ArticleFrontiers in pediatrics2026
High-Risk foreign body ingestion in children: clinical features and endoscopic outcomes.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To evaluate clinical features and endoscopic outcomes in children with high-risk upper gastrointestinal (GI) foreign bodies, stratified by object type. Methods: We retrospectively reviewed cases of children who ingested high-risk foreign bodies with upper GI retention at a Chinese tertiary pediatric center (January 2020-December 2024). Patients were stratified by the type of ingested foreign body: sharp objects, magnetic objects, or button batteries. Demographics, symptoms, retention sites, injuries, complications, and outcomes were analyzed. Results: Among 155 children, 61 (39.4%) ingested sharp objects, 42 (27.1%) magnetic objects, and 52 (33.5%) button batteries. All underwent attempted endoscopic retrieval. Groups differed significantly in age, retention site, and ingestion-to-presentation duration (all Conclusion: High-risk foreign body ingestion is dangerous, especially ingestion of multiple magnetic foreign bodies, which are associated with high perforation and surgical rates. EGD is effective first-line therapy. Urgent intervention is needed for multiple magnets (even asymptomatic) and delayed cases. Post-removal follow-up is important, and our comparative analysis guides risk-stratified management.
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