Management of magnetic foreign body ingestion in children

Abstract

Magnetic foreign bodies ingestion is a special cause for attending emergency department. Here, we aim to analyze the characteristics and treatments of children who ingested magnetic foreign bodies (Buckyballs). Data were collected from children who ingested Buckyballs between February 2017 and October 2019. A retrospective analysis was performed to summarize the experiences of conservative treatment, gastroscopy and surgery when dealing with Buckyballs ingestion. A total of 49 patients with buckyballs ingestion were identified, of whom 11 underwent conservative treatments, 6 underwent gastroscopy, and 32 underwent surgery. Among such individuals, eight patients (72.7%) had a successful conservative treatment (number of Buckyballs [NB]: 3.5[IQR: 2.0–4.0]); four patients (66.7%) had Buckyballs successfully removed by gastroscopy (NB: 3.5[IQR: 3.0–5.5]); 16 asymptomatic (50%) patients (NB: 4.0[IQR: 3.0–8.0]) and 16 symptomatic (50%) patients (NB: 8.5 [IQR: 6.25–11.75]) received emergency surgery. Compared to patients who received conservative treatment, the number of ingested Buckyballs was significantly higher in patients who received surgery or gastroscopy (7.0 [IQR: 3.0–10.75] vs 3.5 [IQR: 2.0–4.0], P < .05). The risk of intestinal perforation was significantly higher in symptomatic patients (P < .05) compared to asymptomatic patients. Gastroscopy is recommended when Buckyballs are in the stomach or esophagus. In asymptomatic patients, conservative treatment can be considered for 4 to 6 days. Patients failing conservative treatment, or those who are symptomatic should undergo emergency surgery.

Pediatric Multiple High-Powered Magnetic Buckyballs Ingestion—Experience From Six Tertiary Medical Centers

“…Ingestion of a foreign body is an increasingly common clinical problem, especially in the pediatric population ( 1 ). Ingestion of two or more high-powered magnetic Buckyballs with unintentionally severe injury has been reported worldwide in the last decade ( 2 , 5 , 10 , 16 ). It occurs most frequently in children aged 1–5 years old ( 19 ), and there is male-to-female predominance of 1.3–3.9: 1 ( 15 , 16 , 20 ).…”

“…Ingestion of two or more high-powered magnetic Buckyballs with unintentionally severe injury has been reported worldwide in the last decade ( 2 , 5 , 10 , 16 ). It occurs most frequently in children aged 1–5 years old ( 19 ), and there is male-to-female predominance of 1.3–3.9: 1 ( 15 , 16 , 20 ). In the present case series, the ratio of male to female is about 2:1.…”

“…Ingestion of two or more Buckyballs poses a high risk of catastrophic sequelae ( 5 ). Severe alimentary tract injuries related to Buckyball ingestion, including perforation, small bowel obstruction, fistulae, peritonitis, and even life-threatening events, are increasingly reported in the past decade ( 6 – 16 ). Although great concerns for this preventable disease have been raised by clinicians, public health workers, and child caregivers, Buckyball ingestions in children are not uncommon in clinical practice, and this remains challenging for clinicians to solve this troublesome problem ( 1 , 17 ).…”

Multiple mıknatıs yutulmasına bağlı intestinal perforasyonlu olgu: Minimal invaziv yaklaşım mümkündür.

“…Neodymium magnets, often small spheres called Buckyballs, have been produced as educational toys, stress relief products, and as an artistic medium. Compared to conventional magnets, round, strong Buckyballs attract each other with a smaller area of stress, which often causes intestinal complications (5) . Our case ingested 17 Buckyballs in a row.…”

Surgical Management In Accidental Ingestion of Jujube Pits in Children

“…Most accidentally ingested FBs are able to pass through the intestinal tract without any complications and rarely requires hospitalization [1]. However, FBs as batteries, buckyballs and needles may retain and result in impaction due to special physical or chemical properties [2].Impaction of FBs develops ulcerations and perforation, or even lethal conditions. Jujubes, harvest in fall, are major agricultural crops in Xinjiang, mainland of China [3].Jujube pits, spindle-shaped objects with sharp ends, hard to pass through intestinal tract during peristalsis and discharge with feces when impaction happens.…”