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

Cai, Duote; Shu, Qiang; Zhang, Shu-Hao; Liu, Jia; Gao, Zhigang

doi:10.12998/wjcc.v8.i23.5988

Cited by 15 publications

(11 citation statements)

References 8 publications

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“…However, the attendant perils and deleterious ramifications of Buckballs have been distressingly overlooked. 10 As the data gleaned from our meticulous analysis aptly illustrate, the patient tally continued its unrelenting ascent until 2020. Interestingly, after that, there was a noticeable decrease in the number of cases each year, which is a good sign.…”

Section: Discussionmentioning

confidence: 92%

“…The latter, as indicated by Cai DT et al, can be employed for managing patients who have ingested foreign bodies for more than 2 weeks and exhibit milder clinical symptoms and signs, with the foreign body located in the small intestine. 10 In instances of laparoscopic surgery, the metallic tips of laparoscopic instruments may facilitate the identification of magnets. 17 However, the mutual attraction between surgical instruments and magnets can exacerbate the operative complexity, extend the duration of the procedure, and potentially result in intestinal harm, minute perforations, and mesenteric lesions.…”

Section: Discussionmentioning

confidence: 99%

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Surgical treatment of multiple magnet ingestion by children: A single-center experience from China

Zhang,

Liu

et al. 2024

Qatar Medical Journal

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Background: The incidence of magnet ingestion in children has escalated concurrent with the rise in popularity of magnetic playthings, bearing the capacity to induce substantial morbidity. Aim: The objective of this study was to encapsulate our accumulated expertise in handling pediatric cases featuring multiple magnetic foreign bodies within the gastrointestinal tract sometimes necessitating surgical intervention, as well as to formulate a clinical management algorithm. Methods: This was a retrospective review of patients with multiple magnetic foreign bodies in the digestive tract, admitted to Shenzhen Children’s Hospital, between January 2018 and December 2022. Results: A total of 100 cases were included in this study, including 66 males and 34 females. The main clinical manifestation ns were abdominal pain and vomiting. All patients had abdominal x-ray, all of which indicated foreign bodies in the digestive tract. 33 patients had to undergo a surgical intervention. Among these cases, the gastrointestinal complications occurred in 31 patients, including gastric rupture (n = 9), intestinal obstruction (n = 11) and intestinal perforation (n = 30). Postoperative intestinal obstruction occurred in 6 children. There was no statistical significant difference in age and gender between the Surgical group and Non-surgical group, but the Surgical group had a higher number of magnets ([7.5(2-44) vs 4(2-20)], p = 0.009), a longer interval between time of misingestion to clinical visit ([48(7.2-480) vs 5(2-336)]hours, p < 0.001), and a longer length of hospital stay ([10(6-19) vs 2(1-8)]days, p < 0.001). Conclusions: Multiple magnet ingestion in children can lead to serious complications and carry severe risks. Timely diagnosis and effective treatment are crucial for managing such patients.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Surgical treatment of multiple magnet ingestion by children: A single-center experience from China

Zhang,

Liu

et al. 2024

Qatar Medical Journal

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“…Subsequently, the exact location of the foreign body was detected using US, and thereafter, it was removed using simple laparoscopic appendectomy without additional procedures of C-arm fluoroscopy or magnets. The second patient had swallowed three round magnetic beads, which are commonly reported to spark problems [ 1 2 ]. Furthermore, if multiple magnets are swallowed at different times, they can move to different locations in the gastrointestinal (GI) tract causing challenges of sticking to each other at different positions.…”

Section: Discussionmentioning

confidence: 99%

“…In most cases, physicians devise surgical plans, including the incision position, based on the abdominal plain radiograph findings obtained before surgery. However, using plain radiograph information alone may mislead the locations, such as in cases with a distended stomach or loose transverse colon [ 1 ]. The knowledge of the approximate location of the foreign bodies before surgery can be very helpful for the surgeon.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Nonmigrating Metallic Foreign Bodies in the Abdomen Using Ultrasound: An Alternative Approach Using a Traditional Method

Pak

Lee

Hwang

2022

Pediatr Gastroenterol Hepatol Nutr

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Ingestion of foreign bodies (FBs) is a common phenomenon among young children. Plain radiography is the first step diagnostic modality to detect the radio-opaque FBs. And computed tomography has been recommended by several guidelines as useful modalities for diagnosing ingested FBs. However, there is a risk of radiation exposure, making it burdensome to use in asymptomatic patients. Ultrasound (US) is not a commonly used technique for diagnosing ingested foreign bodies. However, US can provide real-time imaging with good resolutions without radiation exposure in pediatric patients. Herein, we report two pediatric cases of metallic foreign body ingestion that were successfully diagnosed using US for localizing foreign bodies. This study indicates that US may be used as an alternative method for detecting the localization of metallic foreign bodies in the gastrointestinal tract without exposure of radiation, particularly in pediatric patients.

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“…In addition, the foreign bodies were small; despite their attraction, the tracheal and esophageal lumina remained open, leading to few of the typical effects associated with tracheal and esophageal foreign body obstruction. An earlier report indicated that, of 85 pediatric patients who ingested magnetic foreign bodies and were admitted to a general surgery department over a 10-year period, almost one-third had no clinical symptoms ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Esophageal and Tracheal Obstructions Caused by a Pair of Magnetic Beads in a Child: A Case Report

Ren

Shi

et al. 2021

Front. Pediatr.

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Esophageal and tracheal foreign body ingestion trigger common pediatric emergencies. In this case report, we describe a pediatric patient with simultaneous tracheal and esophageal obstruction caused by foreign bodies. A child aged 2 years and 1 month swallowed a pair of metallic magnetic beads at the same time; one bead entered the trachea and the other bead entered the esophagus. We suspected that the two magnetic beads were mutually attracted and thus became trapped in their respective lumina. The tracheal foreign body was uneventfully removed; this dislodged the esophageal foreign body, which was then excreted. There were no serious complications in the present case, but parents and medical personnel should be mindful of the potential hazards associated with ingestion of multiple magnetic foreign bodies. A high index of suspicion is appropriate. Investigations must be carefully planned. Treatment should not be delayed; the consequences of delay may be serious.

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

Cited by 15 publications

References 8 publications

Surgical treatment of multiple magnet ingestion by children: A single-center experience from China

Surgical treatment of multiple magnet ingestion by children: A single-center experience from China

Diagnosis of Nonmigrating Metallic Foreign Bodies in the Abdomen Using Ultrasound: An Alternative Approach Using a Traditional Method

Simultaneous Esophageal and Tracheal Obstructions Caused by a Pair of Magnetic Beads in a Child: A Case Report

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