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Clinical predictors of surgical intervention for gastrointestinal magnetic foreign bodies in children
Rui Yun Zhang1, Peng Cai1, Ting Ting Zhang1
1Department of Pediatric Surgery, Children's Hospital of Soochow University, Suzhou, 215127, Jiangsu Province, China.
Insights
Ingested magnetic foreign bodies pose serious risks to children. Intermittent abdominal pain and abdominal muscle tension are key indicators for surgical intervention in pediatric cases.
Area of Science:
- Pediatric Gastroenterology
- Surgical Intervention
- Medical Device Safety
Background:
- Ingestion of magnetic foreign bodies in children presents significant clinical challenges.
- Early identification and appropriate management are crucial to prevent severe complications.
Purpose of the Study:
- To investigate the clinical characteristics, treatment modalities, and predictors for surgical intervention in pediatric patients with magnetic foreign bodies in the digestive tract.
- To identify independent risk factors associated with the need for surgery.
Main Methods:
- Retrospective analysis of clinical data from 72 children who ingested magnetic foreign bodies.
- Statistical analysis including univariate and multivariate logistic regression to determine risk factors.
Main Results:
- 51.4% of patients required surgery, with 26 cases of gastrointestinal perforation.
- Intermittent abdominal pain and abdominal muscle tension were identified as independent risk factors for surgical treatment (P < 0.01).
Conclusions:
- Magnetic foreign bodies pose a serious threat to children's health, necessitating prompt clinical evaluation.
- Symptoms like abdominal pain and tension strongly indicate the need for immediate surgical intervention to avoid complications such as intestinal obstruction or perforation.
Background/Aims:
To investigate the clinical situation, treatment methods, and clinical predictors of surgical intervention in children with magnetic foreign bodies in the digestive tract.
Materials And Methods:
From January 2019 to June 2022, we retrospectively analyzed the clinical data of 72 children who ingested magnetic foreign bodies inadvertently in our hospital, including their general information, admissions, clinical manifestations, and treatment methods, as well as pertinent literature and statistical data. Following software processing, univariate and multivariate logistic regression analyses were conducted to determine the independent risk factors of this study.
Results:
In this study, 16 patients (22.2%) were discharged smoothly following conservative treatment and 19 patients (26.4%) were cured by gastroscopy. The remaining 37 patients (51.4%) were underwent surgery, in which 26 cases developed gastrointestinal perforation. There were statistical differences between surgery group and non- surgery group in the days of eating by mistake, clinical manifestations (nausea and vomiting, intermittent abdominal pain, abdominal muscle tension) and movement trajectory by every 24-h radiograph (P < 0.01). Logistic regression analysis showed that intermittent abdominal pain and abdominal muscle tension were independent risk factors for surgical treatment.
Conclusion:
Magnetic foreign bodies seriously endanger children's health. This study offers a single-center basis for the choice of surgical opportunity for intestinal obstruction or perforation caused by magnetic foreign bodies. Clinicians need immediate surgical intervention if the child shows symptoms of abdominal pain or abdominal tension.
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