• E Kpémissi, A R Diparidé Agbèrè, K Ndakéna, and K Késsié.
• Service de pédiatrie, CHU Tokoin, Lomé, Togo.
• Sante. 1997 Sep 1; 7 (5): 338-40.

AimTo give details of the management of esophageal foreign bodies (EFB) at our hospital.DesignRetrospective case review.SettingENT ward of Tokoin Teaching Hospital, Lome, Togo.PatientsAll 105 patients admitted to the hospital for ingestion of foreign bodies between January 1990 and December 1993. The outcome for each patient was determined by examining hospital records of demographic information, identification of the foreign body and the removal procedure used.ResultsEFBs accounted for 6.5% of all hospital admissions. The objects ingested included coins (59.0% of cases), particularly in 2 to 5 year-old children, fish bones (12.4%), meatballs, meat bones and dentures, particularly in adults. The foreign objects were mostly removed by esophagoscopy, but sharp objects required esophagotomy (2.9%). One patient died (0.9% of cases) due to mediastinitis caused by perforation of the esophagus by a chicken bone.ConclusionCommunity health education programs, increasing awareness of household accidents might reduce the number of emergency hospital admissions for ingestion of foreign bodies.

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