Department of "a", The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.
Medicine (Baltimore). 2021 Jan 15;100(2):e24055. doi: 10.1097/MD.0000000000024055.
Magnetic foreign bodies ingestion is a special cause for attending emergency department. Here, we aim to analyze the characteristics and treatments of children who ingested magnetic foreign bodies (Buckyballs). Data were collected from children who ingested Buckyballs between February 2017 and October 2019. A retrospective analysis was performed to summarize the experiences of conservative treatment, gastroscopy and surgery when dealing with Buckyballs ingestion.A total of 49 patients with buckyballs ingestion were identified, of whom 11 underwent conservative treatments, 6 underwent gastroscopy, and 32 underwent surgery. Among such individuals, eight patients (72.7%) had a successful conservative treatment (number of Buckyballs [NB]: 3.5[IQR: 2.0-4.0]); four patients (66.7%) had Buckyballs successfully removed by gastroscopy (NB: 3.5[IQR: 3.0-5.5]); 16 asymptomatic (50%) patients (NB: 4.0[IQR: 3.0-8.0]) and 16 symptomatic (50%) patients (NB: 8.5 [IQR: 6.25-11.75]) received emergency surgery. Compared to patients who received conservative treatment, the number of ingested Buckyballs was significantly higher in patients who received surgery or gastroscopy (7.0 [IQR: 3.0-10.75] vs 3.5 [IQR: 2.0-4.0], P < .05). The risk of intestinal perforation was significantly higher in symptomatic patients (P < .05) compared to asymptomatic patients.Gastroscopy is recommended when Buckyballs are in the stomach or esophagus. In asymptomatic patients, conservative treatment can be considered for 4 to 6 days. Patients failing conservative treatment, or those who are symptomatic should undergo emergency surgery.
磁性异物吞食是急诊科就诊的一个特殊原因。在这里，我们旨在分析吞食磁珠（Buckyballs）的儿童的特征和治疗方法。数据收集自 2017 年 2 月至 2019 年 10 月期间吞食 Buckyballs 的儿童。对这些病例进行回顾性分析，总结处理 Buckyballs 吞食时采用的保守治疗、胃镜和手术经验。
共有 49 例 Buckyballs 吞食患儿，其中 11 例接受保守治疗，6 例行胃镜检查，32 例行手术。在这些患者中，8 例（72.7%）成功进行了保守治疗（Buckyballs 数量[NB]：3.5[IQR：2.0-4.0]）；4 例（66.7%）通过胃镜成功取出 Buckyballs（NB：3.5[IQR：3.0-5.5]）；16 例无症状（50%）患者（NB：4.0[IQR：3.0-8.0]）和 16 例有症状（50%）患者（NB：8.5 [IQR：6.25-11.75]）接受了紧急手术。与接受保守治疗的患者相比，接受手术或胃镜检查的患者所吞食的 Buckyballs 数量明显更多（7.0 [IQR：3.0-10.75] 与 3.5 [IQR：2.0-4.0]，P<.05）。与无症状患者相比，有症状患者肠穿孔的风险显著更高（P<.05）。
当 Buckyballs 位于胃或食管中时，建议进行胃镜检查。对于无症状患者，可以考虑进行 4 至 6 天的保守治疗。对于保守治疗失败或有症状的患者，应进行紧急手术。
