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67: Gastrointestinal Foreign Body
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Published:May 2023
Hai Jun H. Rhim, MD, MPH, MHPE, FAAP, Katherine Tang, MD, FAAP, "Gastrointestinal Foreign Body", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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About 75% of gastrointestinal (GI) foreign body ingestions occur in children younger than 5 years. Other high-risk patient populations include children with developmental delays, psychological disorders, GI anatomical anomalies, or motility disorders.
Coins are the most common foreign bodies ingested by children in the United States. The most frequent site where GI foreign bodies lodge is in the esophagus, at one of the areas of anatomic narrowing: 60% to 70% are at the thoracic inlet at the upper esophageal sphincter, 10% to 20% are in the midesophagus at the level of the aortic notch, and about 20% are just above...
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