Young Ju Hong M.D., Seonae Ryu, Hye Kyung Chang M.D., Jung Tak Oh M.D., Seok Joo Han M.D. Department of Pediatric Surgery Severance Children`s Hospital Department of Surgery Yonsei University College of Medicine

Background Foreign body ingestion –peak : 6 months~ 3years –Evaluate objects by tasting and swallowing them –Foreign body : coin(m/c), toys, batteries, needles, straight pins, safety pins.. –At least 80% : pass the GI system spontaneously –20% : requires endoscopic intervention –less than 1% : requires surgical intervention –Location : bronchus(m/c), esophagus(2 nd m/c), larynx, trachea..

Case – History of illness F/1 C.C : dysphagia, drooling Birth history/ Past history(-/-) IUP 40wks NSVD

Case – History of illness EGD : foreign body(coin) removal

Case – History of illness F/2 ( 6 months later after EGD foreign body removal) C.C : vomiting Esophagography

Case – History of illness Balloon dilatation

Case – History of illness 1 month later C.C : vomitng 1 month later C.C : vomiting

Case – History of illness Esophagography / CT

Case – History of illness EGD

Case – Operation Diagnosis Esophageal stricture s/p esophageal balloon dilatation s/p Endoscopic foreign body removal of esophagus d/t Foreign body in esophagus(coin) Operation Transcervical segmental resection of esophagus Esophagoesophagostomy(End to End anastomosis)

Case – Operation

Case – Progress POD 3 : Intubation status with sedative agent POD 4 : Extubation POD 7 : SOW POD 8 : Milk feeding POD 15 : Esophagography POD 21 : EGD POD 23 : discharge

Case – Progress

Conclusion Prevention : best treatment ! Early diagnosis and immediate appropriate treatment