Evidence map›Paper›PMID 42383497›Full record

GuidelineJournal of pediatric gastroenterology and nutrition2026

Foreign body ingestions in children and adolescents: A position paper of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) endoscopy special interest group.

Oren Ledder, Raoul Furlano, Alexandra Papadopoulou, Dominique Schluckebier, Andreia Nita, Christos Tzivinikos, Salvatore Oliva, Simona Faraci, Luigi Dall'oglio, Marco Deganello Saccomani and 9 more

Abstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in Journal of pediatric gastroenterology and nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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

19 authors.

Oren LedderJuliet Keidan Institute of Paediatric Gastroenterology and Nutrition, The Eisenberg R&D Authority, Shaare Zedek Medical Center, The Hebrew University of Jerusalem, Jerusalem, Israel.ORCID https://orcid.org/0000-0001-8109-814X
Raoul FurlanoUniversity Children's Hospital Basel (UKBB), University of Basel, Basel, Switzerland.
Alexandra PapadopoulouGastroenterology Department, Children's Hospital Agia Sofia, Athens, Greece.
Dominique SchluckebierDepartment of Paediatric Gastroenterology, Sheffield Children's Hospital NHS Foundation Trust, Sheffield, UK.
Andreia NitaPaediatric Gastroenterology Department, Great Ormond Street Hospital, London, UK.
Christos TzivinikosPaediatric Gastroenterology Department, Al Jalila Children's Specialty Hospital, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE.
Salvatore OlivaPaediatric Gastroenterology and Liver Unit, Maternal and Child Health Department, Sapienza, University of Rome, University Hospital Umberto I, Rome, Italy.
Simona FaraciPediatric Gastroenterology, Nutrition, and Endoscopy Unit, Bambino Gesù Children Hospital, Rome, Italy.
Luigi Dall'oglioPediatric Gastroenterology, Nutrition, and Endoscopy Unit, Bambino Gesù Children Hospital, Rome, Italy.
Marco Deganello SaccomaniDepartment of Paediatrics, Woman's & Child's University Hospital of Verona, Verona, Italy.
Priya NarulaDepartment of Paediatric Gastroenterology, Sheffield Children's Hospital NHS Foundation Trust, Sheffield, UK.
Iva HojsakChildren's Hospital Zagreb, University of Zagreb Medical School, Zagreb, Croatia.
Jorge Amil DiasPaediatric Gastroenterology, Hospital Lusíadas, Porto, Portugal.
Vasiliki SpyropoulouDivision of Gastroenterology, Hepatology and Nutrition, University Children's Hospital Zurich, Zurich, Switzerland.
Lorenzo NorsaVittore Buzzi Children's Hospital, University of Milan, Milan, Italy.
Gokhan BaysoyDepartment of Pediatric Gastroenterology, Hepatology and Nutrition, Istanbul Medipol University, Istanbul, Turkey.
Claudio RomanoPediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, Messina, Italy.
Matjaž HomanFaculty of Medicine, University Children's Hospital, University of Ljubljana, Ljubljana, Slovenia.
Mike ThomsonDepartment of Paediatric Gastroenterology, Sheffield Children's Hospital NHS Foundation Trust, Sheffield, UK.

Funding

None
6 · The paper itself

Abstract

Foreign body (FB) ingestion is a relatively frequent occurrence in the pediatric population with multiple potential sequelae. Appropriate intervention may range from urgent endoscopic retrieval to watchful waiting, with multiple variables influencing the decision. The four key variables include the type of object ingested, the anatomical location of the FB, the presence and severity of symptoms, and the time since ingestion. In this position paper, we provide an evidence-based approach to the management of ingested foreign bodies, incorporating expert opinion where existent evidence alone is insufficient to guide clinical judgement. We offer a clear, clinically relevant guide, with user-friendly algorithms, to assist in real-time decision making. We also include practical tips from experts on how to safely and effectively perform endoscopic removal of an ingested FB.

Indexed as

Endoscopy, GastrointestinalForeign BodiesAdolescentAlgorithmsChildEuropeHumansgastrointestinal emergenciesmanagement algorithmspediatric

Identifiers

PMID42383497
PMCPMC13539702

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.