Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery
Children with intellectual disability/neurodevelopmental delay (ID-ND) commonly ingest foreign bodies (FB) and often present complications due to peculiar aspects of their condition. The aim of this paper is to report the experience of two centers in the management of ID-ND patients after FB ingesti...
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-10-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/8/11/956 |
| _version_ | 1797510762197942272 |
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| author | Francesca Destro Anna Maria Caruso Cecilia Mantegazza Luciano Maestri Milena Meroni Federica Pederiva Mario Milazzo Carlo Acierno Gianvincenzo Zuccotti Valeria Calcaterra Gloria Pelizzo |
| author_facet | Francesca Destro Anna Maria Caruso Cecilia Mantegazza Luciano Maestri Milena Meroni Federica Pederiva Mario Milazzo Carlo Acierno Gianvincenzo Zuccotti Valeria Calcaterra Gloria Pelizzo |
| author_sort | Francesca Destro |
| collection | DOAJ |
| description | Children with intellectual disability/neurodevelopmental delay (ID-ND) commonly ingest foreign bodies (FB) and often present complications due to peculiar aspects of their condition. The aim of this paper is to report the experience of two centers in the management of ID-ND patients after FB ingestion and to discuss a possible algorithm for clinical practice. We retrospectively evaluated data of patients managed for FB ingestion (period: 2017–2021), focusing on those with ID-ND, specifically demographics and baseline diagnosis, elements related to the event, symptoms, time to endoscopy, FB location, endoscopic details, and follow-up. A total of 457 patients were managed in the study period and 19 had ID-ND (mean age 9.8 ± 3.5 years, 15 males). A total of 16/19 (84.2%) were symptomatic and required an operative approach. Recurrent ingestions and multiple FB were found in 2 and 11 patients, respectively. Endoscopy (mean time 65.6 ± 41 min) was effective in 14 cases (73.6%) and 6 patients (31.6%) developed a complication. FB ingestion in ID-ND patients represents a challenging condition for the clinician and a potentially dangerous situation. It should be addressed specifically by a multidisciplinary team considering a tailored diagnostic and management protocol. |
| first_indexed | 2024-03-10T05:36:51Z |
| format | Article |
| id | doaj.art-ed7ca98253074543a5d9121f89936118 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T05:36:51Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-ed7ca98253074543a5d9121f899361182023-11-22T22:54:25ZengMDPI AGChildren2227-90672021-10-0181195610.3390/children8110956Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric SurgeryFrancesca Destro0Anna Maria Caruso1Cecilia Mantegazza2Luciano Maestri3Milena Meroni4Federica Pederiva5Mario Milazzo6Carlo Acierno7Gianvincenzo Zuccotti8Valeria Calcaterra9Gloria Pelizzo10Pediatric Surgery Department, Children’s Hospital “Vittore Buzzi”, 20154 Milan, ItalyPediatric Surgery Unit, G. Di Cristina Children’s Hospital, 90121 Palermo, ItalyPediatric Department, Children’s Hospital “Vittore Buzzi”, 20154 Milan, ItalyPediatric Surgery Department, Children’s Hospital “Vittore Buzzi”, 20154 Milan, ItalyPediatric Surgery Department, Children’s Hospital “Vittore Buzzi”, 20154 Milan, ItalyPediatric Surgery Department, Children’s Hospital “Vittore Buzzi”, 20154 Milan, ItalyPediatric Surgery Unit, G. Di Cristina Children’s Hospital, 90121 Palermo, ItalyPediatric Surgery Unit, G. Di Cristina Children’s Hospital, 90121 Palermo, ItalyPediatric Department, Children’s Hospital “Vittore Buzzi”, 20154 Milan, ItalyPediatric Department, Children’s Hospital “Vittore Buzzi”, 20154 Milan, ItalyPediatric Surgery Department, Children’s Hospital “Vittore Buzzi”, 20154 Milan, ItalyChildren with intellectual disability/neurodevelopmental delay (ID-ND) commonly ingest foreign bodies (FB) and often present complications due to peculiar aspects of their condition. The aim of this paper is to report the experience of two centers in the management of ID-ND patients after FB ingestion and to discuss a possible algorithm for clinical practice. We retrospectively evaluated data of patients managed for FB ingestion (period: 2017–2021), focusing on those with ID-ND, specifically demographics and baseline diagnosis, elements related to the event, symptoms, time to endoscopy, FB location, endoscopic details, and follow-up. A total of 457 patients were managed in the study period and 19 had ID-ND (mean age 9.8 ± 3.5 years, 15 males). A total of 16/19 (84.2%) were symptomatic and required an operative approach. Recurrent ingestions and multiple FB were found in 2 and 11 patients, respectively. Endoscopy (mean time 65.6 ± 41 min) was effective in 14 cases (73.6%) and 6 patients (31.6%) developed a complication. FB ingestion in ID-ND patients represents a challenging condition for the clinician and a potentially dangerous situation. It should be addressed specifically by a multidisciplinary team considering a tailored diagnostic and management protocol.https://www.mdpi.com/2227-9067/8/11/956foreign body ingestionchildrendisabilityneurological impairmentpediatric surgery |
| spellingShingle | Francesca Destro Anna Maria Caruso Cecilia Mantegazza Luciano Maestri Milena Meroni Federica Pederiva Mario Milazzo Carlo Acierno Gianvincenzo Zuccotti Valeria Calcaterra Gloria Pelizzo Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery Children foreign body ingestion children disability neurological impairment pediatric surgery |
| title | Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery |
| title_full | Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery |
| title_fullStr | Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery |
| title_full_unstemmed | Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery |
| title_short | Foreign Body Ingestion in Neurologically Impaired Children: A Challenging Diagnosis and Management in Pediatric Surgery |
| title_sort | foreign body ingestion in neurologically impaired children a challenging diagnosis and management in pediatric surgery |
| topic | foreign body ingestion children disability neurological impairment pediatric surgery |
| url | https://www.mdpi.com/2227-9067/8/11/956 |
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