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Single Center Experience of Magnetic Foreign Object Swallowing in Pediatric Patients

Year 2023, Volume: 11 Issue: 3, 208 - 213, 15.10.2023

Abstract

BACKGRAUND: Foreign body (FB) ingestion is a common accident in children. In recent years, the number of patients presenting with magnetic foreign body ingestion has increased due to the production of toys from magnetic foreign bodies. In this study, we investigated the treatment algorithm in patients with multiple magnetic FB ingestion, together with the literature studies conducted in recent years. We aimed to share the common result by evaluating the treatment algorithm of different studies.
MATERIALS AND METHODS: Patients treated for magnetic foreign body ingestion in our clinic between January 2015 and December 2022 were retrospectively analyzed. The demographic data of the patients, the time of swallowing FB, the time of admission, the number of times they swallowed, the surgical notes, and the length of hospital stay were recorded.
RESULTS: In seven years, 13 patients were treated for magnetic FB ingestion. There were seven male and six female patients. The mean age was 5.3 ± 4.2 years. Five patients swallowed a single magnetic FB, one of them was removed from the esophagus by endoscopy, and four of them were spontaneously removed from the gastrointestinal tract. Three of the eight patients who ingested multiple magnetic FB had spontaneous gastrointestinal tract removal of the FB. FBs were removed by laparotomy in five patients, two of whom was emergency.
CONCLUSION: Ingestion of a single magnetic object occurs without the need for intervention, such as an isolated foreign body, without causing any damage to my gastrointestinal tract. Ischemia, necrosis, perforation and even strangulation can be seen due to sandwich compression in most patients who swallow multiple magnetic foreign bodies. In rare cases, spontaneous gastrointestinal release is possible in multiple magnetic FB ingestion. In case of multiple magnetic FB ingestion, patients who are asymptomatic can be followed. Successful results are obtained with more non-invasive treatment by applying timely and correct procedures.

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Project Number

1

References

  • 1-Mowry JB, Spyker DA, Brooks DE, Zimmerman A, Schauben JL. 2015 annual report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 33rd annual report. Clin Toxicol (Phila). 2016;54:924–1109
  • 2-Erbes J, Babbitt DP. Foreign bodies in the alimentary tract of infants and children. Appl Ther. 1965;7:1103–9 3-Olczak M, Skrzypek E. A case of child death caused by intestinal volvulus following magnetic toy ingestion. Leg Med (Tokyo). 2015;17(3):184-187
  • 4- Huang, Xiaozhong, et al. Multiple magnetic foreign body ingestion in pediatric patients: a single-center retrospective review. Pediatric Surgery International (2021): 1-5.
  • 5- Cho J, Sung K, Lee D. Magnetic foreign body ingestion in pediatric patients: report of three cases. BMC Surg. 2017 Jun 24;17(1):73. doi: 10.1186/s12893-017-0269-z. PMID: 28646882; PMCID: PMC5483319.
  • 6- Sekmenli T, Ciftci I. Multiple Intestinal Perforation and Necrosis due to Magnet Ingestion. Eurasian J Med. 2016 Oct;48(3):225-227. doi: 10.5152/eurasianjmed.2015.0080.
  • 7- Honzumi M, Shigemori C, Ito H, Mohri Y, Urata H, Yamamoto T. An intestinal fistula in a 3-year-old child caused by the ingestion of magnets: report of a case. Surg Today. 1995;25:552–3.
  • 8- Nui A, Hirama T, Katsuramaki T, Maeda T, Meguro M, Nagayama M, et al. An intestinal volvulus caused by multiple magnet ingestion: an unexpected risk in children. J Pediatr Surg. 2005;40:e9–11.
  • 9-Chung JH, Kim JS, Song YT (2003) Small bowel complication caused by magnetic foreign body ingestion of children: two case reports. J Pediatr Surg 38:1548–1550
  • 10-Miyamoto R, Okuda M, Kikuchi S, Iwayama H, Hataya H, Okumura A. A nationwide questionnaire survey on accidental magnet ingestion in children in Japan. Acta Paediatr. 2021 Jan;110(1):314-325.
  • 11-Cai DT, Shu Q, Zhang SH, Liu J, Gao ZG. Surgical treatment of multiple magnet ingestion in children: A single-center study. World J Clin Cases. 2020 Dec 6;8(23):5988-5998.
  • 12-Wang K, Zhang D, Li X, Wang Z, Hou G, Jia X, Niu H, Qi S, Deng Q, Jiang B, Bian H, Yang H, Chen Y. Multicenter investigation of pediatric gastrointestinal tract magnets ingestion in China. BMC Pediatr. 2020 ;20(1):95.
  • 13-Lai HH, Lin HY, Chang CH, Lai MW, Chao HC, Chen CC, Kong MS. Magnet ingestion by children: A retrospective study in a medical center in Taiwan. Pediatr Neonatol. 2020 Oct;61(5):542-547.

