DIAGNOSTIC AND THERAPEUTIC DIFFICULTIES IN CASES OF FOREIGN BODY IN THE OESOPHAGUS IN CHILDREN TREATED IN THE PAEDIATRIC ENT CLINIC WUM IN 2005-2009. CASE REPORTS

Lechosław P. Chmielik, *Magdalena Fršckiewicz, Mieczysław Chmielik

Summary
Foreign body in the oesophagus is a problem that may present many difficulties, both diagnostic and therapeutic. A retained foreign body in the oesophagus can cause many severe systemic complications.
Aim. Analysis of diagnostic and therapeutic proceedings in foreign body cases in children treated in the Paediatric ENT Clinic WUM.
Material. Children with a foreign body in the oesophagus treated in the Paediatric ENT Clinic WUM between January 2005 and June 2009.
Results. The authors analyzed diagnostic procedures and results of treatment regarding children with a foreign body in the oesophagus treated in the Paediatric ENT Clinic WUM.
Conclusions. 1. Every case of foreign body in the oesophagus should be verified by endoscopic methods. 2. Long-term retention of a foreign body in the oesophagus can cause serious consequences for the patient´s health and life. 3. In every case of foreign body in the oesophagus posterior-anterior and lateral chest X-ray should be carried out. 4. In cases of small non-radiopaque foreign bodies, radiogram of the oesophagus with cotton is necessary. 5. In children foreign body in the oesophagus can be a result of an unfortunate accident or criminal actions. 6. An extremely dangerous foreign body in the oesophagus is a button-type battery.

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