Ingested Foreign Body Imaging Using Point-of-Care Ultrasonography

Kozacı, Nalan; Avcı, Mustafa; Pinarbaşili, Tansu; Dönertaş, Eda; Karaca, Adeviyye

doi:10.1097/pec.0000000000001971

Cited by 8 publications

(5 citation statements)

References 8 publications

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“…24 This review depicts as precisely as possible the different PoCUS procedures reported in the case of FBI in the included articles. 7,[9][10][11][12][13][16][17][18]20 Some of these studies also proposed a PoCUS protocol to evaluate FBI patients, which consisted of an upright and slightly forward tilting position with a stomach filled with water. [9][10][11]18,20 One study additionally describes a teaching method to acquire the necessary skills in PoCUS evaluation for FBI.…”

Section: Discussionmentioning

confidence: 99%

“…In the 52 FBI cases reported in the 14 identified articles, all FB were correctly identified and localized using PoCUS. [7][8][9][10][11][12][13][14][15][16][17][18][19][20] In 5 cases (8.5%), PoCUS was used as the only diagnostic modality 7,11 out of which 3 (60%) underwent a successful procedure to remove the FB 11 and 2 (40%) received a conservative treatment without complications. 7,11…”

Section: Diagnostic Accuracy Of Pocus For Identification Of Fbimentioning

confidence: 99%

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Point-of-Care Ultrasound for the Diagnosis of Pediatric Foreign Body Ingestion

Niset,

Baert,

Dupriez

2023

Pediatr Emer Care

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Purpose: Foreign body ingestion (FBI) is a frequent concern in emergency departments. Clinical guidelines recommend performing plain x-rays as the primary modality of diagnosis. Although point-of-care ultrasound (PoCUS) has increasingly been integrated into the daily practice of emergency medicine, it has been poorly investigated in the diagnostic approach for FBI.This review aims to highlight the current state of PoCUS use for pediatric FBI.The following research question was considered in this narrative review: Is PoCUS useful for FBI management?Methods: A literature search was conducted to identify articles reporting PoCUS use for the management of FBI. All articles were assessed for quality by 2 reviewers.Main Results: The 14 selected articles reported 52 FBI cases in which PoCUS successfully identified and located the ingested FB. Point-of-care ultrasound was used either as the primary imaging technique or after positive or negative x-ray findings. In 5 cases (9.6%), PoCUS was the only modality used for the diagnosis. Of these cases, 3 (60%) underwent a successful procedure to remove the FB and 2 (40%) received conservative treatment without complications.Conclusions: This review suggests that PoCUS might be a reliable modality for the initial management of FBI. PoCUS can locate, identify, and evaluate the size of the FB in a wide range of materials and gastrointestinal locations. Point-of-care ultrasound could eventually become the go-to modality in the case of radiolucent FB, thus avoiding the use of radiation. Further studies are nevertheless required to validate PoCUS use for FBI management.

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Section: Discussionmentioning

confidence: 99%

Section: Diagnostic Accuracy Of Pocus For Identification Of Fbimentioning

confidence: 99%

Point-of-Care Ultrasound for the Diagnosis of Pediatric Foreign Body Ingestion

Niset,

Baert,

Dupriez

2023

Pediatr Emer Care

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“…However, it appears to be a valuable tool in different gastrointestinal and abdominal conditions in both the elective and the emergency setting [13]. Recent studies have shown that US can be useful even for evaluating foreign bodies (FBs) in the gastrointestinal tract and identifying associated complications [14][15][16]. The role of pediatric Point-Of-Care Ultrasound (POCUS) for detection of FBs (mainly esophageal and gastric) in the emergency departments is becoming more and more relevant as it may assist clinicians integrating the clinical examination with real-time images before using more time-and resource-consuming techniques [17].…”

Section: Discussionmentioning

confidence: 99%

Value of intestinal ultrasound in pediatric magnet ingestion: a case report

et al. 2022

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Ingestion of magnetic foreign bodies in pediatric settings has become more common in the last years due to the marketing of various toys containing small magnetic parts. Most magnets, especially if a single element is ingested, usually pass through the gastrointestinal tract without complications. However, ingestion of multiple magnets or magnets and small metallic components may require a prompt intervention due to the risk of attraction across bowel layers, leading to pressure necrosis, perforation, and even death. Routinely, serial radiological evaluations are needed to follow the progression of magnets through the intestine, while the role of small bowel ultrasound is regarded as marginal. Here we report a case of a 5-years old boy who ingested 8 magnets and in which small bowel ultrasound was pivotal for the correct assessment of magnets location to correct address the surgical approach.

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“…Sonography can be used to locate both radio‐opaque 1 and radio‐lucent 2 foreign bodies in the gastrointestinal tract. While a wooden toothpick would be expected to be isoechoic to moderately hyperechoic, fluid absorption over time may have increased echogenicity in our case.…”

Section: Discussionmentioning

confidence: 99%