Chen Wei,Wang Xiaoman,Liu Tingting,et al.Clinical experience of ingested intraabdominal foreign bodies in children requiring surgical intervention[J].Journal of Clinical Pediatric Surgery,,20():778-784.[doi:10.12260/lcxewkzz.2021.08.014]
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Clinical experience of ingested intraabdominal foreign bodies in children requiring surgical intervention

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第20卷 Number: 2021 08 Page: 778-784 Column: 论著 Date of publication: 2021-08-10
Author(s):
Chen Wei1;  Wang Xiaoman2;  Liu Tingting3;  Wang Dayong1;  Zhang Tingchong1;  Chen Yajun1
1. Department of General Surgery, Beijing Children’s Hospital, Capital Medical University, Children’s National Medical Center, Beijing 100045, China;
2. Department of Ultrasound, Beijing Children’s Hospital, Capital Medical University, Children’s Natio
Keywords:
Gastrointestinal Tract; Surgical Procedures;  Operative; Foreign Bodies/SU; Foreign Bodies/DG; Treatment Outcome; Child
CLC:
R726.56;R726.1
DOI:
10.12260/lcxewkzz.2021.08.014
Abstract:
Objective To summarize our clinical experiences of managing children with abdominal digestive tract foreign bodies (FB) requiring surgical intervention. Methods A retrospective study was performed for 21 children with FBs in digestive tract undergoing surgery between May 2007 and August 2017. There were 17 boys and 4 girls (M:F=4.25:1) with a mean age of (3.15±2.89) years (10 months to 11.3 years). The clinical data were analyzed and the clinical experiences of diagnosis and treatment summarized. Results The major clinical manifestation included crying & abdominal pain (n=11, 68.8%) and vomiting (n=10, 62.5%). All children underwent abdominal radiography and abdominal ultrasonography pre-operation. Thirteen cases of positive foreign body on radiography included sharp metal foreign body (n=3), coin (n=1), button battery (n=1), single magnetic foreign body (n=1) and multiple magnetic metal foreign bodies (n=6). Eight cases of radiography negative digestive tract foreign bodies included 5 cases of superabsorbent objects, 2 cases of jujube nucleus, and 1 case of lollipop stick. The ultrasonic diagnostic rate of abdominal foreign body was 100% while only 61.9% of intraabdominal foreign bodies were positive on radiograph. All children underwent laparotomy and 4/5 of them without gastrointestinal complications underwent enterotomy for removing foreign bodies. One cases had a steel needle in inguinal hernia sac. The gastrointestinal complications include gastric rupture (n=1), intestinal perforation (n=10) and intestinal obstruction (n=5). In one case of intestinal obstruction by a superabsorbent object, foreign body was crumbed during laparotomy. Other children underwent perforation repair through enterotomy or enterectomy. There were no postoperative complications. The children recovered well after a follow-up period of 3-6 months. Conclusion Foreign bodies in digestive tract of children may cause serious complications. Swallowing multiple magnetic foreign bodies and superabsorbent object lead to gastrointestinal complications. It should attract the attention of parents and pediatricians.

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Memo

收稿日期:2019-12-19。
基金项目:北京市医院管理局儿科学科协同发展中心专项经费资助（编号：XTYB201824）
作者简介:陈巍,Email:chenwei710@hotmail.com

Last Update: 1900-01-01