Pediatric Gastroenterology and Epatology Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Department of Translational Medical Science, Section of Pediatrics, University "Federico II", Naples, Italy.
Dig Liver Dis. 2024 Jun;56(6):1002-1006. doi: 10.1016/j.dld.2023.11.009. Epub 2023 Nov 19.
To assess the clinical complications reported after the ingestion of magnetic foreign bodies (FBs) in pediatric age, along with their incidence among all FB ingestions and clinical presentation.
We've consecutively recruited all children aged 0-14 years who were admitted for single or multiple magnet ingestion from May 2015 to December 2022. Patient demographics, admission sources and discharge status were accurately recorded, along with their clinical management and outcomes.
Sixty-one children were enrolled, of whom 49/61 (80.3%) had ingested a single magnet and 12/61 (19.7%) multiple magnets. Only 1/49 children with single magnet required endoscopic removal due to esophageal retention. Among children having ingested multiple magnets, 5/12 (41.7%) undergo endoscopic removal since magnets were amenable to endoscopic retrieval whereas in 7/12 (58.3%) magnets could not be promptly removed. Among these, 4/12 (33.3%) later developed intestinal ischemia/necrosis or perforation and required FB surgical intervention whereas 3/12 (25%) uneventfully evacuated magnets.
Our data confirm that multiple magnet ingestion, unlike single magnet ingestion, pose a serious health hazard. Parents and caregivers should remove them from the reach of children. Medical providers should maintain a high index of suspicion of their ingestion since prompt evaluation and likely removal may be lifesaving and intestine saving.
评估儿科磁性异物（FB）摄入后的临床并发症及其在所有 FB 摄入中的发生率和临床表现。
我们连续招募了 2015 年 5 月至 2022 年 12 月期间因单一或多种磁铁摄入而住院的 0-14 岁儿童。准确记录了患者的人口统计学、入院来源和出院情况，以及他们的临床管理和结果。
共纳入 61 例儿童，其中 49/61（80.3%）摄入了单个磁铁，12/61（19.7%）摄入了多个磁铁。仅 1/49 例摄入单个磁铁的儿童因食管滞留而需要内镜下取出。在摄入多个磁铁的儿童中，5/12（41.7%）因磁铁可通过内镜取出而接受内镜下取出，而在 7/12（58.3%）中，磁铁无法及时取出。在这些儿童中，4/12（33.3%）后来发展为肠缺血/坏死或穿孔，需要进行 FB 手术干预，而 3/12（25%）则无并发症地排出了磁铁。
我们的数据证实，与单个磁铁摄入不同，多个磁铁摄入会带来严重的健康危害。家长和照顾者应将其从儿童触手可及的地方拿走。医疗提供者应保持对其摄入的高度怀疑，因为及时评估和可能的取出可能是救命和保肠的。
