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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...

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Autores principales: Destro, Francesca, Caruso, Anna Maria, Mantegazza, Cecilia, Maestri, Luciano, Meroni, Milena, Pederiva, Federica, Milazzo, Mario, Acierno, Carlo, Zuccotti, Gianvincenzo, Calcaterra, Valeria, Pelizzo, Gloria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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