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:	Francesca Destro, Anna Maria Caruso, Cecilia Mantegazza, Luciano Maestri, Milena Meroni, Federica Pederiva, Mario Milazzo, Carlo Acierno, Gianvincenzo Zuccotti, Valeria Calcaterra, Gloria Pelizzo
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	foreign body ingestion children disability neurological impairment pediatric surgery Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/ed7ca98253074543a5d9121f89936118
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spelling	oai:doaj.org-article:ed7ca98253074543a5d9121f899361182021-11-25T17:13:53ZForeign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery10.3390/children81109562227-9067https://doaj.org/article/ed7ca98253074543a5d9121f899361182021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/956https://doaj.org/toc/2227-9067Children 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.Francesca DestroAnna Maria CarusoCecilia MantegazzaLuciano MaestriMilena MeroniFederica PederivaMario MilazzoCarlo AciernoGianvincenzo ZuccottiValeria CalcaterraGloria PelizzoMDPI AGarticleforeign body ingestionchildrendisabilityneurological impairmentpediatric surgeryPediatricsRJ1-570ENChildren, Vol 8, Iss 956, p 956 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	foreign body ingestion children disability neurological impairment pediatric surgery Pediatrics RJ1-570
spellingShingle	foreign body ingestion children disability neurological impairment pediatric surgery Pediatrics RJ1-570 Francesca Destro Anna Maria Caruso Cecilia Mantegazza Luciano Maestri Milena Meroni Federica Pederiva Mario Milazzo Carlo Acierno Gianvincenzo Zuccotti Valeria Calcaterra Gloria Pelizzo Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery
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	article
author	Francesca Destro Anna Maria Caruso Cecilia Mantegazza Luciano Maestri Milena Meroni Federica Pederiva Mario Milazzo Carlo Acierno Gianvincenzo Zuccotti Valeria Calcaterra Gloria Pelizzo
author_facet	Francesca Destro Anna Maria Caruso Cecilia Mantegazza Luciano Maestri Milena Meroni Federica Pederiva Mario Milazzo Carlo Acierno Gianvincenzo Zuccotti Valeria Calcaterra Gloria Pelizzo
author_sort	Francesca Destro
title	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_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_sort	foreign body ingestion in neurologically impaired children: a challenging diagnosis and management in pediatric surgery
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/ed7ca98253074543a5d9121f89936118
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Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery

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