Foreign body and caustic ingestions in children: A clinical practice guideline: Foreign Bodies and Caustic ingestions in children: Digestive and Liver Disease

S. Oliva, C. Romano, P. De Angelis, S. Isoldi, C. Mantegazza, E. Felici, E. Dabizzi, G. Fava, S. Renzo, C. Strisciuglio, P. Quitadamo, M.D. Saccomani, M. Bramuzzo, P. Orizio, G.D. Nardo, F. Bortoluzzi, M. Pellegrino, M.T. Illiceto, F. Torroni, F. CisaròA. Zullo, F. Macchini, F. Gaiani, A. Raffaele, B. Bizzarri, S. Arrigo, G.L. de’ Angelis, M. Martinelli, L. Norsa, and The Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) on behalf of the Italian Society of Pediatric Gastroenterology Hepatology and Nutrition (SIGENP)

Research output: Contribution to journalArticlepeer-review

Abstract

Foreign body and caustic ingestions in children are usually the most common clinical challenges for emergency physicians, general pediatricians and pediatric gastroenterologists. Management of these conditions often requires different levels of expertise and competence. Endoscopy is often necessary but there is a high risk of misusing this tool with incorrect timing and indications. The imprecise clinical history frequently leaves clinicians uncertain about timing and nature of the ingestion. Few clinical guidelines regarding management of these ingestions in children have been published, none of which from the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP). An expert panel of Italian endoscopists was convened by the SIGENP Endoscopy Working Group to produce the present article that outlines practical clinical approaches to the pediatric patient with a variety of foreign body and caustic ingestions. The Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) has also endorsed the project since many adult endoscopists usually manage children with these conditions. Differently from the other published guidelines, the proposed one focuses on the role of the endoscopists (regardless of whether they are adult or pediatric gastroenterologists) in the diagnostic process of children with foreign body and caustic ingestions. © 2020 Editrice Gastroenterologica Italiana S.r.l.
Original languageEnglish
Pages (from-to)1266-1281
Number of pages16
JournalDig. Liver Dis.
Volume52
Issue number11
DOIs
Publication statusPublished - 2020

Keywords

  • Button battery
  • Caustic ingestions
  • Food impaction
  • Foreign body ingestion
  • Magnet
  • ampicillin
  • caustic agent
  • dexamethasone
  • Article
  • child
  • drug megadose
  • endoscopist
  • endoscopy
  • esophagitis
  • esophagus burn
  • esophagus injury
  • esophagus perforation
  • esophagus stenosis
  • foreign body
  • gastroenterologist
  • human
  • ileocolonoscopy
  • infectious complication
  • ingestion
  • medical decision making
  • medical history
  • medical society
  • pediatric patient
  • physical examination
  • poison center
  • practice guideline
  • priority journal
  • radiography
  • respiratory distress

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