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Research ArticleOriginal Article
Open Access

Pediatric foreign body ingestion in Makkah, Saudi Arabia

A retrospective epidemiological study

Bayan O. Besharah, Rehab F. Simsim, Lina Y. Natto, Ahmad J. Khiyami and Ahed A. Aqeel
Saudi Medical Journal June 2023, 44 (6) 594-600; DOI: https://doi.org/10.15537/smj.2023.44.6.20230090
Bayan O. Besharah
From the Department of Otolaryngology-Head and Neck Surgery (Besharah), King Abdullah Medical Complex; from the Department of Urology (Khiyami), International Medical Center, Jeddah; from the Clinical Science Department (Simsim), College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh; from the Department of Otolaryngology-Head and Neck Surgery (Natto), King Abdullah Medical City; from the Department of Otolaryngology-Head and Neck Surgery (Aqeel), Al-Noor Specialist Hospital, Makkah, Kingdom of Saudi Arabia.
MD, SBORL
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  • ORCID record for Bayan O. Besharah
  • For correspondence: [email protected]
Rehab F. Simsim
From the Department of Otolaryngology-Head and Neck Surgery (Besharah), King Abdullah Medical Complex; from the Department of Urology (Khiyami), International Medical Center, Jeddah; from the Clinical Science Department (Simsim), College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh; from the Department of Otolaryngology-Head and Neck Surgery (Natto), King Abdullah Medical City; from the Department of Otolaryngology-Head and Neck Surgery (Aqeel), Al-Noor Specialist Hospital, Makkah, Kingdom of Saudi Arabia.
MD, SBORL
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Lina Y. Natto
From the Department of Otolaryngology-Head and Neck Surgery (Besharah), King Abdullah Medical Complex; from the Department of Urology (Khiyami), International Medical Center, Jeddah; from the Clinical Science Department (Simsim), College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh; from the Department of Otolaryngology-Head and Neck Surgery (Natto), King Abdullah Medical City; from the Department of Otolaryngology-Head and Neck Surgery (Aqeel), Al-Noor Specialist Hospital, Makkah, Kingdom of Saudi Arabia.
MD
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Ahmad J. Khiyami
From the Department of Otolaryngology-Head and Neck Surgery (Besharah), King Abdullah Medical Complex; from the Department of Urology (Khiyami), International Medical Center, Jeddah; from the Clinical Science Department (Simsim), College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh; from the Department of Otolaryngology-Head and Neck Surgery (Natto), King Abdullah Medical City; from the Department of Otolaryngology-Head and Neck Surgery (Aqeel), Al-Noor Specialist Hospital, Makkah, Kingdom of Saudi Arabia.
MD
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Ahed A. Aqeel
From the Department of Otolaryngology-Head and Neck Surgery (Besharah), King Abdullah Medical Complex; from the Department of Urology (Khiyami), International Medical Center, Jeddah; from the Clinical Science Department (Simsim), College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh; from the Department of Otolaryngology-Head and Neck Surgery (Natto), King Abdullah Medical City; from the Department of Otolaryngology-Head and Neck Surgery (Aqeel), Al-Noor Specialist Hospital, Makkah, Kingdom of Saudi Arabia.
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  • Article
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    - Age distribution of the patients in the studied group.

  • Figure 2
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    Figure 2

    - Types of foreign bodies ingested in the studied group.

Tables

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    Table 1

    - Patients’ basic characteristics in the studied group.

    VariablesStudy group (N=153)
    n(%)
    Age (years)
    1–46441.8
    5–85938.6
    9–112113.8
    12–1595.9
    Nationality
    Saudi10971.2
    Non Saudi4428.8
    Gender
    Male9763.4
    Female5636.6
    • View popup
    Table 2

    - linical presentations of the studied group.

    VariablesStudy group (N=153)
    n(%)
    Symptoms
    No symptom14594.8
    Odenophagia85.0
    Previous history of FB ingestion
    Yes00
    No153100
    Hospital stay
    24 hours14896.7
    More than 24 hours53.3
    Chest x-ray finding
    No FB seen63.9
    (C1–C6)8253.6
    (C7–T4)6542.5
    Need for rigid upper endoscopy
    Yes14595.4
    No74.6
    Esophygeoscopy finding
    No operation3925.5
    Complication2214.4
    No complication9260.1
    Type of foreign body
    Coin9360.8
    Battery2113.7
    Food bolus63.9
    Other3321.6
    • FB: foreign body

    • View popup
    Table 3

    - Relationship between types of foreign body and different parameters.

    Type of foreign body
    VariablesCoin
    n=93
    Battery
    n=21
    Food bolus
    n=6
    Other
    n=3
    P-valuePair analysis
    n%n%n%n%
    Clinical cresentation Age
    (1–4)2931.21781116.71751.5<0.001P1 = 0.001
    P2 = 0.001
    P3 = 0.103
    P4 = 0.001
    P5 = 0.147
    P6 = 0.009
    (5–8)4144.1419116.71339.4<0.406
    (9–11)1920.500116.713<0.847
    (12–15)44.30035026.1<0.355
    Previous history of FB ingestion
    No93100211006100331000.531P1 = 0.649
    P2 = 0.177
    P3 = 0.516
    P4 = 0.247
    P5 = 0.936
    P6 = 0.256
    Hospital stay
    24 hours9298.91781610033100<0.001P1 ≤ 0.001
    P2 = 0.798
    P3 = 0.550
    P4 = 0.247
    P5 = 0.009
    > 24 hours11.14190000
    Hospital course Chest x-ray finding
    No FB seen0000466.726.1<0.001P1 = 0.117
    P2 ≤ 0.001
    P3 = 0.052
    P4 ≤ 0.001
    P5 = 0.132
    P6 = 0.001
    (C1–C6)5357838.1233.31957.6<0.733
    (C7–T4)40431361.9001236.4<0.453
    Need for rigid upper endoscopy
    Yes9096.8201003503297<0.001P1 = 0.416
    P2 ≤ 0.001
    P3 = 0.956
    P4 = 0.001
    P5 = 0.432
    P6 ≤ 0.001
    No33.20035013
    Esophygeoscopy finding
    No operation2729419233.3618.2<0.001P1 ≤ 0.001
    P2 ≤ 0.001
    P3 = 0.014
    P4 = 0.193
    P5 ≤ 0.001
    P6 = 0.212
    Complication11.11571.4233.3412.1<0.351
    No complication6569.929.5233.32369.7<0.817
    • P1: Coin versus (vs.) Battery group, P2: Coin vs. Food group, P3: Coin vs. Others group, P4: Battery vs. Food group, P5: Battery vs. Others group, P6: Food vs. Others group

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Saudi Medical Journal: 44 (6)
Saudi Medical Journal
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1 Jun 2023
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Pediatric foreign body ingestion in Makkah, Saudi Arabia
Bayan O. Besharah, Rehab F. Simsim, Lina Y. Natto, Ahmad J. Khiyami, Ahed A. Aqeel
Saudi Medical Journal Jun 2023, 44 (6) 594-600; DOI: 10.15537/smj.2023.44.6.20230090

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Pediatric foreign body ingestion in Makkah, Saudi Arabia
Bayan O. Besharah, Rehab F. Simsim, Lina Y. Natto, Ahmad J. Khiyami, Ahed A. Aqeel
Saudi Medical Journal Jun 2023, 44 (6) 594-600; DOI: 10.15537/smj.2023.44.6.20230090
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Keywords

  • endoscopy
  • esophagoscopy
  • foreign body
  • ingestion
  • pediatrics

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