Evidence map›Paper›PMID 40814587›Full record

ReviewJPGN reports2025

Global insights on the diagnosis, management, and prevention of pediatric ingestions: A report from the FISPGHAN expert panel.

Michael A Manfredi, Reinaldo P Alvarez, Katsuhiro Arai, Huma A Cheema, Andy Darma, Mamoun Elawad, Claudio Iglesias, Matjaz Homan, Omar I Saadah, Catharine M Walsh and 1 more

Abstract readReview
In one paragraph

Review in JPGN reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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.

Michael A ManfrediDivision of Gastroenterology, Hepatology, and Nutrition, Childrens Hospital of Philadelphia University of Pennsylvania School of Medicine Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0002-0173-1441
Reinaldo P AlvarezRazetti Healthcare Services LLC - IDB Medical Group Barquisimeto Venezuela.
Katsuhiro AraiNational Center for Child Health and Development Division of Gastroenterology Setagaya Japan.
Huma A CheemaUniversity of Child Health Sciences and Children's Hospital Lahore Lahore Pakistan.
Andy DarmaDepartment of Child Health Dr. Soetomo General Academic Hospital Surabaya Indonesia.
Mamoun ElawadSidra Medicine Qatar University and Weil Cornell Medicine Doha Qatar.
Claudio IglesiasDivision of Gastroenterology and Endoscopy, Centro Hospitalario Pereira Rossell University República Oriental del Uruguay Montevideo Uruguay.
Matjaz HomanDepartment of Gastroenterology, Hepatology and Nutrition, University Children's Hospital University of Ljubljana Ljubljana Slovenia.
Omar I SaadahPediatric Gastroenterology Unit, Department of Pediatrics King Abdulaziz University Jeddah Saudi Arabia.
Catharine M WalshDivision of Gastroenterology, Hepatology, and Nutrition and the SickKids Research and Learning Institutes, The Hospital for Sick Children University of Toronto Toronto Ontario Canada.
Lissy de RidderDepartment of Pediatric Gastroenterology, Erasmus MC - Sophia Children's Hospital University Medical Center Rotterdam the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is a comprehensive review of pediatric foreign body (FB) ingestions, emphasizing the global burden, epidemiology, and management strategies. Predominantly occurring in children under 6, with a peak between 6 months and 3 years, these incidents pose significant health risks with substantial regional variations in ingested objects-ranging from household items to caustic substances. The pathophysiological effects of ingestions are outlined, highlighting specific dangers associated with button batteries, sharp objects, and caustic agents, which can lead to severe tissue damage and long-term complications. A survey of (70) pediatric gastroenterologists from FISPGHAN societies revealed varied regional practices in the frequency of different FB ingestions with food impaction highest in North America and Ocenaia and caustic ingestion more common is Asia. Button batterers were serious concerns across all regions. Management approaches, specifically intubation practice varied across regions. A review of management protocols for different types of ingestions are provided, emphasizing the urgency of endoscopic removal and follow-up care. Prevention strategies are critical, with a focus on public health interventions, legislation, and education to mitigate the risks associated with FB and caustic ingestions. This report underscores the need for enhanced preventive measures and uniform management guidelines to reduce the incidence and improve outcomes of pediatric ingestions worldwide.

Indexed as

button batterycausticforeign body removalmagnet ingestionwater beads

Identifiers

PMID40814587
PMCPMC12350048

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.