Foreign bodies in gastrointestinal tract in paediatric patient Recommentation by Division of paediatric gastroenterology, hepatology and nutrition by Czech paediatric society of CzMA

Czech version

Authors: Kubát Michal ¹; Buksakowska Irena ²; Dotlačil Vojtěch ³; Dytrych Petra ⁴; Hradský Ondřej ¹; Jabandžiev Petr ⁵; Karásková Eva ⁶; Keil Radan ⁷; Koukolská Veronika ²; Melek Jan ⁸; Pavlíčková Jana ⁹; Schwarz Jan ¹⁰; Zimen Martin ¹¹; Bronský Jiří ¹
Authors‘ workplace: Pediatrická klinika, 2. lékařská, fakulta, Univerzita Karlova, a FN Motol, Praha ¹; Klinika zobrazovacích metod, 2. lékařská fakulta, Univerzita, Karlova a FN Motol, Praha ²; Klinika dětské chirurgie, 2. lékařská fakulta, Univerzita, Karlova a FN Motol, Praha ³; Klinika ušní, nosní a krční, 2. lékařská fakulta, Univerzita, Karlova a FN Motol, Praha ⁴; Pediatrická klinika, FN Brno ⁵; Dětská klinika, FN Olomouc ⁶; Interní klinika, 2. lékařská, fakulta, Univerzita Karlova, a FN Motol, Praha ⁷; Dětská klinika, Lékařská, fakulta, Univerzita Karlova, a FN Hradec Králové ⁸; Klinika anesteziologie, resuscitace a intenzivní, medicíny, 2. lékařská fakulta, Univerzita Karlova a FN Motol, Praha ⁹; Dětská klinika, Lékařská, fakulta v Plzni, Univerzita, Karlova a FN Plzeň ¹⁰; Pediatrické oddělení, Nemocnice Jihlava ¹¹
Published in: Čes-slov Pediat 2024; 79 (6): 309-313.
Category: Pediatric Protocols in Praxis
doi: https://doi.org/10.55095/CSPediatrie2024/055

Overview

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.

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