Clinical predictors of surgical intervention for gastrointestinal magnetic foreign bodies in children
Abstract Background/aims To investigate the clinical situation, treatment methods, and clinical predictors of surgical intervention in children with magnetic foreign bodies in the digestive tract. Materials and methods From January 2019 to June 2022, we retrospectively analyzed the clinical data of...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Pediatrics |
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| Online Access: | https://doi.org/10.1186/s12887-023-04125-8 |
| _version_ | 1797795488611696640 |
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| author | Rui Yun Zhang Peng Cai Ting Ting Zhang Jie Zhu Jian Lei Chen Hao Wei Zhao Yu Liang Jiang Qi Wang Meng Lei Zhu Xiao Gang Zhou Xian Lan Xiang Fei Long Hu Zhi Cheng Gu Zhen Wei Zhu |
| author_facet | Rui Yun Zhang Peng Cai Ting Ting Zhang Jie Zhu Jian Lei Chen Hao Wei Zhao Yu Liang Jiang Qi Wang Meng Lei Zhu Xiao Gang Zhou Xian Lan Xiang Fei Long Hu Zhi Cheng Gu Zhen Wei Zhu |
| author_sort | Rui Yun Zhang |
| collection | DOAJ |
| description | Abstract Background/aims To investigate the clinical situation, treatment methods, and clinical predictors of surgical intervention in children with magnetic foreign bodies in the digestive tract. Materials and methods From January 2019 to June 2022, we retrospectively analyzed the clinical data of 72 children who ingested magnetic foreign bodies inadvertently in our hospital, including their general information, admissions, clinical manifestations, and treatment methods, as well as pertinent literature and statistical data. Following software processing, univariate and multivariate logistic regression analyses were conducted to determine the independent risk factors of this study. Results In this study, 16 patients (22.2%) were discharged smoothly following conservative treatment and 19 patients (26.4%) were cured by gastroscopy. The remaining 37 patients (51.4%) were underwent surgery, in which 26 cases developed gastrointestinal perforation. There were statistical differences between surgery group and non- surgery group in the days of eating by mistake, clinical manifestations (nausea and vomiting, intermittent abdominal pain, abdominal muscle tension) and movement trajectory by every 24-h radiograph (P < 0.01). Logistic regression analysis showed that intermittent abdominal pain and abdominal muscle tension were independent risk factors for surgical treatment. Conclusion Magnetic foreign bodies seriously endanger children’s health. This study offers a single-center basis for the choice of surgical opportunity for intestinal obstruction or perforation caused by magnetic foreign bodies. Clinicians need immediate surgical intervention if the child shows symptoms of abdominal pain or abdominal tension. |
| first_indexed | 2024-03-13T03:18:43Z |
| format | Article |
| id | doaj.art-015f961f25ee4162b67dd161c5b82f76 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-03-13T03:18:43Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-015f961f25ee4162b67dd161c5b82f762023-06-25T11:27:49ZengBMCBMC Pediatrics1471-24312023-06-0123111010.1186/s12887-023-04125-8Clinical predictors of surgical intervention for gastrointestinal magnetic foreign bodies in childrenRui Yun Zhang0Peng Cai1Ting Ting Zhang2Jie Zhu3Jian Lei Chen4Hao Wei Zhao5Yu Liang Jiang6Qi Wang7Meng Lei Zhu8Xiao Gang Zhou9Xian Lan Xiang10Fei Long Hu11Zhi Cheng Gu12Zhen Wei Zhu13Department of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityDepartment of Pediatric Surgery, Children’s Hospital of Soochow UniversityAbstract Background/aims To investigate the clinical situation, treatment methods, and clinical predictors of surgical intervention in children with magnetic foreign bodies in the digestive tract. Materials and methods From January 2019 to June 2022, we retrospectively analyzed the clinical data of 72 children who ingested magnetic foreign bodies inadvertently in our hospital, including their general information, admissions, clinical manifestations, and treatment methods, as well as pertinent literature and statistical data. Following software processing, univariate and multivariate logistic regression analyses were conducted to determine the independent risk factors of this study. Results In this study, 16 patients (22.2%) were discharged smoothly following conservative treatment and 19 patients (26.4%) were cured by gastroscopy. The remaining 37 patients (51.4%) were underwent surgery, in which 26 cases developed gastrointestinal perforation. There were statistical differences between surgery group and non- surgery group in the days of eating by mistake, clinical manifestations (nausea and vomiting, intermittent abdominal pain, abdominal muscle tension) and movement trajectory by every 24-h radiograph (P < 0.01). Logistic regression analysis showed that intermittent abdominal pain and abdominal muscle tension were independent risk factors for surgical treatment. Conclusion Magnetic foreign bodies seriously endanger children’s health. This study offers a single-center basis for the choice of surgical opportunity for intestinal obstruction or perforation caused by magnetic foreign bodies. Clinicians need immediate surgical intervention if the child shows symptoms of abdominal pain or abdominal tension.https://doi.org/10.1186/s12887-023-04125-8Magnetic foreign bodyTiming of surgeryComplications |
| spellingShingle | Rui Yun Zhang Peng Cai Ting Ting Zhang Jie Zhu Jian Lei Chen Hao Wei Zhao Yu Liang Jiang Qi Wang Meng Lei Zhu Xiao Gang Zhou Xian Lan Xiang Fei Long Hu Zhi Cheng Gu Zhen Wei Zhu Clinical predictors of surgical intervention for gastrointestinal magnetic foreign bodies in children BMC Pediatrics Magnetic foreign body Timing of surgery Complications |
| title | Clinical predictors of surgical intervention for gastrointestinal magnetic foreign bodies in children |
| title_full | Clinical predictors of surgical intervention for gastrointestinal magnetic foreign bodies in children |
| title_fullStr | Clinical predictors of surgical intervention for gastrointestinal magnetic foreign bodies in children |
| title_full_unstemmed | Clinical predictors of surgical intervention for gastrointestinal magnetic foreign bodies in children |
| title_short | Clinical predictors of surgical intervention for gastrointestinal magnetic foreign bodies in children |
| title_sort | clinical predictors of surgical intervention for gastrointestinal magnetic foreign bodies in children |
| topic | Magnetic foreign body Timing of surgery Complications |
| url | https://doi.org/10.1186/s12887-023-04125-8 |
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