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Pediatric Magnet Ingestion, Diagnosis, Management, and Prevention: A European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) Position Paper.
Journal of Pediatric Gastroenterology and Nutrition ( IF 2.4 ) Pub Date : 2023-03-22 , DOI: 10.1097/mpg.0000000000003702
A A Nugud 1, 2 , Christos Tzivinikos 1, 2 , Amit Assa 3 , Osvaldo Borrelli 4 , Ilse Broekaert 5 , Javier Martin-de-Carpi 6 , Marco Deganello Saccomani 7 , Jernej Dolinsek 8 , M Homan 9 , Emmanuel Mas 10 , Erasmo Miele 11 , Mike Thomson 5 , Marc A Benninga 12 ,
Affiliation  

Magnet ingestion is a special category of foreign body ingestion associated with high levels of morbidity and mortality worldwide, particularly if it is associated with staggered ingestion of multiple magnets or with simultaneous ingestion of other metallic foreign bodies, especially button batteries. A special category of magnet ingestion is the ingestion of earth magnets, which have higher levels of magnetism and therefore, potentially, carries a worse outcome. Legislative bodies, scientific Societies and community-led initiatives have been implemented worldwide with the aim of mitigating the effects of this growing, yet avoidable potential medical emergency. A scoping literature review summarized epidemiology, diagnosis, management, and prevention, including an algorithm for the diagnosis and management of magnet ingestion is presented and compared to previously published reviews and position papers (North American Society of Pediatric Gastroenterology, Hepatology and Nutrition, National Poison Center, Royal College of Emergency Medicine). The main emphasis of the algorithm is on identification of staggered/multiple magnet ingestion, and early joint gastroenterology and surgical consultation and management.

中文翻译:

儿科磁铁摄入、诊断、管理和预防:欧洲儿科胃肠病学、肝病学和营养学会 (ESPGHAN) 立场文件。

磁铁摄入是异物摄入的一种特殊类别,在全世界范围内具有较高的发病率和死亡率,特别是如果它与交错摄入多个磁铁或同时摄入其他金属异物(尤其是纽扣电池)有关。磁体摄入的一个特殊类别是摄入地球磁铁,它具有较高的磁性,因此可能会带来更糟糕的结果。立法机构、科学协会和社区主导的举措已在世界范围内实施,旨在减轻这种日益严重但可避免的潜在医疗紧急情况的影响。范围界定文献综述总结了流行病学、诊断、管理和预防,包括磁体摄入诊断和管理的算法,并与之前发表的评论和立场文件进行了比较(北美儿科胃肠病学、肝脏病学和营养学会、国家毒物学会)皇家急诊医学学院中心)。该算法的主要重点是交错/多次磁体摄入的识别,以及早期联合胃肠病学和外科会诊和管理。
更新日期:2023-03-22
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