Evidence map›Paper›PMID 42560421›Full record

ArticlePediatric surgery international2026

Surgically managed small-intestinal foreign bodies in children: clinical-radiologic characteristics and factors associated with perforation.

Faling Chen, Jiangbin Liu, Zhibao Lv

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Article in Pediatric surgery international, 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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5 · Who and what money

Authors and funding

3 authors.

Faling ChenDepartment of General Surgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200062, People's Republic of China.
Jiangbin LiuDepartment of General Surgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200062, People's Republic of China. ljbin888@126.com.
Zhibao LvDepartment of General Surgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200062, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the clinical and radiologic features of surgically managed small-intestinal foreign bodies (FBs) in children and to identify factors associated with intestinal perforation.

methodsWe retrospectively reviewed the records of 45 children who underwent surgery for small-intestinal FBs at Shanghai Children's Hospital between February 2019 and June 2026. Clinical, imaging, operative, and postoperative data were collected. Continuous variables were presented as medians and interquartile ranges and compared using the Mann-Whitney U test. Categorical variables were compared using Fisher's exact test, and perforation rates across FB categories were evaluated using the Fisher-Freeman-Halton exact test.

resultsIntestinal perforation occurred in 34 of 45 patients (75.6%). Compared with patients without perforation, those with perforation more frequently presented with abdominal tenderness (73.5% vs. 27.3%, P = 0.011) and had metallic FBs detected on radiography (55.9% vs. 0%, P = 0.001). Computed tomography provided additional visualization and localization of poorly radiopaque or radiolucent FBs, including jujube pits, trichobezoars, and superabsorbent polymer beads. Patients with perforation had a longer median hospital stay than those without perforation (12.0 [8.0-20.0] vs. 8.0 [7.0-10.5] days, P = 0.018). FB type was significantly associated with perforation (overall P < 0.001); all patients with magnetic objects or jujube pits developed perforation.

conclusionIntestinal perforation was common among children undergoing surgery for small-intestinal FBs and was associated with abdominal tenderness and FB type. CT was valuable for detecting radiolucent FBs. Early surgical assessment should be considered when perforation or worsening intestinal obstruction is suspected.

Indexed as

Foreign BodiesIntestinal PerforationIntestine, SmallChildChild, PreschoolChinaFemaleHumansInfantMaleRetrospective StudiesTomography, X-Ray ComputedForeign bodyIntestinal perforationPediatric surgeryRadiologic features

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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.