High-Risk foreign body ingestion in children: clinical features and endoscopic outcomes
By
Ning Xue
Xuxia Wei
Junjie Xu
Liping Zhu
June 5, 2026
Clinical Scorecard: Clinical Characteristics and Endoscopic Results of High-Risk Foreign Body Ingestion in Pediatric Patients
At a Glance
Category Detail
Condition Key Mechanisms Ingestion of sharp objects, magnetic objects, or button batteries leading to potential gastrointestinal injury. Target Population Care Setting
Key Highlights
39.4% ingested sharp objects, 27.1% magnetic objects, and 33.5% button batteries. Button batteries predominantly ingested by children aged 0–3 years. Esophagogastroduodenoscopy (EGD) success rate of 96.1%; higher surgical rates in magnetic group. Pain more common with sharp and magnetic objects; vomiting and perforation rates highest in magnetic group. Urgent intervention needed for multiple magnets and delayed cases. Guideline-Based Recommendations
Diagnosis
Confirm upper GI tract retention by endoscopy or imaging. Management
Perform esophagogastroduodenoscopy (EGD) for foreign body retrieval. Monitoring & Follow-up
Post-removal follow-up is important. Risks
Risk of gastrointestinal obstruction, perforation, and serious complications. Patient & Prescribing Data
Children aged 0–14 years with high-risk foreign body ingestion.
Endoscopic retrieval is the first-line therapy.
Clinical Best Practices
Stratify patients by type of ingested foreign body for risk assessment. Provide detailed risk counseling prior to endoscopy. Related Resources & Content
