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Management of magnetic foreign body ingestion in children
Magnetic foreign bodies ingestion is a special cause for attending emergency department. Here, we aim to analyze the characteristics and treatments of children who ingested magnetic foreign bodies (Buckyballs). Data were collected from children who ingested Buckyballs between February 2017 and Octob...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808496/ https://www.ncbi.nlm.nih.gov/pubmed/33466161 http://dx.doi.org/10.1097/MD.0000000000024055 |
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author | Zhang, Shuhao Zhang, Lifeng Chen, Qingjiang Zhang, Yuebin Cai, Duote Luo, Wenjuan Chen, Ken Pan, Tao Gao, Zhigang |
author_facet | Zhang, Shuhao Zhang, Lifeng Chen, Qingjiang Zhang, Yuebin Cai, Duote Luo, Wenjuan Chen, Ken Pan, Tao Gao, Zhigang |
author_sort | Zhang, Shuhao |
collection | PubMed |
description | Magnetic foreign bodies ingestion is a special cause for attending emergency department. Here, we aim to analyze the characteristics and treatments of children who ingested magnetic foreign bodies (Buckyballs). Data were collected from children who ingested Buckyballs between February 2017 and October 2019. A retrospective analysis was performed to summarize the experiences of conservative treatment, gastroscopy and surgery when dealing with Buckyballs ingestion. A total of 49 patients with buckyballs ingestion were identified, of whom 11 underwent conservative treatments, 6 underwent gastroscopy, and 32 underwent surgery. Among such individuals, eight patients (72.7%) had a successful conservative treatment (number of Buckyballs [NB]: 3.5[IQR: 2.0–4.0]); four patients (66.7%) had Buckyballs successfully removed by gastroscopy (NB: 3.5[IQR: 3.0–5.5]); 16 asymptomatic (50%) patients (NB: 4.0[IQR: 3.0–8.0]) and 16 symptomatic (50%) patients (NB: 8.5 [IQR: 6.25–11.75]) received emergency surgery. Compared to patients who received conservative treatment, the number of ingested Buckyballs was significantly higher in patients who received surgery or gastroscopy (7.0 [IQR: 3.0–10.75] vs 3.5 [IQR: 2.0–4.0], P < .05). The risk of intestinal perforation was significantly higher in symptomatic patients (P < .05) compared to asymptomatic patients. Gastroscopy is recommended when Buckyballs are in the stomach or esophagus. In asymptomatic patients, conservative treatment can be considered for 4 to 6 days. Patients failing conservative treatment, or those who are symptomatic should undergo emergency surgery. |
format | Online Article Text |
id | pubmed-7808496 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-78084962021-01-15 Management of magnetic foreign body ingestion in children Zhang, Shuhao Zhang, Lifeng Chen, Qingjiang Zhang, Yuebin Cai, Duote Luo, Wenjuan Chen, Ken Pan, Tao Gao, Zhigang Medicine (Baltimore) 6200 Magnetic foreign bodies ingestion is a special cause for attending emergency department. Here, we aim to analyze the characteristics and treatments of children who ingested magnetic foreign bodies (Buckyballs). Data were collected from children who ingested Buckyballs between February 2017 and October 2019. A retrospective analysis was performed to summarize the experiences of conservative treatment, gastroscopy and surgery when dealing with Buckyballs ingestion. A total of 49 patients with buckyballs ingestion were identified, of whom 11 underwent conservative treatments, 6 underwent gastroscopy, and 32 underwent surgery. Among such individuals, eight patients (72.7%) had a successful conservative treatment (number of Buckyballs [NB]: 3.5[IQR: 2.0–4.0]); four patients (66.7%) had Buckyballs successfully removed by gastroscopy (NB: 3.5[IQR: 3.0–5.5]); 16 asymptomatic (50%) patients (NB: 4.0[IQR: 3.0–8.0]) and 16 symptomatic (50%) patients (NB: 8.5 [IQR: 6.25–11.75]) received emergency surgery. Compared to patients who received conservative treatment, the number of ingested Buckyballs was significantly higher in patients who received surgery or gastroscopy (7.0 [IQR: 3.0–10.75] vs 3.5 [IQR: 2.0–4.0], P < .05). The risk of intestinal perforation was significantly higher in symptomatic patients (P < .05) compared to asymptomatic patients. Gastroscopy is recommended when Buckyballs are in the stomach or esophagus. In asymptomatic patients, conservative treatment can be considered for 4 to 6 days. Patients failing conservative treatment, or those who are symptomatic should undergo emergency surgery. Lippincott Williams & Wilkins 2021-01-15 /pmc/articles/PMC7808496/ /pubmed/33466161 http://dx.doi.org/10.1097/MD.0000000000024055 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) |
spellingShingle | 6200 Zhang, Shuhao Zhang, Lifeng Chen, Qingjiang Zhang, Yuebin Cai, Duote Luo, Wenjuan Chen, Ken Pan, Tao Gao, Zhigang Management of magnetic foreign body ingestion in children |
title | Management of magnetic foreign body ingestion in children |
title_full | Management of magnetic foreign body ingestion in children |
title_fullStr | Management of magnetic foreign body ingestion in children |
title_full_unstemmed | Management of magnetic foreign body ingestion in children |
title_short | Management of magnetic foreign body ingestion in children |
title_sort | management of magnetic foreign body ingestion in children |
topic | 6200 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808496/ https://www.ncbi.nlm.nih.gov/pubmed/33466161 http://dx.doi.org/10.1097/MD.0000000000024055 |
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