Tian QF, Zhao AX, Du N, Wang ZJ, Ma LL, Men FL. General anesthesia with endotracheal intubation ensures the quick removal of magnetic foreign bodies: A case report. World J Gastrointest Endosc 2023; 15(11): 676-680 [PMID: 38073761 DOI: 10.4253/wjge.v15.i11.676]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Nov 16, 2023; 15(11): 676-680 Published online Nov 16, 2023. doi: 10.4253/wjge.v15.i11.676
General anesthesia with endotracheal intubation ensures the quick removal of magnetic foreign bodies: A case report
Qi-Fei Tian, Ai-Xiang Zhao, Ni Du, Zeng-Juan Wang, Ling-Ling Ma, Fang-Li Men
Qi-Fei Tian, Ni Du, Ling-Ling Ma, Fang-Li Men, Department of Gastroenterology, Dongying People's Hospital, Dongying 257091, Shandong Province, China
Ai-Xiang Zhao, Zeng-Juan Wang, Department of Anesthesiology, Dongying People's Hospital, Dongying 257091, Shandong Province, China
Author contributions: Tian QF and Zhao AX contributed to manuscript writing and editing, and data collection; Du N, Wang ZJ and Ma LL contributed to data analysis; Men FL contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Received: August 2, 2023 Peer-review started: August 2, 2023 First decision: September 13, 2023 Revised: September 24, 2023 Accepted: October 9, 2023 Article in press: October 9, 2023 Published online: November 16, 2023 Processing time: 99 Days and 14.8 Hours
Abstract
BACKGROUND
The incidence of ingestion of magnetic foreign bodies in the gastrointestinal tract has been increasing year by year. Due to their strong magnetic attraction, if multiple gastrointestinal foreign bodies enter the small intestine, it can lead to serious complications such as intestinal perforation, necrosis, torsion, and bleeding. Severe cases require surgical intervention.
CASE SUMMARY
We report a 6-year-old child who accidentally swallowed multiple magnetic balls. Under timely and safe anesthesia, the magnetic balls were quickly removed through gastroscopy before entering the small intestine.
CONCLUSION
General anesthesia with endotracheal intubation can ensure full anesthesia under the condition of fasting for less than 6 h. In order to prevent magnetic foreign bodies from entering the small intestine, timely and effective measures must be taken to remove the foreign bodies.
Core Tip: We report the successful and timely removal of multiple magnetic balls in a 6-year-old child using endoscopic retrieval under general anesthesia with endotracheal intubation. The procedure was efficient, safe, and free of complications. Prompt intervention and a multidisciplinary approach involving anesthesiologists and endoscopists are crucial in managing pediatric patients with ingestion of gastrointestinal foreign bodies. This report highlights the importance of timely intervention to prevent potential complications associated with magnetic foreign bodies.
