[Magnet ingestions in children: a French multicenter study]

M Talvard1, S Mouttalib2, V Flaum3

  • 1Unité de gastroentérologie, hépatologie, nutrition, diabétologie et maladies héréditaires du métabolisme, hôpital des Enfants, CHU de Toulouse, 330, avenue de Grande-Bretagne, TSA 70034, 31059 Toulouse cedex 9, France.

Insights

Ingesting multiple magnets poses serious risks for children, often requiring medical intervention. Single magnet ingestions can typically be managed at home with close monitoring.

Area of Science:

  • Pediatric Gastroenterology
  • Foreign Body Ingestion
  • Medical Device Complications

Context:

  • Digestive complications from ingested magnetic foreign bodies are rising globally, particularly in Asia and North America.
  • France has seen an increase in reported magnet ingestion cases since 2008.
  • A retrospective multicentric study analyzed 40 cases over five years in France.

Purpose:

  • To evaluate the frequency of magnet foreign body ingestion in children in France.
  • To describe the spectrum of digestive complications associated with magnet ingestion.
  • To inform management strategies for different ingestion scenarios.

Summary:

  • 40 pediatric cases of magnet ingestion were reviewed, with 60% involving multiple magnets.
  • Multiple magnet ingestions led to interventional management in 88% of cases (33% endoscopic, 58% surgical).
  • Single magnet ingestions rarely required removal (12.5%), suggesting home monitoring is often appropriate.

Impact:

  • Highlights the significant risk of complications from multiple magnet ingestions in children.
  • Supports the need for increased awareness among healthcare professionals and caregivers regarding magnet safety.
  • Recommends tailored management approaches: intervention/close monitoring for multiple magnets, home monitoring for single magnet ingestions.

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