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Volume 2024, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Background: The incidence of magnet ingestion in children has escalated concurrent with the rise in popularity of magnetic playthings, bearing the capacity to induce substantial morbidity.

Aim: The objective of this study was to encapsulate our accumulated expertise in handling pediatric cases featuring multiple magnetic foreign bodies within the gastrointestinal tract sometimes necessitating surgical intervention, as well as to formulate a clinical management algorithm.

Methods: This was a retrospective review of patients with multiple magnetic foreign bodies in the digestive tract, admitted to Shenzhen Children’s Hospital, between January 2018 and December 2022.

Results: A total of 100 cases were included in this study, including 66 males and 34 females. The main clinical manifestation ns were abdominal pain and vomiting. All patients had abdominal x-ray, all of which indicated foreign bodies in the digestive tract. 33 patients had to undergo a surgical intervention. Among these cases, the gastrointestinal complications occurred in 31 patients, including gastric rupture (n = 9), intestinal obstruction (n = 11) and intestinal perforation (n = 30). Postoperative intestinal obstruction occurred in 6 children. There was no statistical significant difference in age and gender between the Surgical group and Non-surgical group, but the Surgical group had a higher number of magnets ([7.5(2-44) vs 4(2-20)], p = 0.009), a longer interval between time of misingestion to clinical visit ([48(7.2-480) vs 5(2-336)]hours, p < 0.001), and a longer length of hospital stay ([10(6-19) vs 2(1-8)]days, p < 0.001).

Conclusions: Multiple magnet ingestion in children can lead to serious complications and carry severe risks. Timely diagnosis and effective treatment are crucial for managing such patients.

© 2024 Zhang, Zhang, Liu, Huang, Chen, Licensee HBKU Press.
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2024-03-26
2024-05-18
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References

