Clinical report and analysis of 24 cases of multiple magnetic beads foreign body in gastrointestinal tract of children

Li, Xian-Ling; Zhang, Qinming; Lu, Shouyan; Liu, Tingting; Yao, Ziming; Zhang, Weiping; Chen, Yajun; Chen, Long; Xie, Fangnan

doi:10.5152/tjg.2020.19600

Cited by 10 publications

(6 citation statements)

References 11 publications

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“…In China, magnetic toys, such as Buckballs, are readily obtainable by children through physical stores and online platforms. 21 Despite the presence of warning signs, evidence suggests their limited efficacy in deterring magnet ingestion. 7 , 22 Consequently, the implementation of more stringent policies becomes imperative in safeguarding children from acquiring products containing high-power magnets.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of multiple magnet ingestion by children: A single-center experience from China

Zhang,

Liu

et al. 2024

Qatar Medical Journal

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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.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of multiple magnet ingestion by children: A single-center experience from China

Zhang,

Liu

et al. 2024

Qatar Medical Journal

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“…There have been reports on various management approaches, but there is currently no agreement on the ideal management strategy [ 26 ]. The National Children’s Hospital Science Center and Beijing Children’s Hospital (affiliated with Capital Medical University) developed diagnosis and treatment processes for the ingestion of magnetic beads based on previously developed guidelines and algorithms and the magnet-type foreign body treatment process developed by the Shanghai Children’s Hospital [ 3 , 20 , 27 , 28 ]. In numerous cases of multiple magnet ingestion, bowel resection, perforation and fistula repair have been conducted [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Accidental ingestion of multiple magnetic beads by children and their impact on the gastrointestinal tract: a single-center study

Li,

Zhang,

et al. 2024

BMC Pediatr

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Objective In this study, we aimed to enhance the treatment protocols and help understand the harm caused by the accidental ingestion of magnetic beads by children. Methods Data were collected from 72 children with multiple gastrointestinal perforations or gastrointestinal obstructions. The 72 pediatric patients were divided into a perforation and a non-perforation group. The data collected for the analysis included the gender, age, medical history, place of residence (rural or urban), and symptoms along with the educational background of the caregiver, the location and quantity of any foreign bodies discovered during the procedure, whether perforation was confirmed during the procedure, and the number of times magnetic beads had been accidentally ingested. Results The accuracy rate of preoperative gastrointestinal perforation diagnosis via ultrasound was 71%, while that of the upright abdominal X-ray method was only 46%. In terms of symptoms, the risk of perforation was 13.844 and 12.703 times greater in pediatric patients who experienced vomiting and abdominal pain with vomiting and abdominal distension, respectively, compared to patients in an asymptomatic state. There were no statistical differences between the perforation and the non-perforation groups in terms of age, gender, medical history, and the number of magnetic beads ingested (P > 0.05); however, there were statistical differences in terms of white blood cell count (P = 0.048) and c-reactive protein levels (P = 0.033). A total of 56% of cases underwent a laparotomy along with perforation repair and 19% underwent gastroscopy along with laparotomy. All pediatric patients recovered without complications following surgery. Conclusion Abdominal ultrasonography and/or upright abdominal X-ray analyses should be carried out as soon as possible in case of suspicion of accidental ingestion of magnetic beads by children. In most cases, immediate surgical intervention is required. Given the serious consequences of ingesting this type of foreign body, it is essential to inform parents and/or caregivers about the importance of preventing young children from using such products.

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“…Various management options have been reported but there is no current consensus on the ideal management approach [27] . Based on previously formulated guidelines and algorithms, as well as the Shanghai Children's Hospital magnet-type foreign body treatment process, the National Children's Hospital Science Center and Beijing Children's Hospital (a liated with Capital Medical University) developed diagnosis and treatment processes for the ingestion of magnetic beads [ 3,28,20,29] .…”

Section: Discussionmentioning

confidence: 99%

“…During the procedure, forceps (hemostatic/operating forceps) can be used to approach the magnetic bead, and the bead can be seized and removed through the perforated intestinal tube (Fig. 5: e) [29] . The entire digestive tract (the stomach to the rectum) must be explored during the operation to ensure that no incidence of perforation is missed.…”

Section: Discussionmentioning

confidence: 99%

A clinical study involving 72 cases of multiple magnetic beads in the gastrointestinal tract of children

Li,

Zhang,

et al. 2022

Preprint

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Objective The objective of this study was to better understand the harm caused by accidental ingestion of multiple beads in children and to improve the consequent management outcomes. Materials and Methods Data collected for the analysis of 72 children involved the patient's sex, age, medical history, place of residence (rural or urban) and symptoms, as well as the caregiver's level of education, the location and number of any foreign bodies found during the procedure, whether perforations were confirmed during the procedure, and the number of erroneous ingestion of magnetic beads. Statistical analysis was performed. Results There were no statistical differences between the perforated group and the unperturbed group in terms of age, sex, medical history, and number of magnetic beads ingested (P > 0.05). However, there were statistical differences in white blood cell count (P = 0.048) and c-reactive protein levels (P = 0.033), where values were higher in the perforated group than in the non-perforated group. Conclusion Abdominal ultrasound and/or abdominal upright x-ray analysis should be performed as soon as possible for rapid diagnosis. Immediate surgical intervention is usually required. Given the serious consequences of ingesting such foreign bodies, it is vital to educate parents and/or caregivers not to keep such products away from young children.

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Clinical report and analysis of 24 cases of multiple magnetic beads foreign body in gastrointestinal tract of children

Cited by 10 publications

References 11 publications

Surgical treatment of multiple magnet ingestion by children: A single-center experience from China

Surgical treatment of multiple magnet ingestion by children: A single-center experience from China

Accidental ingestion of multiple magnetic beads by children and their impact on the gastrointestinal tract: a single-center study

A clinical study involving 72 cases of multiple magnetic beads in the gastrointestinal tract of children

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