Ingestion of multiple magnets in children
- Authors
- Han, Y.[Han, Y.]; Youn, J.K.[Youn, J.K.]; Oh, C.[Oh, C.]; Lee, S.[Lee, S.]; Seo, J.-M.[Seo, J.-M.]; Kim, H.-Y.[Kim, H.-Y.]
- Issue Date
- Oct-2020
- Publisher
- W.B. Saunders
- Keywords
- Foreign bodies; Intestinal obstruction; Intestinal perforation; Magnets
- Citation
- Journal of Pediatric Surgery, v.55, no.10, pp.2201 - 2205
- Indexed
- SCIE
SCOPUS
- Journal Title
- Journal of Pediatric Surgery
- Volume
- 55
- Number
- 10
- Start Page
- 2201
- End Page
- 2205
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/6886
- DOI
- 10.1016/j.jpedsurg.2019.11.021
- ISSN
- 0022-3468
- Abstract
- Background: The ingestion of multiple magnets is harmful in children because it can cause intestinal obstruction and/or perforation. We present 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. Level of evidence: IV. © 2019 Elsevier Inc.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - Medicine > Department of Medicine > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/6886)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.