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Management of Ingested Foreign Bodies in ... - NASPGHAN

Copyright 2015 by ESPGHAN and NASPGHAN . Unauthorized reproduction of this article is of Ingested Foreign Bodies in Children:A Clinical Report of the NASPGHANE ndoscopy Committee Robert E. Kramer,yDiana G. Lerner,zTom Lin, Michael Manfredi,jjManoj Shah, Thomas C. Stephen,#Troy E. Gibbons, Harpreet Pall,yyBen Sahn,zzMark McOmber, George Zacur, Joel Friedlander,jjjjAntonio J. Quiros, Douglas S. Fishman, and##Petar MamulaABSTRACTF oreign body ingestions in children are some of the most challenging clinicalscenarios facing pediatric gastroenterologists. Determining the indicationsand timing for intervention requires assessment of patient size, type of objectingested, location, clinical symptoms, time since ingestion, and myriad otherfactors. Often the easiest and least anxiety-producing decision is the one toproceed to endoscopic removal, instead of observation alone. Because ofvariability in pediatric patient size, there are less firm guidelines available todetermine which type of object will safely pass, as opposed to the clearerguidelines in the adult population.

scenarios facing pediatric gastroenterologists. Determining the indications and timing forinterventionrequires assessment of patientsize, typeof object ingested,location, clinical symptoms, time since ingestion,and myriad other factors. Often the easiest and least anxiety-producing decision is the one to

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  Management, Foreign, Pediatric, Bodies, Ingested, Management of ingested foreign bodies

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