Children with a History of Foreign Body Ingestion or Suspection: A Single Center Experience

Yıl 2021, , 244 - 250, 12.07.2021

Muhammet Akif Güler , Ali İşlek , Sultan Tuna Akgol Gur

https://doi.org/10.53394/akd.959280

Cited By: 1

Öz

Objective: Foreign body ingestions is one of the important issues of childhood. In this study, the
five-year experience of our center was discussed. The objects and follow-up processes that the patients
ingested, invasive procedures, complications and costs to the public were analyzed retrospectively.
Material and Methods: Data for children aged 0-18 years presenting to pediatric emergency, adult
emergency and pediatric gastroenterology units due to foreign body ingestion between April 2014 and
January 2019 were examined retrospectively from patient files and the hospital automation system.
Results: The mean age of the 590 children presenting with foreign body ingestion was 52.8 months,
and 274 (46.4%) were girls. In clinically and radiologically, no foreign body was detected in 219
(37.1%) of the cases. 570 (96.6%) of the patients were asymptomatic and the most commonly ingested
objects were coins 179 (30.3%). Endoscopic procedures were required in 35 (5.9%) of cases. Surgical
intervention was performed in two (%0.3) cases. A mean of 2.5 conventional radiographs were taken
per patient. Computed tomography was performed in 47 (8.0%) of the cases. The mean costs per
patient were calculated as 111.07 Turkish Liras.
Conclusion: Foreign body ingestion rarely cause to invasive procedures, x-ray exposure due to
radiological imaging, and public costs. Since the most frequently ingested objects are that used in daily
life and are easily accessible, it can be predicted that this issue will be reduced by preventive measures
to be taken by parents at home.

Anahtar Kelimeler

Conventional radiography, Cost, Endoscopy, Foreign body ingestion, Surgery

Destekleyen Kurum

No

Yabancı Cisim Yutma Öyküsü veya Şüphesi Olan Çocukların Değerlendirilmesi: Tek Merkez Deneyim

Öz

Amaç: Yabancı cisim yutma olayları çocukluk döneminin önemli sorunlarından biridir. Bu çalışmada
merkezimizin beş yıllık tecrübesi tartışıldı. Olguların yuttukları cisimler ve takip süreçleri, invaziv
işlemler, gelişen komplikasyonlar ve kamuya olan maliyetleri geriye dönük olarak incelendi.
Gereç ve Yöntemler: Nisan 2014-Ocak 2019 tarihleri arasında, çocuk acil, erişkin acil ve çocuk
gastroenteroloji polikliniklerine yabancı cisim yutma şikayeti ile başvuran 0-18 yaş arası çocuklara ait
hasta dosyaları ve hastane otomasyon sistemindeki verileri geriye dönük olarak incelendi.
Bulgular: Yabancı cisim yutma şikayeti ile başvuran 590 olgunun ortalama yaşı 52,8 ay ve 274’ü
(%46,4) kız idi. Olguların 219’unda (%37,1) klinik ve radyolojik olarak yabancı cisim saptanmadı.
Hastaların 570’i (%96,6) asemptomatik olup en çok yutulan yabancı cisim madeni para 179 (%30,3)
idi. Olguların 35’ine (%5,9) endoskopik girişim gerekli oldu. İki olguya (%0,3) cerrahi işlem yapıldı.
Hasta başına ortalama 2,5 konvansiyonel radyografi çekildi. Olguların 47’sine (%8.0) ise bilgisayarlı
tomografi çekildi. Hasta başına kamu maliyetleri ortalama 111,07 TL olarak hesaplandı.
Sonuç: Yabancı cisim yutma olayları nadiren invaziv işlemlere, radyolojik tetkikler nedeni ile X-ışını
maruziyetine ve hastane giderleri nedeni ile kamu harcamalarının oluşmasına neden olmaktadır.
Olguların önemli bir bölümünde yabancı cisim saptanamamıştır. En sık yutulan cisimler günlük
hayatta kullanılan ve kolay ulaşılabilen cisimler olduğundan ebeveynler tarafından evde alınacak
koruyucu önlemlerle bu sorunun azalacağı öngörülebilir.

Anahtar Kelimeler

Cerrahi, Endoskopi, Konvansiyonel radyografi, Maliyet, Yabancı cisim yutma

Kaynakça

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