Ignatiev V V, Muraviev A V, Garapov T A, Tishukov M Yu
Sevastopol City Hospital No. 5 - Center for Maternal and Child Health, Sevastopol, Russia.
Pirogov Sevastopol City Hospital No. 1, Sevastopol, Russia.
Khirurgiia (Mosk). 2024(3):29-37. doi: 10.17116/hirurgia202403129.
To analyze the pediatric patients with multiple magnetic foreign bodies of the gastrointestinal tract undergoing surgical intervention; to present the treatment and diagnostic algorithm in pediatric practice; to compare surgical interventions for these lesions and determine the most optimal one.
A retrospective single-center study included 9 patients diagnosed with multiple magnetic foreign bodies of the gastrointestinal tract. Exclusion criteria: outpatient cases and endoscopic removal of magnetic foreign bodies. All patients underwent laparoscopy and/or laparotomy. We analyzed postoperative data and determined the preferable approach.
All patients were discharged without complications. Length of hospital-stay was shorter after laparoscopy (7 vs. 12 days). Patients after laparoscopy didn't need for intensive care while laparotomy required ICU stay for 4.5±2.2 days. Enteral feeding started after 1 and 3 days, respectively.
Laparoscopy is preferable for multiple magnetic foreign bodies of the gastrointestinal tract due to shorter hospital-stay, no need for ICU-stay, lower surgical trauma and earlier enteral feeding.
分析接受手术干预的胃肠道多发磁性异物的儿科患者；介绍儿科实践中的治疗和诊断算法；比较针对这些病变的手术干预措施并确定最优化的措施。
一项回顾性单中心研究纳入了9例被诊断为胃肠道多发磁性异物的患者。排除标准：门诊病例以及通过内镜取出磁性异物的病例。所有患者均接受了腹腔镜检查和/或剖腹手术。我们分析了术后数据并确定了更可取的方法。
所有患者均无并发症出院。腹腔镜检查后住院时间较短（7天对12天）。腹腔镜检查后的患者无需重症监护，而剖腹手术的患者需要在重症监护病房停留4.5±2.2天。分别在术后1天和3天开始肠内喂养。
对于胃肠道多发磁性异物，腹腔镜检查是更可取的，因为其住院时间较短、无需入住重症监护病房、手术创伤较小且肠内喂养开始较早。
