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Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery
Children with intellectual disability/neurodevelopmental delay (ID-ND) commonly ingest foreign bodies (FB) and often present complications due to peculiar aspects of their condition. The aim of this paper is to report the experience of two centers in the management of ID-ND patients after FB ingesti...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8624601/ https://www.ncbi.nlm.nih.gov/pubmed/34828669 http://dx.doi.org/10.3390/children8110956 |
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author | Destro, Francesca Caruso, Anna Maria Mantegazza, Cecilia Maestri, Luciano Meroni, Milena Pederiva, Federica Milazzo, Mario Acierno, Carlo Zuccotti, Gianvincenzo Calcaterra, Valeria Pelizzo, Gloria |
author_facet | Destro, Francesca Caruso, Anna Maria Mantegazza, Cecilia Maestri, Luciano Meroni, Milena Pederiva, Federica Milazzo, Mario Acierno, Carlo Zuccotti, Gianvincenzo Calcaterra, Valeria Pelizzo, Gloria |
author_sort | Destro, Francesca |
collection | PubMed |
description | Children with intellectual disability/neurodevelopmental delay (ID-ND) commonly ingest foreign bodies (FB) and often present complications due to peculiar aspects of their condition. The aim of this paper is to report the experience of two centers in the management of ID-ND patients after FB ingestion and to discuss a possible algorithm for clinical practice. We retrospectively evaluated data of patients managed for FB ingestion (period: 2017–2021), focusing on those with ID-ND, specifically demographics and baseline diagnosis, elements related to the event, symptoms, time to endoscopy, FB location, endoscopic details, and follow-up. A total of 457 patients were managed in the study period and 19 had ID-ND (mean age 9.8 ± 3.5 years, 15 males). A total of 16/19 (84.2%) were symptomatic and required an operative approach. Recurrent ingestions and multiple FB were found in 2 and 11 patients, respectively. Endoscopy (mean time 65.6 ± 41 min) was effective in 14 cases (73.6%) and 6 patients (31.6%) developed a complication. FB ingestion in ID-ND patients represents a challenging condition for the clinician and a potentially dangerous situation. It should be addressed specifically by a multidisciplinary team considering a tailored diagnostic and management protocol. |
format | Online Article Text |
id | pubmed-8624601 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-86246012021-11-27 Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery Destro, Francesca Caruso, Anna Maria Mantegazza, Cecilia Maestri, Luciano Meroni, Milena Pederiva, Federica Milazzo, Mario Acierno, Carlo Zuccotti, Gianvincenzo Calcaterra, Valeria Pelizzo, Gloria Children (Basel) Article Children with intellectual disability/neurodevelopmental delay (ID-ND) commonly ingest foreign bodies (FB) and often present complications due to peculiar aspects of their condition. The aim of this paper is to report the experience of two centers in the management of ID-ND patients after FB ingestion and to discuss a possible algorithm for clinical practice. We retrospectively evaluated data of patients managed for FB ingestion (period: 2017–2021), focusing on those with ID-ND, specifically demographics and baseline diagnosis, elements related to the event, symptoms, time to endoscopy, FB location, endoscopic details, and follow-up. A total of 457 patients were managed in the study period and 19 had ID-ND (mean age 9.8 ± 3.5 years, 15 males). A total of 16/19 (84.2%) were symptomatic and required an operative approach. Recurrent ingestions and multiple FB were found in 2 and 11 patients, respectively. Endoscopy (mean time 65.6 ± 41 min) was effective in 14 cases (73.6%) and 6 patients (31.6%) developed a complication. FB ingestion in ID-ND patients represents a challenging condition for the clinician and a potentially dangerous situation. It should be addressed specifically by a multidisciplinary team considering a tailored diagnostic and management protocol. MDPI 2021-10-23 /pmc/articles/PMC8624601/ /pubmed/34828669 http://dx.doi.org/10.3390/children8110956 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Destro, Francesca Caruso, Anna Maria Mantegazza, Cecilia Maestri, Luciano Meroni, Milena Pederiva, Federica Milazzo, Mario Acierno, Carlo Zuccotti, Gianvincenzo Calcaterra, Valeria Pelizzo, Gloria Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery |
title | Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery |
title_full | Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery |
title_fullStr | Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery |
title_full_unstemmed | Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery |
title_short | Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery |
title_sort | foreign body ingestion in neurologically impaired children: a challenging diagnosis and management in pediatric surgery |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8624601/ https://www.ncbi.nlm.nih.gov/pubmed/34828669 http://dx.doi.org/10.3390/children8110956 |
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