2012
DOI: 10.1097/mpg.0b013e3182687be0
|View full text |Cite
|
Sign up to set email alerts
|

Management of Ingested Magnets in Children

Abstract: We describe a comprehensive algorithm for the management of ingested rare-earth magnets in children. These newer and smaller neodymium magnets sold as adult toys are much stronger than the traditional magnets, and can attract each other with formidable forces. If >1 magnet is swallowed at the same time, or a magnet is co-ingested with another metallic object, the loops of intestine can be squeezed between them resulting in bowel damage including perforations. An algorithm that uses the number of magnets ingest… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

3
157
0
12

Year Published

2013
2013
2023
2023

Publication Types

Select...
6
2

Relationship

0
8

Authors

Journals

citations
Cited by 171 publications
(172 citation statements)
references
References 9 publications
(15 reference statements)
3
157
0
12
Order By: Relevance
“…MRI of the abdomen should never be used as it can precipitate a perforation 1 . Modern NIB (alloy of Neodymium, Iron and Boron 7 ) toy magnets are 10 times more powerful than traditional magnets 8 capable of producing attractive forces up to 1300 G. 9 These have been known to erode through the intervening bowel wall resulting in perforation, internal enteric fistulae, internal herniation, adhesions, volvulus, obstruction 2 , mesenteric hemorrhage 4 and death 3 . Enteric fistulae reported are jejunoileal, jejuno-caecal, jejuno-colic and ileo-ileal.…”
Section: Discussionmentioning
confidence: 99%
“…MRI of the abdomen should never be used as it can precipitate a perforation 1 . Modern NIB (alloy of Neodymium, Iron and Boron 7 ) toy magnets are 10 times more powerful than traditional magnets 8 capable of producing attractive forces up to 1300 G. 9 These have been known to erode through the intervening bowel wall resulting in perforation, internal enteric fistulae, internal herniation, adhesions, volvulus, obstruction 2 , mesenteric hemorrhage 4 and death 3 . Enteric fistulae reported are jejunoileal, jejuno-caecal, jejuno-colic and ileo-ileal.…”
Section: Discussionmentioning
confidence: 99%
“…Single magnets are of least concern and generally require only close monitoring, prevention of further ingestions, parental education and the avoidance of extrinsic metallic or magnetic objects. 7 When multiple foreign bodies are seen, management is more complicated. If, on serial imaging, the magnets appear to be bound together and mobile, they should be expected to pass together as a unit.…”
Section: Managementmentioning
confidence: 99%
“…In response to this challenge, the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition published an algorithm addressing the complexity of managing ingested magnets (Appendix 1, available at www .cmaj.ca /lookup /suppl /doi:10.1503 /cmaj .121847 /-/DC1). 7 It stresses the importance of close clinical monitoring; the increased use of plain radiographic imaging; and the collaboration of primary care physicians, gastroenterologists and surgeons.…”
Section: Magnet Ingestion By a 3-year-old Boymentioning
confidence: 99%
See 1 more Smart Citation
“…Among the foreign bodies swallowed, multiple magnets are very rare. However, swallowing multiple magnets may have dire consequences such as intestinal obstruction and intestinal necrosis resulting in perforation and peritonitis [2]. In the presence of symptoms such as abdominal pain, vomiting, or fever, surgical assessment is indicated immediately [3].…”
Section: Introductionmentioning
confidence: 99%