Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

James, Vigil; Hamzah, Hazwani Binte; Ganapathy, Sashikumar

doi:10.3791/58468-v

Cited by 2 publications

(11 citation statements)

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“…Unlike intentional ingestion among older individuals, most cases for children are accidental. Common household items are often involved [1][2][3]. Up to 85% of reported ingestions involve metal foreign bodies, and coins are the most frequently ingested objects, followed by sharp objects (e.g., pins, screws, and nails), button batteries, and magnets [2,[4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…Common household items are often involved [1][2][3]. Up to 85% of reported ingestions involve metal foreign bodies, and coins are the most frequently ingested objects, followed by sharp objects (e.g., pins, screws, and nails), button batteries, and magnets [2,[4][5][6]. These objects may become lodged in the esophagus, leading to various symptoms such as drooling, coughing, choking, vomiting, dysphagia, and chest or neck pain [4,7].…”

Section: Introductionmentioning

confidence: 99%

“…The potential complications of retained esophageal coins include perforation, mediastinitis, abscess formation, fistula development, or bleeding. Recognizing symptoms is crucial for prompt medical intervention and the prevention of complications [2,4,8]. Foreign bodies in the stomach tend to pass without complication.…”

Section: Introductionmentioning

confidence: 99%

“…Radiography is the gold standard for the definite diagnosis and localization of ingested foreign bodies, offering insights into size and approximate location, especially for radio-opaque objects (10%) [1,2,4,12]. Yet, radiolucent foreign bodies pose a challenge, as Diagnostics 2024, 14, 356 2 of 11 standard imaging methods like radiography and ultrasonography often prove unsatisfactory in pinpointing their locations.…”

Section: Introductionmentioning

confidence: 99%

“…The presence of such an object is presented as an audio and/or visual signal. Adjusting the detector's sensitivity and conducting multiple screenings across various areas enables the potential localization of metal foreign objects within the body [2]. Numerous studies have been undertaken to evaluate the potential of handheld metal detectors in detecting metal foreign bodies, with a specific emphasis on minimizing the need for conducting radiographic examinations on children.…”

Section: Introductionmentioning

confidence: 99%

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Safety beyond Sight: Handheld Metal Detectors as Diagnostic Allies in the Management of Children Suspected to have Ingested Foreign Bodies

Krencnik,

Jalsovec,

Klemenak

et al. 2024

Diagnostics

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Background. Foreign body (FB) ingestion remains a common cause of pediatric emergency department referrals, and the gold standard for detection is whole-digestive-tract radiographic examination. Our study explores whether handheld metal detectors (HHMD) can effectively identify the presence and location of ingested metal objects, potentially reducing the need for additional radiographic examination. Methods. We collected medical data from children with suspected metal FB ingestion who were referred to our emergency department (October 2017–March 2023), focusing on object type and correlating metal detector findings with radiographic images. Results. Data from 43 children (39.5% female; mean age: 4 y) referred to our emergency department were analyzed. Coins (32.6%), button batteries (18.6%), and hairpins (11.6%) were the most common ingested objects. Metal detectors detected the presence of FBs in 81.4% of cases (sensitivity: 89.7%; specificity: 100%). Radiographs, taken for 40 children, showed that the most common locations were the stomach (37%) and intestine (33%). The metal detector signals matched the radiography results in 69.8% of cases. According to HHMD, 34.9% of objects were accessible via endoscopy, contrasting with 51.2% via radiography (p < 0.05). Conclusion. While the findings obtained using handheld metal detectors often correlate well with radiograph findings in detecting metal FBs, for an important number of children, this confirmation is lacking, especially when determining the exact location of an object.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Safety beyond Sight: Handheld Metal Detectors as Diagnostic Allies in the Management of Children Suspected to have Ingested Foreign Bodies

Krencnik,

Jalsovec,

Klemenak

et al. 2024

Diagnostics

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Navigating the Esophagus: Effective Strategies for Foreign Body Removal

Rammohan¹,

Joy²,

Natt³

et al. 2023

Cureus

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Foreign body ingestion is a common medical emergency that can affect individuals of all ages and can be caused by various factors, including accidental ingestion, psychiatric disorders, intellectual disabilities, and substance abuse. The most common site for foreign body lodgment is the upper esophagus, followed by the middle esophagus, stomach, pharynx, lower esophagus, and duodenum. This article provides a case report of a 43-year-old male patient with a history of schizoaffective disorder and an indwelling suprapubic catheter who presented to the hospital due to foreign body ingestion. After examination, a metal clip from his Foley catheter was found lodged in his esophagus. The patient was intubated for the procedure, and an emergent endoscopic removal was performed to remove the metallic Foley component. No postoperative complications were observed, and the patient was successfully discharged. This case highlights the importance of considering foreign body ingestion in patients with chest pain, dysphagia, and vomiting. Prompt diagnosis and treatment are crucial to prevent potential complications such as perforation or gastrointestinal tract obstruction. The article also emphasizes the need for healthcare providers to know the different risk factors, variations, and common sites for foreign body lodgment to optimize patient care. Furthermore, the article highlights the importance of multidisciplinary care involving psychiatry and surgery to provide comprehensive care to patients with psychiatric disorders who may be at higher risk for foreign body ingestion. In conclusion, foreign body ingestion is a typical medical emergency that requires prompt diagnosis and treatment to prevent complications. This case report highlights the successful management of a patient with foreign body ingestion and emphasizes the importance of multidisciplinary care to optimize patient outcomes.

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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Cited by 2 publications

References 0 publications

Safety beyond Sight: Handheld Metal Detectors as Diagnostic Allies in the Management of Children Suspected to have Ingested Foreign Bodies

Safety beyond Sight: Handheld Metal Detectors as Diagnostic Allies in the Management of Children Suspected to have Ingested Foreign Bodies

Navigating the Esophagus: Effective Strategies for Foreign Body Removal

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