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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 6, 2020; 8(23): 5988-5998
Published online Dec 6, 2020. doi: 10.12998/wjcc.v8.i23.5988
Published online Dec 6, 2020. doi: 10.12998/wjcc.v8.i23.5988
Surgical treatment of multiple magnet ingestion in children: A single-center study
Duo-Te Cai, Shu-Hao Zhang, Zhi-Gang Gao, Department of General Surgery, the Children’s Hospital of Zhejiang University School of Medicine, Hangzhou 310051, Zhejiang Province, China
Duo-Te Cai, Department of General Surgery, National Clinical Research Center for Child Health, Hangzhou 310051, Zhejiang Province, China
Qiang Shu, Department of Pediatric Surgery, the Children’s Hospital of Zhejiang University School of Medicine, Hangzhou 310058, Zhejiang Province, China
Qiang Shu, Department of Pediatric Surgery, National Clinical Research Center for Child Health, Hangzhou 310058, Zhejiang Province, China
Jia Liu, Department of Ear, Nose, and Throat Surgery, the Children’s Hospital of Zhejiang University School of Medicine, Hangzhou 310051, Zhejiang Province, China
Author contributions: Cai DT designed the study, participated in the acquisition, analysis, and interpretation of the data, and drafted the initial manuscript; Zhang SH and Liu J participated in data acquisition and analysis; Shu Q and Gao ZG revised the article critically for important intellectual content.
Institutional review board statement: The study was reviewed and approved by the Children's Hospital of Zhejiang University Institutional Review Board (Approval No. 2020-IRB-120).
Informed consent statement: Exemption from informed consent application was approved by the Children's Hospital of Zhejiang University Institutional Review Board.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qiang Shu, PhD, Professor, Department of Pediatric Surgery, the Children’s Hospital of Zhejiang University School of Medicine, No. 3333 Binsheng Road, Hangzhou 310058, Zhejiang Province, China. shuqiang@zju.edu.cn
Received: August 30, 2020
Peer-review started: August 30, 2020
First decision: September 13, 2020
Revised: September 15, 2020
Accepted: September 25, 2020
Article in press: September 25, 2020
Published online: December 6, 2020
Processing time: 95 Days and 20.2 Hours
Peer-review started: August 30, 2020
First decision: September 13, 2020
Revised: September 15, 2020
Accepted: September 25, 2020
Article in press: September 25, 2020
Published online: December 6, 2020
Processing time: 95 Days and 20.2 Hours
Core Tip
Core Tip: Since 2017, the numbers of magnet ingestion has increased year over year in our hospital and most of the patients experienced intestinal perforations. We found several significant clinical features: Intestinal contents did not leak into the abdominal cavity, and gastrointestinal symptoms were caused by ileus rather than perforation, which were obviously different from intestinal perforation caused by other reasons. This means that the traditional treatment strategy cannot be used simply to deal with intestinal perforation caused by magnetic beads, and a more favorable treatment scheme should be selected according to its clinicopathological characteristics.