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