TY  - JOUR
PY  - 2020//
TI  - Ingestion of multiple magnets in children
JO  - Journal of pediatric surgery
A1  - Han, Yireh
A1  - Youn, Joong Kee
A1  - Oh, Chaeyoun
A1  - Lee, Sanghoon
A1  - Seo, Jeong-Meen
A1  - Kim, Hyun-Young
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Background The ingestion of multiple magnets is harmful in children because it can cause intestinal obstruction and/or perforation. We present an approach for the management of children visiting the emergency department with multiple magnet ingestion.     Methods: We retrospectively investigated 9 children who presented to 2 centers in Korea between January 2004 and August 2018 with a history of multiple magnet ingestion. Demographics, major symptoms, management, and outcomes were analyzed.     Results: Of the 9 children investigated, median age was 34 months with vomiting and abdominal pain as the most common initial symptoms. Six (67%) underwent surgical removal of the magnets after observing for mean 2.2 days. Reasons for surgical managements were no magnet migration on serial radiographs in 3, suspected obstruction or microperforation in 2 and failed endoscopic removal in 1. Three patients (33%) were asymptomatic and were treated with meticulous observation using serial plain radiographs for average 3.3 days. All patients discharged without adverse outcomes and complications.</p><h3>Conclusions</h3><p>Surgical removal is warranted in patients with symptoms suspicious of intestinal obstruction and/or perforation or without magnet migration. Asymptomatic children can be observed over at least 2-3 days with serial simple radiographs while awaiting magnet migration.     Level of evidence: IV.     Keywords: Multiple magnet ingestion<p />  <p>Language: en</p>
LA  - en
SN  - 0022-3468
UR  - http://dx.doi.org/10.1016/j.jpedsurg.2019.11.021
ID  - ref1
ER  -