Čes-slov Pediat 2024, 79(6):309-313 | DOI: 10.55095/CSPediatrie2024/055

Foreign bodies in gastrointestinal tract in paediatric patientPediatrické postupy v praxi

Michal Kubát¹, Irena Buksakowska², Vojtěch Dotlačil³, Petra Dytrych⁴, Ondřej Hradský¹, Petr Jabandžiev⁵, Eva Karásková⁶, Radan Keil⁷, Veronika Koukolská², Jan Melek⁸, Jana Pavlíčková⁹, Jan Schwarz¹⁰, Martin Zimen¹¹, Jiří Bronský¹

¹ Pediatrická klinika, 2. lékařská fakulta, Univerzita Karlova a FN Motol, Praha

² Klinika zobrazovacích metod, 2. lékařská fakulta, Univerzita Karlova a FN Motol, Praha

³ Klinika dětské chirurgie, 2. lékařská fakulta, Univerzita Karlova a FN Motol, Praha

⁴ Klinika ušní, nosní a krční, 2. lékařská fakulta, Univerzita Karlova a FN Motol, Praha

⁵ Pediatrická klinika, FN Brno

⁶ Dětská klinika, FN Olomouc

⁷ Interní klinika, 2. lékařská fakulta, Univerzita Karlova a FN Motol, Praha

⁸ Dětská klinika, Lékařská fakulta, Univerzita Karlova a FN Hradec Králové

⁹ Klinika anesteziologie, resuscitace a intenzivní medicíny, 2. lékařská fakulta, Univerzita Karlova a FN Motol, Praha

¹⁰ Dětská klinika, Lékařská fakulta v Plzni, Univerzita Karlova a FN Plzeň

¹¹ Pediatrické oddělení, Nemocnice Jihlava

This article presents a novel recommended clinical approach focused on managing pediatric patients with the presence (or suspected presence) of a

foreign body in the gastrointestinal tract (GIT). The objective of this work was to develop an algorithm that enables physicians at the initial point of contact with a patient who has ingested a foreign object to make rapid, accurate, and efficient decisions regarding the subsequent diagnostic and therapeutic steps. For the most effective approach, foreign bodies are categorized into different

groups. These categories determine the level of clinical activity required, particularly in identifying high-risk situations or complications, thus guiding decisions on whether immediate endoscopic examination or surgical intervention is necessary. Simultaneously, this guideline allows for the assessment of patients who may not require hospitalization and can instead be monitored on an outpatient

basis.

Moreover, the algorithm is designed in a graphical format to be easily accessible in everyday practice - whether in hospital departments or outpatient clinics - thereby facilitating prompt decision-making and the identification of the optimal course of action for each specific patient.

Keywords: gastrointestinal foreign bodies, clinical guideline, algorithm, endoscopy, emergency

Accepted: October 4, 2024; Published: December 1, 2024  Show citation