Ingested Foreign Bodies and Toxic Materials: Who Needs to be Scoped and When?

Published on Jun 1, 2021in Pediatrics in Review
· DOI :10.1542/PIR.2018-0327
Yasemin Cagil (Lucile Packard Children's Hospital), Jenna Diaz (WashU: Washington University in St. Louis)+ 1 AuthorsAlisa J. Muñiz Crim1
Estimated H-index: 1
(Boston Children's Hospital)
#1Rachel R. Anfang (Children's Hospital of Philadelphia)H-Index: 4
#2Kris R. Jatana (Nationwide Children's Hospital)H-Index: 20
Last. Ian N. Jacobs (Boston Children's Hospital)H-Index: 30
view all 6 authors...
OBJECTIVES/HYPOTHESIS: Ingestion of button batteries (BB) can rapidly lead to caustic esophageal injury in infants and children, resulting in significant morbidity and mortality. To identify novel mitigation strategies, we tested common weakly acidic household beverages, viscous liquids, and Carafate® for their ability to act as protective esophageal irrigations until endoscopic removal of the BB. STUDY DESIGN: Cadaveric and live animal model. METHODS: Apple juice, orange juice, Gatorade®, POWER...
27 CitationsSource
#1Hilde Krom (Boston Children's Hospital)H-Index: 5
#2Margot Visser (LUMC: Leiden University Medical Center)H-Index: 1
Last. Angelika Kindermann (UvA: University of Amsterdam)H-Index: 19
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Serious and fatal complications after button battery ingestion are increasing worldwide. The aim of this study is to describe serious complications after battery ingestion in children in the Netherlands. All pediatric gastroenterologists in the Netherlands performing upper endoscopies were asked to report all serious complications after battery ingestion in children (0–18 years) between 2008 and 2016 retrospectively. Sixteen serious complications were reported: death after massive bleeding throu...
42 CitationsSource
#1Ji Hyuk Lee (CBNU: Chungbuk National University)H-Index: 12
: Foreign body (FB) ingestion in children is common and most children are observed to be between 6 months and 3 years of age. Although most FBs in the gastrointestinal tract pass spontaneously without complications, endoscopic or surgical removal may be required in a few children. Thus, FB ingestion presents a significant clinical difficulty in pediatric gastroenterological practice. Parameters that need to be considered regarding the timing of endoscopic removal of ingested FBs in children are ...
33 CitationsSource
#1Raji Katibe (Cornell University)H-Index: 1
#2Ibtihal S Abdelgadir (Qatar Airways)H-Index: 3
Last. Anthony K Akobeng (Cornell University)H-Index: 9
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Objectives: Caustic ingestion can have a complicated clinical course. Corticosteroids are widely used but there is uncertainty about its role in preventing esophageal stricture formation following caustic ingestion. This systematic review and meta-analysis assessed the available clinical evidence regarding the efficacy and safety of corticosteroids for preventing esophageal strictures following caustic injury. Methods: We assessed randomized controlled trials (RCTs) that compared corticosteroids...
9 CitationsSource
Nonpharmaceutical household products are the most common substances involved in exploratory ingestions in young children. Fortunately, most of these products are not toxic if ingested in small volumes. However, there are several household products that have the potential to cause significant toxicity and, rarely, fatalities in young children. Key products reviewed in this article include alcohols, button batteries, corrosive cleaning products, laundry detergent pods, hydrocarbons, and magnets. [...
7 CitationsSource
1 CitationsSource
#1William J. Barbaresi (Boston Children's Hospital)H-Index: 39
* Abbreviation: ADHD — : attention-deficit/hyperactivity disorder Attention-deficit/hyperactivity disorder (ADHD) is the most common neurodevelopmental disorder, affecting millions of children, adolescents, and adults in the United States.1–3 ADHD is associated with a wide range of comorbid conditions and adverse outcomes, including learning and psychiatric disorders, substance abuse, school failure, increased healthcare costs and utilization, and, by young adulthood, significantly increased ris...
131 CitationsSource
#1Claudia A. AlgazeH-Index: 5
#2Matthew WoodH-Index: 7
Last. Andrew Y. ShinH-Index: 16
view all 6 authors...
OBJECTIVE: We hypothesized that a daily rounding checklist and a computerized order entry (CPOE) rule that limited the scheduling of complete blood cell counts and chemistry and coagulation panels to a 24-hour interval would reduce laboratory utilization and associated costs. METHODS: We performed a retrospective analysis of these initiatives in a pediatric cardiovascular ICU (CVICU) that included all patients with congenital or acquired heart disease admitted to the cardiovascular ICU from Sept...
83 CitationsSource
#1Stephen W. PatrickH-Index: 29
#2Kenneth E. WarnerH-Index: 71
Last. Matthew M. DavisH-Index: 69
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BACKGROUND AND OBJECTIVE: Maternal smoking increases the risk for preterm birth, low birth weight, and sudden infant death syndrome, which are all causes of infant mortality. Our objective was to evaluate if changes in cigarette taxes and prices over time in the United States were associated with a decrease in infant mortality. METHODS: We compiled data for all states from 1999 to 2010. Time-series models were constructed by infant race for cigarette tax and price with infant mortality as the ou...
27 CitationsSource
#1Alicia M. Waters (UAB: University of Alabama at Birmingham)H-Index: 9
#2Daniel H. Teitelbaum (UM: University of Michigan)H-Index: 68
Last. Elizabeth A. Beierle (UAB: University of Alabama at Birmingham)H-Index: 28
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Abstract Background Foreign body ingestion remains a common reason for emergency room visits and operative interventions in the pediatric population. Rare earth magnet ingestion represents a low percentage of all foreign bodies swallowed by children; however, magnets swallowed in multiplicity can result in severe injuries. Materials and methods Pediatric surgeons with membership in the Surgical Section of the American Academy of Pediatrics were surveyed to determine the magnitude and consequence...
24 CitationsSource
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