Magnet foreign body ingestion: rare occurrence but big consequences.
PURPOSE: To review the outcomes of magnet ingestions from two children's hospitals and develop a clinical management pathway.
METHODS: Children/2011 to 6/2016 from two tertiary center children's hospitals. Demographics, symptoms, management and outcomes were analyzed.
RESULTS: From 2011 to 2016, there were 89 magnet ingestions (50 from hospital 1 and 39 from hospital 2); 50 (56%) were males. Median age was 7.9 (4.0-12.0) years; 60 (67%) presented with multiple magnets or a magnet and a second metallic co-ingestion. Suspected locations found on imaging were: stomach (53%), small bowel (38%), colon (23%) and esophagus (3%). Only 35 patients (39%) presented with symptoms and the most common symptom was abdominal pain (33%). 42 (47%) patients underwent an intervention, in which 20 (23%) had an abdominal operation. For those undergoing abdominal surgery, an exact logistic regression model identified multiple magnets or a magnet and a second metallic object co-ingestion (OR 12.9; 95% CI, 2.4 - Infinity) and abdominal pain (OR 13.0; 95% CI, 3.2-67.8) as independent risk factors.
CONCLUSION: Magnets have a high risk of requiring surgical intervention for removal. Therefore, we developed a management algorithm for magnet ingestion.
LEVEL OF EVIDENCE: Level III.
Journal of pediatric surgery
Child; Child, Preschool; Eating; Endoscopy, Gastrointestinal; Female; Foreign Bodies; Gastrointestinal Diseases; Hospitals, Pediatric; Humans; Magnets; Male; Peritonitis; Retrospective Studies
Swallowed Objects; Surgical Algorithm
Sola, R., Rosenfeld, E. H., Yu, Y., St Peter, S. D., Shah, S. R., Yu, Y. R. Magnet foreign body ingestion: rare occurrence but big consequences. Journal of pediatric surgery 53, 1815-1819 (2018).