Retrospective Analysis of Pediatric Patients with Multiple Rare-Earth Magnet Ingestion: A Single-Center Experience from China
| Autor: | Yucan Zheng, Mei Li, Kunlong Yan, Zhi-Hua Zhang, Hongmei Guo, Zhi-Feng Liu, Min Lian |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty China Fistula Rare earth Perforation (oil well) Single Center Asymptomatic Pediatrics RJ1-570 03 medical and health sciences Eating Multiple magnets ingestion 0302 clinical medicine 030225 pediatrics medicine Ingestion Humans Child Children Retrospective Studies Perforation medicine.diagnostic_test business.industry medicine.disease Foreign Bodies equipment and supplies Surgery Endoscopy Foreign body Pediatrics Perinatology and Child Health Magnets 030211 gastroenterology & hepatology Female medicine.symptom business human activities Research Article |
| Zdroj: | BMC Pediatrics, Vol 21, Iss 1, Pp 1-7 (2021) BMC Pediatrics |
| Popis: | Background The aim of this study was to characterize patients who ingested multiple rare-earth magnets, reveal the harm of rare-earth magnet foreign bodies in the digestive tract, and develop a clinical management algorithm. Methods This was a retrospective review of patients with rare-earth magnet foreign bodies in the digestive tract admitted to a university-affiliated pediatric medical center in China, between January 2016 and December 2019; the subset of medical data evaluated included clinical symptoms, signs, treatments and outcomes. Results A total of 51 cases were included in this study, including 36(70.6%) males and 15(29.4%) females. The magnets were passed naturally in 24(47.1%) patients and removed by intervention in 27(52.9%) patients, including 5(9.8%) cases by endoscopy and 22(43.1%) cases by surgery. Twenty-two (43.1%)cases had gastrointestinal obstruction, perforation, and fistula. Compared with the non-surgical group, the time of the surgical group from ingestion to arriving at the hospital was longer([80(5–336) vs 26(2–216)]hours, p Conclusions Magnets are attractive to children, but lead to catastrophic consequences including gastrointestinal obstruction, perforation, and surgical interventions when ingested multiple magnets. Endoscopic resection should be urgently performed in the presence of multiple magnets as early as possible within 24 h, even in asymptomatic patients. |
| Databáze: | OpenAIRE |
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