Evidence map›Paper›PMID 39644294›Full record

ReviewJournal of paediatrics and child health2025

Water beads: Expanding toy and 'new' problem for paediatric surgeons and community.

Taisia Bollettini, Mirella Mogiatti, Alice Benigna, Angelica Finelli, Francesco Ferrara, Veronica Pardi, Raffaele Macchiarelli, Mario Messina, Valerio Gentilino, Francesco Molinaro and 1 more

Abstract readCase ReportsReview
In one paragraph

Review in Journal of paediatrics and child health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Taisia BollettiniPediatric Surgery, Department of Medical, Surgical and Neurological Sciences, S. Maria alle Scotte Hospital, University of Siena, Siena, Italy.ORCID 0000-0002-6494-7282
Mirella MogiattiPediatric Surgery, Woman and Child Department, Filippo Del Ponte Hospital - ASST Sette Laghi, Varese, Italy.
Alice BenignaPediatric Surgery, Department of Medical, Surgical and Neurological Sciences, S. Maria alle Scotte Hospital, University of Siena, Siena, Italy.
Angelica FinelliPediatric Surgery, Department of Medical, Surgical and Neurological Sciences, S. Maria alle Scotte Hospital, University of Siena, Siena, Italy.
Francesco FerraraPediatric Surgery, Department of Medical, Surgical and Neurological Sciences, S. Maria alle Scotte Hospital, University of Siena, Siena, Italy.
Veronica PardiGastroenterology Unit, AOUS Policlinico S. Maria alle Scotte, Siena, Italy.
Raffaele MacchiarelliGastroenterology Unit, AOUS Policlinico S. Maria alle Scotte, Siena, Italy.
Mario MessinaPediatric Surgery, Department of Medical, Surgical and Neurological Sciences, S. Maria alle Scotte Hospital, University of Siena, Siena, Italy.
Valerio GentilinoPediatric Surgery, Woman and Child Department, Filippo Del Ponte Hospital - ASST Sette Laghi, Varese, Italy.
Francesco MolinaroPediatric Surgery, Department of Medical, Surgical and Neurological Sciences, S. Maria alle Scotte Hospital, University of Siena, Siena, Italy.
Rossella AngottiPediatric Surgery, Department of Medical, Surgical and Neurological Sciences, S. Maria alle Scotte Hospital, University of Siena, Siena, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND STUDY

aimsWater beads made from superabsorbent polymers can lead to bowel obstruction, which can sometimes be fatal. This article aims to highlight the dangers of such toys and to propose an innovative, safe and effective approach to diagnostic and therapeutic management. PATIENTS AND

methodsWe report two cases of children with intestinal obstruction following the ingestion of products based on superabsorbent polymers. They were diagnosed and treated in two different centres using varying techniques.

resultsWe compare our experiences with the few cases reported in the literature. Since water beads are radiolucent, ultrasound or CT scans are crucial for diagnosis. As in one of our cases, radiography of the upper gastrointestinal tract with contrast can be very helpful. Laparotomy with enterotomy is the main surgical approach reported in literature to extract the water spheres. We report two cases managed using a minimally invasive approach, and one of them is the second one described in the literature, treated endoscopically.

conclusionsWater beads pose a potential danger to children, making it necessary to limit the sale of this type of toy. We offer a management flowchart based on our experience and evidence from the literature.

Indexed as

Foreign BodiesIntestinal ObstructionPlay and PlaythingsWaterHumansInfantWaterendoscopylaparoscopypaediatric surgery case reportssuperabsorbent polymerswater beads case reports

Identifiers

PMID39644294
PMCPMC11834137

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.