Surgical treatment of multiple magnet ingestion in children: A single-center study

Endoscopic management of magnet ingestion and its adverse events in children

“…Nevertheless, anastomoses made by magnets are usually a side-to-side bypass and can be a risk factor for blind loop syndrome; large fistulas are at high risk of intestinal ischemic necrosis caused by adhesions or internal fistula compression. 11 All 3 patients in this case series had GI fistulas without any signs of peritonitis or pneumoperitoneum. Only gastroduodenal fistula closure was done because it did not look to be in a tight, well-apposed state like other fistulas.…”

“…Magnet-related entero-enteric fistulas usually remain in a tight and well-apposed state and therefore do not allow leakage of bowel contents or even air into the peritoneum. Cai et al 11 reported no pneumoperitoneum in 35 children with multiple-magnet ingestion and GI perforation. Magnetic compression anastomosis is based on a similar principle for making an iatrogenic anastomosis between 2 bowel loops with the help of magnets.…”

Multiple magnet ingestion in children: A problem on the rise

“…Of those magnet ingestions, 76.8% required surgery. 9 Children of all ages ingest FBs, but the incidence is greatest in children aged 6 months to 6 years. 10 Lately, a higher incidence has been seen also in older children, including teenagers, who used the magnets to mimic facial piercing (of lips, tongues and nostrils) and consequently ingested them.…”

“…A single centre study in China registered its first magnet ingestion in 2015, but by 2019 magnets represented 80% of all FB ingestion cases. Of those magnet ingestions, 76.8% required surgery 9 …”

Paediatric magnet ingestion: Urging for a national database

“…In studies reported by paediatric surgeons, the intervention rate tends to be higher. 4,5 It could be explained by the difference in the clinical features of patients managed by general paediatricians, paediatric gastroenterologists and surgeons, however, revealing the necessity to include surgical referral centres in further studies to uncover the actual clinical outcome and management practice of paediatric multiple magnet ingestion.…”