  1. Huang YK, Hong SX, Tai IH et al.. Clinical characteristics of magnetic foreign body misingestion in children. J. Sci Rep. 2021; 11:(1): 18680.
     [Google Scholar]
  2. Taher H, Azzam A, Khowailed O et al.. A case report of an asymptomatic male child with multiple entero-enteric fistulae post multiple magnet ingestion. J. Int J Surg Case Rep. 2019; 58: 50-53.
     [Google Scholar]
  3. Kramer RE, Lerner DG, Lin T et al.. Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J. J Pediatr Gastroenterol Nutr. 2015; 60:(4): 562-574.
     [Google Scholar]
  4. Wang K, Zhang D, Li X et al.. Multicenter investigation of pediatric gastrointestinal tract magnets ingestion in China. J. BMC Pediatr. 2020; 20:(1): 95.
     [Google Scholar]
  5. John M, Stern G, Cameron F et al.. Piercing issue: a 10-year single-centre experience of magnet ingestion in children. J. Arch Dis Child. 2021; 106:(12):1243-1244.
     [Google Scholar]
  6. Sola R Jr, Rosenfeld EH, Yu YR et al.. Magnet foreign body ingestion: rare occurrence but big consequences. J. J Pediatr Surg. 2018; 53:(9): 1815-1819.
     [Google Scholar]
  7. Lai HH, Lin HY, Chang CH et al.. Magnet ingestion by children: A retrospective study in a medical center in Taiwan. J. Pediatr Neonatol. 2020; 61:(5):542-547.
     [Google Scholar]
  8. Hodges NL, Denny SA, Smith GA. Rare-Earth Magnet Ingestion-Related Injuries in the Pediatric Population: A Review. J. Am J Lifestyle Med. 2015; 11:(3):259-263.
     [Google Scholar]
  9. Zheng Y, Zhang Z, Yan K et al.. Retrospective analysis of pediatric patients with multiple rare-earth magnets ingestion: a single-center experience from China. J. BMC Pediatr. 2021; 21:(1):179.
     [Google Scholar]
  10. Cai DT, Shu Q, Zhang SH et al.. Surgical treatment of multiple magnet ingestion in children: A single-center study. J. World J Clin Cases. 2020; 8:(23):5988-5998.
     [Google Scholar]
  11. Jin Y, Gao Z, Zhang Y et al.. Management of multiple magnetic foreign body ingestion in pediatric patients. J. BMC Pediatr. 2022 Jul 26; 22:(1): 448.
     [Google Scholar]
  12. Zefov V, Hashemi HA, Javaid U. Accidental ingestion of magnetic foreign body in a pediatric patient: A potentially fatal attraction. J. Radiol Case Rep. 2022; 17:(7): 2337-2341.
     [Google Scholar]
  13. Si X, Du B, Huang L. Multiple Magnetic Foreign Bodies Causing Severe Digestive Tract Injuries in a Child. J. Case Rep Gastroenterol. 2016; 10:(3): 720-727.
     [Google Scholar]
  14. Abuzneid YS, Alzeerelhouseini HIA, Rabee A et al.. Double Magnet Ingestion Causing Intestinal Perforation with Peritonitis: Case Report and Review of the Literature. J. Case Rep Surg. 2022; 2022: 4348787.
     [Google Scholar]
  15. Ding G, Liu H, Zhou P et al.. Pediatric Multiple High-Powered Magnetic Buckyballs Ingestion—Experience From Six Tertiary Medical Centers. J. Frontiers in Public Health. 2022; 10: 892756.
     [Google Scholar]
  16. Altokhais T. Magnet Ingestion in Children Management Guidelines and Prevention. J. Front Pediatr. 2021; 9: 727988.
     [Google Scholar]
  17. Mas E, Michaud L, Viala J. Let’s stop lesions induced by magnet ingestion. J. Arch Pediatr. 2019; 26:(3): 131-132.
     [Google Scholar]
  18. Han Y, Youn JK, Oh C et al.. Ingestion of multiple magnets in children. J. J Pediatr Surg. 2020; 55:(10):2201-2205.
     [Google Scholar]
  19. Chang A, Yeap E, Lee E et al.. Decade of the dangers of multiple magnet ingestion in children: A retrospective review. J. J Paediatr Child Health. 2022; 58:(5): 873-879.
     [Google Scholar]
  20. Khan A, Eldos Y, Alansari K. Clinical Presentation and Outcome of Multiple Rare Earth Magnet Ingestions in Children of Qatar. A Single-Center Experience. J. Qatar Med J. 2023; 2023:(1):9.
     [Google Scholar]
  21. Li XL, Zhang QM, Lu SY et al.. Clinical report and analysis of 24 cases of multiple magnetic beads foreign body in gastrointestinal tract of children. J. Turk J Gastroenterol. 2020; 31:(11): 819-824.
     [Google Scholar]
  22. Waters AM, Teitelbaum DH, Thorne V et al.. Surgical management and morbidity of pediatric magnet ingestions. J. J Surg Res. 2015; 199:(1): 137-140.
     [Google Scholar]
  23. Oliva S, Romano C, De Angelis P et al.. Foreign body and caustic ingestions in children: A clinical practice guideline. J. Dig Liver Dis. 2020; 52:(11): 1266-1281.
     [Google Scholar]
  24. van Waas M, De Bruyne P, de Ridder L. Paediatric multiple magnet ingestion. J. Lancet Gastroenterol Hepatol. 2021; 6:(1): 80.
     [Google Scholar]
  25. Huang X, Hu J, Xia Z, Lin X et al.. Multiple magnetic foreign body ingestion in pediatric patients: a single-center retrospective review. J. Pediatr Surg Int. 2021; 37:(5): 639-643.
     [Google Scholar]
  26. Bauman B, McEachron K, Goldman D et al.. Emergency Management of the Ingested Magnet: An Algorithmic Approach. J. Pediatr Emerg Care. 2019; 35:(8): e141-e144.
     [Google Scholar]
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Surgical treatment of multiple magnet ingestion by children: A single-center experience from China
Qatar Medical Journal 2024, 4 (2024); https://doi.org/10.5339/qmj.2024.4
/content/journals/10.5339/qmj.2024.4
/content/journals/10.5339/qmj.2024.4
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  • Article Type: Research Article
Keyword(s): Children, multiple magnet ingestion, perforation and surgery

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