Management of Ingested Magnets in Children

被引:130
作者
Hussain, Sunny Z. [1 ]
Bousvaros, Athos [2 ]
Gilger, Mark [3 ]
Mamula, Petar [4 ]
Gupta, Sandeep [5 ]
Kramer, Robert [6 ]
Noel, R. Adam [7 ]
机构
[1] WK Pediat Gastroenterol & Res, Shreveport, LA USA
[2] Childrens Hosp, Boston, MA 02115 USA
[3] Texas Childrens Hosp, Houston, TX 77030 USA
[4] Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA
[5] Indiana Univ, James Whitcomb Riley Hosp Children, Indianapolis, IN USA
[6] Childrens Hosp, Aurora, CO USA
[7] Louisiana State Univ, Hlth Sci Ctr, Childrens Hosp, New Orleans, LA 70118 USA
关键词
bowel perforation; children; neodymium; rare-earth magnets; COMPLICATIONS; ALGORITHM;
D O I
10.1097/MPG.0b013e3182687be0
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We describe a comprehensive algorithm for the management of ingested rare-earth magnets in children. These newer and smaller neodymium magnets sold as adult toys are much stronger than the traditional magnets, and can attract each other with formidable forces. If >1 magnet is swallowed at the same time, or a magnet is co-ingested with another metallic object, the loops of intestine can be squeezed between them resulting in bowel damage including perforations. An algorithm that uses the number of magnets ingested, location of magnets, and the timing of ingestion before intervention helps to delineate the roles of the pediatric gastroenterologists and surgeons in the management of these cases.
引用
收藏
页码:239 / 242
页数:4
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