{"title":"通过内窥镜成功取出嵌入十二指肠壁的高能磁球","authors":"Juliana M. Kennedy, Nikhil A. Kumta, Joanne Lai","doi":"10.1002/jpr3.12060","DOIUrl":null,"url":null,"abstract":"The dangers of magnet ingestion are well known. When multiple magnets are ingested, interventional removal is often necessary to prevent and/or treat complications. Despite reports of both endoscopic and surgical techniques in the literature, there is a lack of clear guidance on the best method for removal of high‐power magnets when they are embedded within the intestinal wall (increasing concern for fistulation, perforation, and bowel wall necrosis). This case demonstrates the successful endoscopic removal of magnetic balls incidentally identified on X‐ray and found to be embedded in the duodenal wall in a critically ill 2‐year‐old patient. Endoscopic removal can be considered in similar situations, if all resources (interventional endoscopy and pediatric surgery) are available to proceed safely.","PeriodicalId":17618,"journal":{"name":"JPGN Reports","volume":"4 5","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Successful endoscopic removal of high‐power magnetic balls embedded in the duodenal wall\",\"authors\":\"Juliana M. Kennedy, Nikhil A. Kumta, Joanne Lai\",\"doi\":\"10.1002/jpr3.12060\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The dangers of magnet ingestion are well known. When multiple magnets are ingested, interventional removal is often necessary to prevent and/or treat complications. Despite reports of both endoscopic and surgical techniques in the literature, there is a lack of clear guidance on the best method for removal of high‐power magnets when they are embedded within the intestinal wall (increasing concern for fistulation, perforation, and bowel wall necrosis). This case demonstrates the successful endoscopic removal of magnetic balls incidentally identified on X‐ray and found to be embedded in the duodenal wall in a critically ill 2‐year‐old patient. Endoscopic removal can be considered in similar situations, if all resources (interventional endoscopy and pediatric surgery) are available to proceed safely.\",\"PeriodicalId\":17618,\"journal\":{\"name\":\"JPGN Reports\",\"volume\":\"4 5\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-03-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JPGN Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1002/jpr3.12060\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JPGN Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/jpr3.12060","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
误食磁铁的危险众所周知。当摄入多块磁铁时,通常需要进行介入性清除以预防和/或治疗并发症。尽管文献中报道了内窥镜和外科技术,但对于嵌入肠壁内的高功率磁铁的最佳取出方法(增加了对瘘管、穿孔和肠壁坏死的担忧)仍缺乏明确的指导。本病例展示了如何在内窥镜下成功取出在 X 光片上偶然发现并嵌入十二指肠壁的磁球,患者是一名两岁的重症患者。在类似的情况下,如果所有资源(介入内镜和儿科手术)都能保证手术安全进行,也可以考虑使用内镜取出。
Successful endoscopic removal of high‐power magnetic balls embedded in the duodenal wall
The dangers of magnet ingestion are well known. When multiple magnets are ingested, interventional removal is often necessary to prevent and/or treat complications. Despite reports of both endoscopic and surgical techniques in the literature, there is a lack of clear guidance on the best method for removal of high‐power magnets when they are embedded within the intestinal wall (increasing concern for fistulation, perforation, and bowel wall necrosis). This case demonstrates the successful endoscopic removal of magnetic balls incidentally identified on X‐ray and found to be embedded in the duodenal wall in a critically ill 2‐year‐old patient. Endoscopic removal can be considered in similar situations, if all resources (interventional endoscopy and pediatric surgery) are available to proceed safely.