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Foreign body and caustic ingestions in children: A clinical practice guideline

Salvatore Oliva1, Claudio Romano2, Paola De Angelis3

  • 1Maternal and Child Health Department, Pediatric Gastroenterology and Liver Unit, Sapienza - University of Rome, Rome, Italy.

Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
|August 13, 2020
PubMed

Insights

Foreign body and caustic ingestions in children present common challenges. This guideline provides expert recommendations for endoscopists managing pediatric patients with these ingestions, emphasizing timely and appropriate endoscopic intervention.

Area of Science:

  • Pediatric Gastroenterology
  • Emergency Medicine
  • Endoscopy

Background:

  • Foreign body and caustic ingestions are frequent pediatric emergencies requiring specialized management.
  • Current clinical guidelines for pediatric ingestions are limited, particularly from Italian pediatric societies.
  • Endoscopic intervention is often necessary but carries risks if timing and indications are incorrect.

Purpose of the Study:

  • To develop practical clinical guidelines for the management of foreign body and caustic ingestions in children.
  • To outline the role of endoscopists in the diagnostic process for pediatric ingestions.
  • To provide a consensus-based approach endorsed by key Italian gastroenterology associations.

Main Methods:

  • Convening an expert panel of Italian endoscopists under the SIGENP Endoscopy Working Group.
  • Reviewing existing literature and clinical practices for pediatric foreign body and caustic ingestions.
  • Developing practical recommendations focusing on endoscopic approaches.

Main Results:

  • The article presents a practical clinical approach to pediatric foreign body and caustic ingestions.
  • It emphasizes the crucial role of endoscopists, both pediatric and adult, in the diagnostic and management pathway.
  • The guideline addresses the complexities arising from imprecise clinical histories.

Conclusions:

  • This guideline offers a much-needed framework for managing pediatric foreign body and caustic ingestions.
  • It highlights the importance of appropriate endoscopic timing and indications to optimize patient outcomes.
  • The consensus provides a unified approach endorsed by SIGENP and AIGO.

Keywords:
Button batteryCaustic ingestionsFood impactionForeign body ingestionMagnet

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