Pediatrik Hastalarda Manyetik Yabancı Cisim Yutulmasının Tek Merkezli Deneyimi

Year 2023, Volume: 11 Issue: 3, 208 - 213, 15.10.2023

Abstract

AMAÇ: Yabancı cisim (FB) yutulması çocuklarda yaygın bir kazadır. Son yıllarda, manyetik yabancı cisimlerden oyuncak üretimine bağlı olarak manyetik yabancı cisim yutma ile başvuran hasta sayısı artmıştır. Bu çalışmada son yıllarda yapılan literatür çalışmaları ile birlikte çoklu manyetik YC alımı olan hastalarda tedavi algoritmasını araştırdık. Farklı çalışmaların tedavi algoritmasını değerlendirerek ortak sonucu paylaşmayı amaçladık.
GEREÇ VE YÖNTEM: Ocak 2015-Aralık 2022 tarihleri arasında kliniğimizde manyetik yabancı cisim yutma nedeniyle tedavi edilen hastalar retrospektif olarak incelendi. Hastaların demografik verileri, FB yutma zamanı, başvuru zamanı, yutma sayısı, ameliyat notları ve hastanede kalış süreleri kaydedildi.
BULGULAR: Yedi yıl içinde 13 hasta manyetik YC alımı nedeniyle tedavi edildi. Yedi erkek ve altı kadın hasta vardı. Ortalama yaş 5,3 ± 4,2 idi. Beş hasta tek bir manyetik YC yuttu, bunlardan biri endoskopi ile yemek borusundan, dördü ise spontan olarak gastrointestinal kanaldan çıkarıldı. Birden fazla manyetik FB alan sekiz hastadan üçünde, FB'nin gastrointestinal sistemden spontan olarak çıkarılması görüldü. İkisi acil olmak üzere beş hastada laparotomi ile YC çıkarıldı.
SONUÇ: Tek bir manyetik cismin yutulması izole bir yabancı cisim gibi herhangi bir müdahaleye ihtiyaç duymadan mide-bağırsak sistemime herhangi bir zarar vermeden gerçekleşir. Birden fazla manyetik yabancı cisim yutan hastaların çoğunda sandviç basıya bağlı olarak iskemi, nekroz, perforasyon ve hatta boğulma görülebilir. Nadir durumlarda, çoklu manyetik YC alımında spontan gastrointestinal salınım mümkündür. Çoklu manyetik FB yutulması durumunda asemptomatik olan hastalar takip edilebilir. Zamanında ve doğru işlemler uygulanarak daha noninvaziv tedavi ile başarılı sonuçlar alınmaktadır.

Project Number

1

References

  • 1-Mowry JB, Spyker DA, Brooks DE, Zimmerman A, Schauben JL. 2015 annual report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 33rd annual report. Clin Toxicol (Phila). 2016;54:924–1109
  • 2-Erbes J, Babbitt DP. Foreign bodies in the alimentary tract of infants and children. Appl Ther. 1965;7:1103–9 3-Olczak M, Skrzypek E. A case of child death caused by intestinal volvulus following magnetic toy ingestion. Leg Med (Tokyo). 2015;17(3):184-187
  • 4- Huang, Xiaozhong, et al. Multiple magnetic foreign body ingestion in pediatric patients: a single-center retrospective review. Pediatric Surgery International (2021): 1-5.
  • 5- Cho J, Sung K, Lee D. Magnetic foreign body ingestion in pediatric patients: report of three cases. BMC Surg. 2017 Jun 24;17(1):73. doi: 10.1186/s12893-017-0269-z. PMID: 28646882; PMCID: PMC5483319.
  • 6- Sekmenli T, Ciftci I. Multiple Intestinal Perforation and Necrosis due to Magnet Ingestion. Eurasian J Med. 2016 Oct;48(3):225-227. doi: 10.5152/eurasianjmed.2015.0080.
  • 7- Honzumi M, Shigemori C, Ito H, Mohri Y, Urata H, Yamamoto T. An intestinal fistula in a 3-year-old child caused by the ingestion of magnets: report of a case. Surg Today. 1995;25:552–3.
  • 8- Nui A, Hirama T, Katsuramaki T, Maeda T, Meguro M, Nagayama M, et al. An intestinal volvulus caused by multiple magnet ingestion: an unexpected risk in children. J Pediatr Surg. 2005;40:e9–11.
  • 9-Chung JH, Kim JS, Song YT (2003) Small bowel complication caused by magnetic foreign body ingestion of children: two case reports. J Pediatr Surg 38:1548–1550
  • 10-Miyamoto R, Okuda M, Kikuchi S, Iwayama H, Hataya H, Okumura A. A nationwide questionnaire survey on accidental magnet ingestion in children in Japan. Acta Paediatr. 2021 Jan;110(1):314-325.
  • 11-Cai DT, Shu Q, Zhang SH, Liu J, Gao ZG. Surgical treatment of multiple magnet ingestion in children: A single-center study. World J Clin Cases. 2020 Dec 6;8(23):5988-5998.
  • 12-Wang K, Zhang D, Li X, Wang Z, Hou G, Jia X, Niu H, Qi S, Deng Q, Jiang B, Bian H, Yang H, Chen Y. Multicenter investigation of pediatric gastrointestinal tract magnets ingestion in China. BMC Pediatr. 2020 ;20(1):95.
  • 13-Lai HH, Lin HY, Chang CH, Lai MW, Chao HC, Chen CC, Kong MS. Magnet ingestion by children: A retrospective study in a medical center in Taiwan. Pediatr Neonatol. 2020 Oct;61(5):542-547.
There are 12 citations in total.

Details

Primary Language English
Subjects Pediatric Surgery
Journal Section Original Articles
Authors

Fatma Özcan Sıkı 0000-0002-4461-3461

Mehmet Sarıkaya 0000-0003-2453-0893

Metin Gündüz 0000-0002-6070-0135

Tamer Sekmenli 0000-0001-8867-1383

İlhan Çiftci 0000-0001-9080-4480

Project Number 1
Publication Date October 15, 2023
Acceptance Date October 9, 2023
Published in Issue Year 2023 Volume: 11 Issue: 3

Cite

Vancouver Özcan Sıkı F, Sarıkaya M, Gündüz M, Sekmenli T, Çiftci İ. Single Center Experience of Magnetic Foreign Object Swallowing in Pediatric Patients. pediatr pract res. 2023;11(3):208-13.