Keywords:
Paediatric, Emergency, Gastrointestinal tract, Conventional radiography, CT-High Resolution, Digital radiography, Barium meal, Diagnostic procedure, Complications, Foreign bodies, Image registration
Authors:
A. Hambardzumyan, D. Dallakyan, A. Gevorgyan, N. H. Dallakyan, A. Karapetyan, G. Hayrapetyan; Yerevan/AM
DOI:
10.26044/ecr2019/C-0362
Aims and objectives
Plain radiographs still play an essential role in the assessment of ingested foreign bodies in the pediatric patient: plain films of the neck,
chest,
and abdomen are very useful in confirming the diagnosis of foreign bodies ingestion because most ingested foreign bodies are radiopaque [1].
Radiography is the most important modality in the evaluation of ingested or aspirated foreign bodies; however,
fluoroscopy and computed tomography play an ancillary role in complicated cases [2].
Some authors introduced detail optimal use of multiple imaging techniques,
including radiography,
ultrasonography,
fluoroscopy,
and computed tomography to evaluate foreign bodies and their associated complications [3].
KD Eggli et al.
[4] note the poor appreciation of the relative radiolucency of aluminum and delayed diagnosis esophageal perforation by aluminum foreign bodies.
In the experiments [5] simulated 14 ingested foreign bodies radiologists identified 7-9 of the 14 objects.
Six unique objects (50%) were defined by all radiologists,
and four unique objects (33%) were not identified by any radiologist (plastic bead,
Lego,
plastic triangle toy,
and barrette).
In the pilot study showed [6] that chest Digital tomosynthesis has a very high positive predictive value,
compared with the esophagram and clinical impression,
in detecting radiolucent esophageal foreign bodies in children.
Some authors noted the majority of ingested foreign bodies pass spontaneously [7].
Children with gastrointestinal non-metallic foreign bodies demonstrate its difficulties in diagnosis leading to poor treatment outcomes.
Our primary goal was to analyze the effectiveness of detection of non-metallic foreign bodies of the gastrointestinal tract in pediatric practice their features with the search for improved treatment results.