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Foreign body ingestion in pediatric patients

Gurevich, Yoseph; Sahn, Benjamin; Weinstein, Toba

doi: 10.1097/MOP.0000000000000670
OFFICE PEDIATRICS: Edited by Henry H. Bernstein

Purpose of review The purpose of this article is to review clinical manifestations and management of common pediatric foreign body ingestions, with a particular focus on some of the current trends.

Recent findings Foreign body ingestion (FBI) is a problem that is frequently encountered by pediatric providers. As new toys and products enter the marketplace, there may also be new dangers from those objects not initially recognized. Some of the recent trends and findings in pediatric FBI include an increase in adolescent injury from ingestion of laundry detergent pods because of a popular game where participants are encouraged to bite or swallow the pods, and injuries associated with ingesting parts of a popular toy known as a ‘Fidget Spinner’.

Summary Adverse events resulting from FBI range the entire gamut from nonexistent or minor symptoms to moderate injury and rarely may be fatal. Factors such as age, type of object ingested, anatomic location of the foreign body, and timing from ingestion to receipt of medical attention all determine the risk posed to the child and guide management decisions. Because of the constant development of products, and the potential for the emergence of new and dangerous trends among children, continued surveillance by the medical community is important in monitoring and managing injuries associated with FBI.

Division of Pediatric Gastroenterology & Nutrition, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Steven and Alexandra Cohen Children's Medical Center of NY Northwell Health 1991 Marcus Avenue, Suite M100 Lake Success, New York, USA

Correspondence to Yoseph Gurevich, Division of Pediatric Gastroenterology & Nutrition, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Steven and Alexandra Cohen Children's Medical Center of NY Northwell Health 1991 Marcus Avenue, Suite M100 Lake Success, NY 11042, USA. Tel: +1 516 472 3669/+1 516 472 3650; fax: +1 516 472 3654; e-mail: ygurevich@northwell.edu

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