Water Beads—Exploratory Learning or Exploratory Laparotomy?

Abstract

Small brightly colored water beads have become increasingly popular toys in the pediatric population, marketed specifically for sensory exploration and learning. Unfortunately, the water-absorbing polymer which gives these toys their ability to grow also serves as means of obstruction if ingested. We report a case of a pediatric patient presenting with small bowel obstruction following the ingestion of a water bead, which was diagnosed and treated swiftly without complication. With the increasing incidence of water bead ingestion, it is essential that the public be aware of the potential risks and the necessity of seeking medical attention if companies do not withdraw such dangerous products from the market.

Orbeez ingestion: Successful medical management of 1000 absorbent bead ingestion in a 3‐year‐old patient

“…If ingested, Orbeez ™ and other similar water beads can rapidly absorb fluid and expand within the lumen of the gastrointestinal tract. Numerous case reports have identified small bowel obstruction as a complication 2–4 . The dimensions to which the beads can expand are variable, with sources reporting maximum diameters ranging from 25 to 50 mm depending on the type and brand of bead 2,4–6 .…”

“…identified small bowel obstruction as a complication. [2][3][4] The dimensions to which the beads can expand are variable, with sources reporting maximum diameters ranging from 25 to 50 mm depending on the type and brand of bead. 2,[4][5][6] There is no consensus regarding optimal management in instances of Orbeez™ ingestion.…”

“…[2][3][4] The dimensions to which the beads can expand are variable, with sources reporting maximum diameters ranging from 25 to 50 mm depending on the type and brand of bead. 2,[4][5][6] There is no consensus regarding optimal management in instances of Orbeez™ ingestion. However, a review of reported cases from 2021 indicated that of 43 cases of bowel obstruction secondary to water bead ingestions, two patients required endoscopic removal and the remaining 41 required surgical enterotomy or intestinal resection.…”