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Archives de pédiatrie
Volume 16, n° 1
pages 54-61 (janvier 2009)
Doi : 10.1016/j.arcped.2008.10.018
Received : 8 November 2007 ;  accepted : 9 October 2008
Mises au point

Ingestion de corps étrangers chez l’enfant. Recommandations du Groupe francophone d’hépatologie, gastroentérologie et nutrition pédiatriques
Ingestion of foreign bodies in children. Recommendations of the French-Speaking Group of Pediatric Hepatology, Gastroenterology and Nutrition
 

L. Michaud 1, , M. Bellaïche 2, J.-P. Olives 3

le Groupe francophone d’hépatologie, gastroentérologie et nutrition pédiatriques (GFHGNP)

1 Centre de référence des affections congénitales et malformatives de l’œsophage, unité de gastroentérologie, hépatologie et nutrition, clinique de pédiatrie, hôpital Jeanne-de-Flandre, avenue Eugène-Avinée, 59037 Lille, France 
2 Service de gastroentérologie et nutrition pédiatriques, hôpital Robert-Debré, Paris, France 
3 Unité de gastroentérologie, hépatologie et nutrition pédiatriques, hôpital d’Enfants, Toulouse, France 

Auteur correspondant.
Résumé

L’ingestion d’un corps étranger (CE) est un accident fréquent chez l’enfant. La majorité des CE ingérés sont éliminés spontanément sans complication. La prise en charge des CE digestifs dépend du type et de la nature de l’objet ingéré, de sa localisation, de l’âge de l’enfant et de ses antécédents médicaux. Les CE incarcérés dans l’œsophage doivent être retirés en raison du risque de complications secondaires. Les piles localisées dans l’œsophage, les objets traumatisants œsophagiens ou gastriques, les aimants quand ils sont multiples, doivent être extraits en urgence. L’extraction endoscopique reste la technique de référence pour l’ablation des CE digestifs. L’utilisation d’accessoires (cape de protection, overtube ) peut faciliter l’extraction des CE coupants ou pointus sans léser l’œsophage.

The full text of this article is available in PDF format.
Summary

Ingestion of foreign bodies is a common pediatric problem. The majority of ingested foreign bodies pass spontaneously. Management of foreign body ingestions varies based upon the object ingested, its location, and the patient’s age and past history. Esophageal foreign bodies should be urgently removed because of their potential to cause complications. Ingested batteries that lodge in the esophagus, sharp or pointed foreign bodies in the esophageal or gastric tract, and ingestion of multiple magnets all require urgent endoscopic removal. Flexible endoscopy is the therapeutic modality of choice for most patients. The use of devices such as a latex protector hood or an overtube may facilitate safer extraction of sharp objects.

The full text of this article is available in PDF format.

Mots clés : Corps étrangers digestifs, Enfant




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