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Published on: September 11, 2018
Management of multiple magnetic foreign body ingestion in pediatric patients
Yi Jin1, Zhigang Gao1, Yuebin Zhang1
1Department of General Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310051, Zhejiang Province, China.
Insights
Multiple magnetic foreign body ingestion in children is a growing concern. Treatment requires tailored clinical approaches to minimize harm and ensure patient safety.
Area of Science:
- Pediatric Gastroenterology
- Surgical Innovation
- Medical Device Safety
Background:
- Multiple magnetic foreign body ingestion is a common pediatric emergency.
- Such ingestions pose significant risks of serious injury in children.
- Understanding clinical features and treatment is crucial for effective management.
Purpose of the Study:
- To analyze clinical characteristics of pediatric patients with multiple magnetic foreign body ingestion.
- To summarize and evaluate diverse treatment experiences for these cases.
- To identify optimal management strategies based on patient condition.
Main Methods:
- Retrospective survey of 91 pediatric patients.
- Data collection from October 2018 to October 2021.
- Inclusion of clinical information, treatment details, and patient prognosis.
Main Results:
- Conservative treatment (24.2%) led to anal discharge of foreign bodies.
- Surgical interventions included laparoscopy (34.1%) and laparotomy (41.8%), with conversions noted.
- Endoscopic removal (14.3%) was performed, with remaining foreign bodies managed surgically or conservatively.
Conclusions:
- Multiple magnetic foreign body ingestion presents substantial risks to children.
- Tailored clinical techniques are essential for managing different patient situations.
- Appropriate intervention strategies can effectively reduce harm in pediatric cases.
Background:
Multiple magnetic foreign body ingestion in children is increasingly common and can cause serious injury. The present study aimed to analyze the clinical features of such cases and summarize treatment experiences.
Methods:
A retrospective survey of 91 patients in the Children's Hospital, Zhejiang University School of Medicine with magnetic foreign body ingestion from October 2018 to October 2021 was performed, the data were collected including the clinical information of the patients, treatment details, and prognosis.
Results:
Twenty-two (24.2%) patients were conservatively treated, with the foreign bodies discharged through the anus, 31 (34.1%) underwent laparoscopic surgery, including 18 cases converting from laparoscopic surgery to laparotomy, and 38 (41.8%) underwent laparotomy. In 13 (14.3%) patients, the foreign bodies were partially removed by gastroscope. The remaining foreign bodies were removed by laparoscopy in six patients, including three cases converting from laparoscopy to laparotomy, by laparotomy in four patients, and by conservative treatment in three patients.
Conclusions:
Multiple magnetic foreign body ingestion can cause significant harm to patients and different clinical techniques must be used for patients in different situations to reduce the harm to children.
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