Magnetic foreign bodies of the gastrointestinal tract in pediatric practice

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OBJECTIVE

To analyze the pediatric patients with multiple magnetic foreign bodies of the gastrointestinal tract undergoing surgical intervention; to present the treatment and diagnostic algorithm in pediatric practice; to compare surgical interventions for these lesions and determine the most optimal one.

MATERIAL AND METHODS

A retrospective single-center study included 9 patients diagnosed with multiple magnetic foreign bodies of the gastrointestinal tract. Exclusion criteria: outpatient cases and endoscopic removal of magnetic foreign bodies. All patients underwent laparoscopy and/or laparotomy. We analyzed postoperative data and determined the preferable approach.

RESULTS

All patients were discharged without complications. Length of hospital-stay was shorter after laparoscopy (7 vs. 12 days). Patients after laparoscopy didn’t need for intensive care while laparotomy required ICU stay for 4.5±2.2 days. Enteral feeding started after 1 and 3 days, respectively.

CONCLUSION

Laparoscopy is preferable for multiple magnetic foreign bodies of the gastrointestinal tract due to shorter hospital-stay, no need for ICU-stay, lower surgical trauma and earlier enteral feeding.

Keywords:

foreign bodies

magnets

laparoscopy

laparotomy

Authors:

Ignatiev V.V.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health

Muraviev A.V.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health

Garapov T.A.

Sevastopol City Hospital No. 5 — Center for Maternal and Child Health;
Pirogov Sevastopol City Hospital No. 1

Tishukov M.Yu.

Georgievsky Medical Academy

ORCID: 0000-0002-7220-960X

Received:

16.07.2023

Accepted:

07.09.2023

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