Magnet ingestion in children and its implications: tertiary centre experience

Mostafa, Mohamed Saber; Darwish, Ahmed A.

doi:10.1007/s00383-021-04889-z

Cited by 11 publications

(12 citation statements)

References 11 publications

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“…Simultaneous ingestion of 2 magnets is considered relatively safe compared to ingestion at different time intervals. 6 However, that was not the case in this case series: All 3 patients had ingested both magnets simultaneously, and all 3 developed fistulas. Fluoroscopy should be interpreted carefully even when only 1 magnet is visualized; 2 views (anteroposterior and lateral view) should be obtained when necessary (Fig.…”

Section: Discussionmentioning

confidence: 56%

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Endoscopic management of magnet ingestion and its adverse events in children

Chavan¹,

Bachkaniwala²,

Tadkalkar³

et al. 2022

VideoGIE

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Section: Discussionmentioning

confidence: 56%

“…Endoscopic retrieval of magnets (EGD, colonoscopy) is successful in 66% to 89% of cases. 6,8 Success of endoscopic retrieval is dependent on the location of magnets, time lapsed from ingestion, and available expertise. Deeply embedded magnets are difficult to retrieve.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic management of magnet ingestion and its adverse events in children

Chavan¹,

Bachkaniwala²,

Tadkalkar³

et al. 2022

VideoGIE

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“…This supports previous studies, where a median age of 6.8 years was observed in a UK cohort of 46 children ingesting magnetic foreign bodies. One study also observed that older girls may accidentally swallow magnets placed in their mouth to simulate piercings 4 , 14 , 15 . Children seem to more commonly ingest multiple magnets, suggesting that children have access to them in play in the form of toys.…”

Section: Discussionmentioning

confidence: 99%

“…A balance must be sought between limiting exposure to radiation while identifying the cases that require intervention. Previous studies advise surgical intervention if magnets have ceased to progress after 48 h 15 . However, given that almost 25 per cent of children undergoing surgery for magnet ingestion had bowel perforation, there is scope to recognize failure of magnet progression earlier 19 .…”

Section: Discussionmentioning

confidence: 99%

Magnet and button battery ingestion in children: multicentre observational study of management and outcomes

Neville¹,

Harwood²,

Bethell³

et al. 2022

BJS Open

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Background Magnets and button batteries (BBs) are dangerous ingested foreign bodies in children. The scale and consequences of this public health issue in the UK are unknown. This study aims to report the current management strategies and outcomes associated with paediatric magnet and BB ingestion in the UK. Methods This multicentre, retrospective observational study involved 13 UK tertiary paediatric surgery centres. Children aged under 17 years, admitted between 1 October 2019 and 30 September 2020, following magnet, or BB ingestion were included. Demographics, investigations, management, and complications were recorded. Results In total, 263 patients were identified, comprising 146 (55.5 per cent) magnet, 112 (42.6 per cent) BB, and 5 (1.9 per cent) mixed magnet BB ingestions. Median (interquartile range) age was 4.8 (2.0–9.1) years and 47.5 per cent were female. In the magnet group, 38 (26.0 per cent) children swallowed single magnets, 3 of whom underwent endoscopic retrieval for oesophageal or gastric impaction. Of the 108 (74.0 per cent) children who swallowed multiple magnets, 51 (47.2 per cent) required endoscopic or surgical intervention, predominantly for failure of magnets to progress on serial imaging. Bowel perforations occurred in 10 children (9.3 per cent). Younger age and ingestion of greater numbers of multiple magnets were independently associated with surgery. BB ingestion caused morbidity in 14 children (12.5 per cent) and life-threatening injuries in two (1.8 per cent); the majority were caused by oesophageal BBs (64.3 per cent). Conclusion Multiple magnet and BB ingestions are associated with significant morbidity. Action must be taken at an international level to regulate the sale of magnets and BBs, and to raise awareness of the risks that these objects pose to children.

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“…A history of ingesting magnets, combined with radiologic evidence of radio-opaque objects, requires intervention. If the magnets are still within the stomach, endoscopic retrieval may be attempted (Mostafa & Darwish, 2021). If the magnets have passed into the small bowel, laparoscopy or laparotomy may be required to retrieve the items and repair any damage to the bowel.…”

Section: Information About the Diagnosismentioning

confidence: 99%

Name the Diagnosis

Lao

Theodorou

Kohler

2022

Journal of Pediatric Surgical Nursing

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A 9-year-old male presents to the emergency department with abdominal pain, emesis, fever, and generalized peritonitis. Computed tomography images are reviewed and reveal the diagnosis of foreign body magnet ingestion. Surgical and post-operative management are discussed, including readmission due to repeat foreign body ingestion. Pica, defined as compulsive ingestion of nonedible substances, is described. The case report illustrates the importance of a comprehensive history and being wary of potential repeat ingestions in patients with pica.

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Magnet ingestion in children and its implications: tertiary centre experience

Cited by 11 publications

References 11 publications

Endoscopic management of magnet ingestion and its adverse events in children

Endoscopic management of magnet ingestion and its adverse events in children

Magnet and button battery ingestion in children: multicentre observational study of management and outcomes

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