Imaging characteristics of gastrointestinal foreign bodies in children and analysis of risk factors associated with the severity of complications - Summary - MDSpire

Imaging characteristics of gastrointestinal foreign bodies in children and analysis of risk factors associated with the severity of complications

  • By

  • Hongzhi Du

  • Liling Shi

  • June 15, 2026

  • 0 min

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Objective:

To analyze the clinical characteristics, imaging findings, and risk factors for complications of gastrointestinal foreign bodies in children, and to provide evidence for clinical diagnosis and treatment.

Approach:
    Key Findings:
    • 57.7% of patients were male, with a median age of 3 years.
    • Magnetic beads were the most common foreign body (54.9%), followed by coins (12.7%) and water-absorbing beads (8.5%).
    • The small intestine was the main impaction site (41.5%).
    • Complications occurred in 70.4% of patients, with perforation in 45.1% and obstruction in 36.6%.
    • Independent risk factors for complications included sharp/corrosive foreign bodies, retention time >24 h, upper gastrointestinal location, and symptomatic presentation.
    • Ultrasound effectively detected radiolucent foreign bodies, while plain radiography did not.
    Interpretation:

    Magnetic beads are identified as high-risk gastrointestinal foreign bodies in children, with specific risk factors indicating the need for early intervention.

    Limitations:
    • Single-center study may limit generalizability.
    • Retrospective design may introduce selection bias.
    Conclusion:

    Magnetic beads are the most common and high-risk gastrointestinal foreign bodies in children. Ultrasound is valuable for detecting radiolucent objects. Early intervention is warranted for specific risk factors.

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