FOREIGN BODIES IN THE GASTRO-INTESTINAL TRACT OF CHILDREN

In recent years, the number of patients with foreign bodies of the alimentary tract, which require hospital treatment, has increased signifi . In some cases, complications occur leading to fatal outcomes or requiring complex reconstructive surgeries. Purpose: to improve the results of treatment of patients with foreign bodies of the alimentary tract by developing diagnostic and therapeutic tactics.

Materials and methods: The subject of the study was 323 patients who were on treatment at the CSTO in Rostov-on-Don between 2010 and 2016. The main attention was paid to aggressive foreign bodies: alkaline batteries and magnets.

Results: Aggressive foreign bodies were removed as soon as possible under the FGDs. Alkaline batteries, if swallowed, caused electrochemical burns. The first degree burn was found in 12 patients (3.7%), in grade II in 8 patients (2.5%), in grade III in 10 (3.1%), in grade IV in 1 patient (0.3%). For foreign magnetic bodies, double-barreled ileostoma was excreted in 5 cases (1.5%), resection of the intestinal loops was performed in 3 cases (0.93%) with end-to-end anastomosis applied.

Conclusions: If aggressive foreign bodies are detected in the esophagus and stomach, the latter must be removed as soon as possible under the FGDs. Severe burns of the esophagus III–IV require treatment with the placement of a probe for enteral nutrition and the introduction of drugs through the mouth into the esophagus that accelerate regeneration. When identifying clinical and radiological predictors of peritoneal complications, it is necessary to move to active surgical tactics.