Ingestion of multiple magnets in children
- Authors
- Han, Yireh; Youn, Joong Kee; Oh, Chaeyoun; Lee, Sanghoon; Seo, Jeong-Meen; Kim, Hyun-Young
- Issue Date
- Oct-2020
- Publisher
- W. B. Saunders Co., Ltd.
- Keywords
- Foreign bodies; Magnets; Intestinal obstruction; Intestinal perforation
- Citation
- Journal of Pediatric Surgery, v.55, no.10, pp 2201 - 2205
- Pages
- 5
- Indexed
- SCIE
SCOPUS
- Journal Title
- Journal of Pediatric Surgery
- Volume
- 55
- Number
- 10
- Start Page
- 2201
- End Page
- 2205
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/50949
- DOI
- 10.1016/j.jpedsurg.2019.11.021
- ISSN
- 0022-3468
1531-5037
- Abstract
- Background: The ingestion of multiple magnets is harmful in children because it can cause intestinal obstruction and/or perforation. Wepresent an approach for the management of children visiting the emergency department with multiple magnet ingestion. Methods: We retrospectively investigated 9 children who presented to 2 centers in Korea between January 2004 and August 2018 with a history of multiple magnet ingestion. Demographics, major symptoms, management, and outcomes were analyzed. Results: Of the 9 children investigated, median age was 34 months with vomiting and abdominal pain as the most common initial symptoms. Six (67%) underwent surgical removal of the magnets after observing for mean 2.2 days. Reasons for surgical managements were no magnet migration on serial radiographs in 3, suspected obstruction or microperforation in 2 and failed endoscopic removal in 1. Three patients (33%) were asymptomatic and were treated with meticulous observation using serial plain radiographs for average 3.3 days. All patients discharged without adverse outcomes and complications. Conclusions: Surgical removal is warranted in patients with symptoms suspicious of intestinal obstruction and/or perforation or without magnet migration. Asymptomatic children can be observed over at least 2-3 days with serial simple radiographs while awaiting magnet migration. (C) 2019 Elsevier Inc. All rights reserved.
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Collections - 2. Clinical Science > Department of Pediatric Surgery > 1. Journal Articles
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