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VOLUME 4 , ISSUE 3 ( July-September, 2022 ) > List of Articles
Srikanth P Kadyada, Chittur N Radhakrishnan
Keywords : Children, Complications, Endoscopy, Ingestion, Magnets
Citation Information : Kadyada SP, Radhakrishnan CN. Outcome of Ingested Multiple Magnets in Children and Clinical Dilemmas in Managing Them. Ann Pediatr Gastroenterol Hepatol 2022; 4 (3):36-38.
License: CC BY-NC 4.0
Published Online: 27-09-2022
Copyright Statement: Copyright © 2022; The Author(s).
Foreign body (FB) ingestions are one of the most common pediatric gastroenterology emergencies. Among them, management of multiple magnets can be challenging due to various factors influencing clinical decision-making. These include presence of symptoms, their relation to one another, location/removability through endoscopy, and their position in serial X-rays. Here we report outcomes in three children where one child had three magnets in post-pyloric location, but appeared to be within the reach and was asymptomatic after a brief symptomatic phase. On successive X-rays, FB was in the same location and therefore required surgical removal due to development of fistula. The second child with magnets in post-pyloric was managed conservatively as the child was asymptomatic and they were moving in sequential X-rays. The third child required endoscopic removal due to the presence of symptoms, with all magnets lying together in pre-pyloric location. These cases feature the management of multiple magnets ingestion in varied clinical scenarios.
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