@article{ref1,
title="Pediatric recurrent intentional foreign body ingestion: case series and review of the literature",
journal="Journal of Pediatric Gastroenterology and Nutrition",
year="2020",
author="Low Kapalu, Christina M. and Ibrahimi, Nadia and Mentrikoski, Janelle M. and Attard, Thomas",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Although foreign body ingestion (FBI) is a common pediatric referral concern, intentional or recurrent FBI (RFBI) in youth is poorly defined. In adults, several subgroups of patients with psychiatric comorbidities account for a large portion of FBIs. A similar classification system and corresponding management recommendations are yet to be outlined in pediatrics. We report 3 patients with RFBI: a 16-year-old, African American boy with 22 admissions and 27 endoscopic procedures for FBI removal; a 4-year-old, African American boy with autism spectrum disorder admitted twice after delayed presentation of ingestion of magnets; and a 15-year-old Caucasian girl with a complex mental health history who presented twice after intentional ingestion to self-harm. We also present a literature review of pediatric RFBI. Patients with RFBI require a nuanced, multidisciplinary management approach to address acute concerns and reduce subsequent ingestion. A behavioral taxonomy and treatment considerations are presented.  Keywords: Multiple magnet ingestion<p /> <p>Language: en</p>",
language="en",
issn="0277-2116",
doi="10.1097/MPG.0000000000002757",
url="http://dx.doi.org/10.1097/MPG.0000000000002757"
}