Di Mitri Marco, Parente Giovanni, Bisanti Cristian, Thomas Eduje, Cravano Sara Maria, Cordola Chiara, Vastano Marzia, Collautti Edoardo, Di Carmine Annalisa, Maffi Michela, D'Antonio Simone, Libri Michele, Gargano Tommaso, Lima Mario
Pediatric Surgery Department, IRCCS Sant'Orsola-Malpighi Polyclinic, Alma Mater Studiorum-University of Bologna, 40138 Bologna, Italy.
Diagnostics (Basel). 2023 Oct 23;13(20):3285. doi: 10.3390/diagnostics13203285.
Foreign body ingestion (FBI) represents the most common cause of emergent gastrointestinal endoscopy in children. FBI's management can be quite challenging for physicians because of the variability of the clinical presentation, and the decision tree becomes even more intricate because of patient-specific variables that must be considered in the pediatric age range (e.g., age of patients and neuropsychiatric disorders) in addition to the mere characteristics of the foreign body. We present an application for smartphones designed for pediatricians and pediatric surgeons based on the latest guidelines from the official pediatric societies. The app aims to help physicians manage FBI quickly and properly in children.
The latest pediatric FBI management guidelines were reviewed and summarized. The flow chart we obtained guided the development of a smartphone application. A questionnaire was administered to all pediatric surgeon trainees at our institute to test the feasibility and helpfulness of the application.
An app for smartphones was obtained and shared for free on the Google Play Store and Apple Store. The app guides the physician step by step in the diagnostic process, analyzing all patient- and foreign body-specific characteristics. The app consultation ends with a suggestion of the most proper decision to make in terms of further radiological investigations and the indication and timing of endoscopy. A questionnaire administered to trainees proved the app to be useful and easy to use.
We developed an app able to help pediatricians and pediatric surgeons manage FBI in children, providing standardized and updated recommendations in a smart and easily available way.
异物摄入（FBI）是儿童紧急胃肠内镜检查最常见的原因。由于临床表现的变异性，FBI的管理对医生来说颇具挑战性，而且由于除了异物本身的特征外，在儿童年龄范围内还必须考虑患者特定的变量（如患者年龄和神经精神疾病），决策树变得更加复杂。我们基于官方儿科学会的最新指南，为儿科医生和小儿外科医生开发了一款智能手机应用程序。该应用旨在帮助医生快速、正确地处理儿童的FBI。
回顾并总结了最新的儿童FBI管理指南。我们获得的流程图指导了智能手机应用程序的开发。向我院所有小儿外科实习医生发放问卷，以测试该应用程序的可行性和实用性。
获得了一款智能手机应用程序，并在谷歌应用商店和苹果应用商店免费分享。该应用程序在诊断过程中逐步指导医生，分析所有患者和异物的特定特征。应用程序咨询以关于进一步影像学检查以及内镜检查的指征和时机方面最恰当决策的建议结束。对实习医生进行的问卷调查证明该应用程序有用且易于使用。
我们开发了一款应用程序，能够帮助儿科医生和小儿外科医生处理儿童的FBI，以智能且易于获取的方式提供标准化和最新的建议。
