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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
04:55

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

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Ingested foreign bodies in children: Do they really pass spontaneously from the gastrointestinal tract? A

Hasan Özkan Gezer1, Semire Serin Ezer1, Abdulkerim Temiz1

  • 1Department of Pediatric Surgery, Başkent University Faculty of Medicine, Adana-Turkey.

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|March 19, 2020
PubMed

Insights

Foreign body ingestion in children is common. Coins are the most frequent foreign bodies, with only 48% passing spontaneously. Button batteries in the stomach may be managed with watchful waiting, as 85% pass naturally.

Area of Science:

  • Pediatric Gastroenterology
  • Emergency Medicine
  • Public Health

Background:

  • Foreign body (FB) ingestion is a frequent pediatric concern, causing parental and physician anxiety.
  • Establishing an appropriate management approach for pediatric FB ingestion is crucial.

Purpose of the Study:

  • To determine the optimal management strategy for children who have ingested foreign bodies.
  • To analyze the characteristics and outcomes of foreign body ingestion in a pediatric population.

Main Methods:

  • Retrospective review of 1000 children with a history of foreign body ingestion.
  • Data collected between 2005 and 2017.

Main Results:

  • Coins were the most common foreign bodies (35%).
  • Radiographs were negative in 49% of cases, with 86% receiving no intervention.
  • Esophageal impaction occurred in 68% of X-ray-positive cases (51% of total).
  • Life-threatening complications included tracheo-esophageal fistula, Meckel's diverticulum perforation, and iatrogenic perforation.

Conclusions:

  • Coin ingestion outcomes vary by type and size, with only 48% achieving spontaneous passage.
  • A "watchful waiting" approach is recommended for asymptomatic gastric button batteries, with 85% passing spontaneously.
  • The study highlights the need for tailored management based on foreign body type and location.
Abstract

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