[儿科临床中的胃肠道磁性异物]

[Magnetic foreign bodies of the gastrointestinal tract in pediatric practice].

作者信息

Ignatiev V V, Muraviev A V, Garapov T A, Tishukov M Yu

机构信息

Sevastopol City Hospital No. 5 - Center for Maternal and Child Health, Sevastopol, Russia.

Pirogov Sevastopol City Hospital No. 1, Sevastopol, Russia.

出版信息

Khirurgiia (Mosk). 2024(3):29-37. doi: 10.17116/hirurgia202403129.

DOI:10.17116/hirurgia202403129

PMID:38477241

Abstract

OBJECTIVE

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.

MATERIAL AND METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要