Clinical characteristics of magnetic foreign body misingestion in children

Abstract Magnetic foreign body misingestion (MFBM) is now occurring more frequently. It may cause remarkable mortality and morbidity in children. A retrospective analysis of the clinical data of children admitted to Xiamen Children’s Hospital between March 2017 and July 2020 due to accidental MFBM....

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Autores principales:	Yu Kun Huang, Shao Xian Hong, I. Hsin Tai, Kai Sheng Hsieh
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5489444a57994560a915e35704ad64e9
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spelling	oai:doaj.org-article:5489444a57994560a915e35704ad64e92021-12-02T15:15:13ZClinical characteristics of magnetic foreign body misingestion in children10.1038/s41598-021-96595-y2045-2322https://doaj.org/article/5489444a57994560a915e35704ad64e92021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96595-yhttps://doaj.org/toc/2045-2322Abstract Magnetic foreign body misingestion (MFBM) is now occurring more frequently. It may cause remarkable mortality and morbidity in children. A retrospective analysis of the clinical data of children admitted to Xiamen Children’s Hospital between March 2017 and July 2020 due to accidental MFBM. A total of 14 children who had MFBM were collected, the proportion between urban and rural areas was 8:6, and the ratio of male to female was 6:1. The age ranged from 1.2 to 8.9 years (median 4.6 years). The number of magnetic foreign bodies ingested by mistake is 1 to 17 (average 6.5). Magnetic foreign objects are divided into magnets (3 cases) + magnetic beads (11 cases). About 40% (5/14) of this patient series showed no available misingestion history. Management includes: 4 cases of open surgery (including 1 case of laparoscopic transfer to operation), 3 cases of laparoscopic surgery, 2 cases of gastroscopy, 5 cases of conservative treatment of foreign bodies discharged through the anus. Of the 7 surgical cases, 6 cases presented with intestinal obstruction and intestinal perforation (at least 1 intestinal perforation and at most 5). Abdominal sonography has limitations in the detection of magnetic foreign bodies in the digestive tract. The proportion of laparoscopic surgery in the 7 surgical cases is nearly half. All surgical cases recovered smoothly after treatment. Our experience shows that MFBM is a big issue for the small children! The early symptoms of MFBM are often atypical especially among young children and MFBM may lead to severe adverse events. We proposed a management strategy for MFBM in children. We advise pediatricians/emergency physicians, parents/children’s guardians and society should raise the collaborated alertness of MFBM. Global awareness of risk prevention of magnetic material accidental ingestion cannot be overemphasized.Yu Kun HuangShao Xian HongI. Hsin TaiKai Sheng HsiehNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yu Kun Huang Shao Xian Hong I. Hsin Tai Kai Sheng Hsieh Clinical characteristics of magnetic foreign body misingestion in children
description	Abstract Magnetic foreign body misingestion (MFBM) is now occurring more frequently. It may cause remarkable mortality and morbidity in children. A retrospective analysis of the clinical data of children admitted to Xiamen Children’s Hospital between March 2017 and July 2020 due to accidental MFBM. A total of 14 children who had MFBM were collected, the proportion between urban and rural areas was 8:6, and the ratio of male to female was 6:1. The age ranged from 1.2 to 8.9 years (median 4.6 years). The number of magnetic foreign bodies ingested by mistake is 1 to 17 (average 6.5). Magnetic foreign objects are divided into magnets (3 cases) + magnetic beads (11 cases). About 40% (5/14) of this patient series showed no available misingestion history. Management includes: 4 cases of open surgery (including 1 case of laparoscopic transfer to operation), 3 cases of laparoscopic surgery, 2 cases of gastroscopy, 5 cases of conservative treatment of foreign bodies discharged through the anus. Of the 7 surgical cases, 6 cases presented with intestinal obstruction and intestinal perforation (at least 1 intestinal perforation and at most 5). Abdominal sonography has limitations in the detection of magnetic foreign bodies in the digestive tract. The proportion of laparoscopic surgery in the 7 surgical cases is nearly half. All surgical cases recovered smoothly after treatment. Our experience shows that MFBM is a big issue for the small children! The early symptoms of MFBM are often atypical especially among young children and MFBM may lead to severe adverse events. We proposed a management strategy for MFBM in children. We advise pediatricians/emergency physicians, parents/children’s guardians and society should raise the collaborated alertness of MFBM. Global awareness of risk prevention of magnetic material accidental ingestion cannot be overemphasized.
format	article
author	Yu Kun Huang Shao Xian Hong I. Hsin Tai Kai Sheng Hsieh
author_facet	Yu Kun Huang Shao Xian Hong I. Hsin Tai Kai Sheng Hsieh
author_sort	Yu Kun Huang
title	Clinical characteristics of magnetic foreign body misingestion in children
title_short	Clinical characteristics of magnetic foreign body misingestion in children
title_full	Clinical characteristics of magnetic foreign body misingestion in children
title_fullStr	Clinical characteristics of magnetic foreign body misingestion in children
title_full_unstemmed	Clinical characteristics of magnetic foreign body misingestion in children
title_sort	clinical characteristics of magnetic foreign body misingestion in children
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5489444a57994560a915e35704ad64e9
work_keys_str_mv	AT yukunhuang clinicalcharacteristicsofmagneticforeignbodymisingestioninchildren AT shaoxianhong clinicalcharacteristicsofmagneticforeignbodymisingestioninchildren AT ihsintai clinicalcharacteristicsofmagneticforeignbodymisingestioninchildren AT kaishenghsieh clinicalcharacteristicsofmagneticforeignbodymisingestioninchildren
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Clinical characteristics of magnetic foreign body misingestion in children

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