Paediatric Surgery Department, Bristol Royal Hospital for Children, Upper Maudlin St, Bristol, BS28BJ, UK.
Paediatric Surgery Department, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, Egypt.
Pediatr Surg Int. 2021 Jul;37(7):937-944. doi: 10.1007/s00383-021-04889-z. Epub 2021 Apr 11.
Swallowing multiple magnets or a magnet and second metallic object can carry risks of intestinal obstruction, fistula and perforation because they can attach to each other with loop of bowel in between. An updated management plan and reviewing our experience are warranted because of increased incidence of magnets ingestion among children.
All the patients who had a history of single, multiple magnet or single magnet and second metallic object ingestion in Bristol Royal Hospital for children during the period from January 2014 till November 2020 were included in our study.
A total of 46 patients were referred to our hospital with a history of magnet ingestion. The number of magnets ingested ranged between one and twenty one magnets. All patients had abdominal x-ray undertaken either Antero-posterior alone (AP) (n = 32) or both AP and lateral (n = 14). Surgical intervention was performed in 18 patients; Oesophago-gastro-duodenoscopy (n = 8), laparotomy/laparoscpy (n = 10) to retrieve the magnets or deal with the complications.
Magnets ingestion in children can be tricky when it comes to management. Complications can happen quite often and carry severe risks on children. An updated structured algorithm is proposed to manage children with magnet ingestion.
吞咽多个磁铁或磁铁和第二金属物体可能会因肠内的肠环而导致肠梗阻、瘘管和穿孔等风险。由于儿童磁铁摄入的发生率增加，因此需要更新管理计划并回顾我们的经验。
我们的研究纳入了 2014 年 1 月至 2020 年 11 月期间在布里斯托尔皇家儿童医院因单次、多次磁铁或单次磁铁和第二金属物体摄入而就诊的所有患者。
共有 46 例有磁铁摄入史的患者被转至我院。摄入的磁铁数量在 1 到 21 块之间。所有患者均行腹部 X 线检查，包括前后位（AP）（n=32）或前后位和侧位（n=14）。18 例患者进行了手术干预；行食管胃十二指肠镜检查（n=8）、剖腹手术/腹腔镜手术（n=10）以取出磁铁或处理并发症。
儿童磁铁摄入的管理颇具难度。并发症很常见，对儿童有严重风险。我们提出了一种更新的结构化算法来管理磁铁摄入的儿童。
