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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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[Complications of upper gastrointestinal foreign body in children and related risk factors]

Yue-Sheng Wang1, Jing Zhang, Xiao-Qin Li

  • 1Department of Gastroenterology, Children's Hospital Affiliated to Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital, Zhengzhou 450018, China (Li X-Q,

Zhongguo Dang Dai Er Ke Za Zhi = Chinese Journal of Contemporary Pediatrics
|July 17, 2020
PubMed

Insights

Young children ingesting upper gastrointestinal foreign bodies face complications. Key risk factors include age under 3, foreign body type, location, and prolonged retention time, guiding interventions to reduce serious outcomes.

Area of Science:

  • Pediatric Gastroenterology
  • Medical Device Safety
  • Clinical Risk Management

Background:

  • Upper gastrointestinal foreign bodies are common in children, posing risks of serious complications.
  • Early identification and management are crucial for preventing adverse outcomes.

Purpose of the Study:

  • To investigate the complications associated with upper gastrointestinal foreign bodies in children.
  • To identify risk factors contributing to the development of these complications.

Main Methods:

  • A retrospective analysis of clinical data from 772 children treated for upper gastrointestinal foreign bodies between 2014 and 2018.
  • Multivariate logistic regression analysis was employed to determine significant risk factors for complications.

Main Results:

  • The study identified age under 3 years, underlying diseases, foreign body location and type, and retention time over 24 hours as significant risk factors for complications.
  • Complications were observed in 60.4% of cases, with 12.7% being serious.
  • Round metal objects, long foreign bodies, sharp objects, batteries, corrosive substances, and magnets were common types.

Conclusions:

  • Understanding high-risk factors for upper gastrointestinal foreign body complications is essential.
  • This knowledge aids in selecting appropriate interventions to minimize serious complications in pediatric patients.
Abstract

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