Multiple magnetic foreign body ingestion in pediatric patients: a single-center retrospective review

Huang, Xiaozhong; Hu, Jun; Xia, Zhaobo; Lin, Xiaokun

doi:10.1007/s00383-020-04814-w

Cited by 18 publications

(9 citation statements)

References 13 publications

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“…4 ). The two types of surgical methods used are laparotomy and laparoscopy, some researchers recommended laparoscopic removal [ 4 , 12 ], while some researchers believed that open surgery is the first choice [ 13 ], in our opinion, considering the minimally invasive of laparoscopic surgery, laparoscopy should be attempted first; when laparoscopic exploration find that only the small intestine is adsorbed by foreign bodies, the operator can expand the umbilical incision, pull the intestinal tube out of body, remove the foreign bodies and repair the intestine; in addition, if only a few intestinal tubes are sucked by foreign bodies, and there is no obvious intestinal necrosis and adhesion, surgeons can operate in the abdominal cavity to remove foreign bodies and repair intestinal tubes, when the situation is not suitable for laparoscopic operation, surgeons need to convert it to open surgery to avoid further complications. In the present study, there were 31 patients in the laparoscopic group, of which 18 (58%) were converted to open surgery.…”

Section: Discussionmentioning

confidence: 99%

Management of multiple magnetic foreign body ingestion in pediatric patients

et al. 2022

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Background Multiple magnetic foreign body ingestion in children is increasingly common and can cause serious injury. The present study aimed to analyze the clinical features of such cases and summarize treatment experiences. Methods A retrospective survey of 91 patients in the Children’s Hospital, Zhejiang University School of Medicine with magnetic foreign body ingestion from October 2018 to October 2021 was performed, the data were collected including the clinical information of the patients, treatment details, and prognosis. Results Twenty-two (24.2%) patients were conservatively treated, with the foreign bodies discharged through the anus, 31 (34.1%) underwent laparoscopic surgery, including 18 cases converting from laparoscopic surgery to laparotomy, and 38 (41.8%) underwent laparotomy. In 13 (14.3%) patients, the foreign bodies were partially removed by gastroscope. The remaining foreign bodies were removed by laparoscopy in six patients, including three cases converting from laparoscopy to laparotomy, by laparotomy in four patients, and by conservative treatment in three patients. Conclusions Multiple magnetic foreign body ingestion can cause significant harm to patients and different clinical techniques must be used for patients in different situations to reduce the harm to children.

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Section: Discussionmentioning

confidence: 99%

Management of multiple magnetic foreign body ingestion in pediatric patients

et al. 2022

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“…While the ingestion of foreign bodies has been reported for children of all ages, younger children are generally at the highest risk of ingesting non-food items due to their tendency to explore objects in their environment with their mouths [10] . This type of ingestion is becoming increasingly common among children, and the ingestion of multiple magnetic beads can result in serious injuries, including intestinal perforation, bowel strangulation, and necrosis [11] . Several incidences have been reported in China-based studies [12][13][14] , while the incidence of accidental foreign body ingestion was reported to be approximately 100,000 cases a year in the United States, with more than 80% of cases involving children aged under the age of ve years.…”

Section: Discussionmentioning

confidence: 99%

A clinical study involving 72 cases of multiple magnetic beads in the gastrointestinal tract of children

Li,

Zhang,

et al. 2022

Preprint

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Objective The objective of this study was to better understand the harm caused by accidental ingestion of multiple beads in children and to improve the consequent management outcomes. Materials and Methods Data collected for the analysis of 72 children involved the patient's sex, age, medical history, place of residence (rural or urban) and symptoms, as well as the caregiver's level of education, the location and number of any foreign bodies found during the procedure, whether perforations were confirmed during the procedure, and the number of erroneous ingestion of magnetic beads. Statistical analysis was performed. Results There were no statistical differences between the perforated group and the unperturbed group in terms of age, sex, medical history, and number of magnetic beads ingested (P > 0.05). However, there were statistical differences in white blood cell count (P = 0.048) and c-reactive protein levels (P = 0.033), where values were higher in the perforated group than in the non-perforated group. Conclusion Abdominal ultrasound and/or abdominal upright x-ray analysis should be performed as soon as possible for rapid diagnosis. Immediate surgical intervention is usually required. Given the serious consequences of ingesting such foreign bodies, it is vital to educate parents and/or caregivers not to keep such products away from young children.

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“…Some scholars believe that laparotomy should be the rst choice for surgical intervention. 11 We agree that laparoscopic exploration should be the rst choice for surgical intervention, primarily because it is not only a surgical method but also a visual inspection. Laparoscopic exploration can assist in diagnosing patients who cannot identify the location of the foreign body on an abdominal X-ray and who are unable to judge the necrosis and perforation 12 (Fig.…”

Section: Diagnosis and Treatment Of Ingestion Of Magnetic Foreign Bod...mentioning

confidence: 94%

Clinical predictors of surgical intervention for gastrointestinal magnetic foreign bodies in children

Zhang

Cai

Zhang

et al. 2022

Preprint

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Background/Aims: To investigate the clinical situation, treatment methods, and clinical predictors of surgical intervention in children with magnetic foreign bodies in the digestive tract. Materials and Methods: From January 2019 to June 2022, we retrospectively analyzed the clinical data of 72 children who ingested magnetic foreign bodies inadvertently in our hospital, including their general information, admissions, clinical manifestations, and treatment methods, as well as pertinent literature and statistical data. Following software processing, univariate and multivariate logistic regression analyses were conducted to determine the independent risk factors of this study, and the receiver operating characteristic curve (ROC) was used to evaluate their predictive performance. Results: Among the 72 children who accidentally ingested magnetic foreign bodies, 59 (86.8%) ingested foreign bodies, with an average of 3.42 days and 11.03 foreign bodies. The predominant symptoms were nausea and vomiting. 19 cases (31.2%), 33 cases (54.1%) with abdominal pain; 9 cases (14.8%) with peritoneal irritation; 13 cases (21.3%) within 24 hours with foreign body movement. Treatment: conservative in 16 cases (22.2%), gastroscope in 19 cases (26.4%), and surgery in 37 cases (51.4%), with gastrointestinal perforation occurring in 26 cases (70.3%). ROC (AUC = 0.808) for predicting surgical treatment plans for children with magnetic foreign body ingestion. Conclusion: We found that nausea、vomiting and intermittent abdominal pain significantly increased the likelihood of surgical treatment in children undergoing surgery.

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Multiple magnetic foreign body ingestion in pediatric patients: a single-center retrospective review

Cited by 18 publications

References 13 publications

Management of multiple magnetic foreign body ingestion in pediatric patients

Management of multiple magnetic foreign body ingestion in pediatric patients

A clinical study involving 72 cases of multiple magnetic beads in the gastrointestinal tract of children

Clinical predictors of surgical intervention for gastrointestinal magnetic foreign bodies in children

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