Title: Move Over Button Batteries, Say Hello to Magnets <br/>Author: Rachel Wiltjer<br/><a href='http://umem.org/profiles/faculty/2046/'>[Click to email author]</a><hr/><div class="OutlineElement Ltr SCXW110665913 BCX0" segoe="" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow: visible; cursor: text; clear: both; position: relative; direction: ltr; color: rgb(0, 0, 0); font-family: " ui="">
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Kids eat everything (except perhaps carefully prepared and balanced meals). While button battery ingestions are feared, there is more to worry about. Magnet ingestions – especially rare earth metal magnet ingestions – can lead to high morbidity and mortality.</p>
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<span data-contrast="auto" xml:lang="EN-US">When more than one magnet (or a magnet and another metallic object) are ingested, they can become stuck together</span> through walls in the GI tract, creating risk for obstruction, erosion, fistula formation, and perforation. Sharp metallic foreign objects can be particularly dangerous as they can do much damage while being moved around by the magnet. </p>
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<span data-contrast="auto" xml:lang="EN-US">If </span>there is concern for magnet ingestion, care should be taken to try to determine the number ingested (if parents have the magnets, you can compare the size of an object on <span 1px="" border-bottom:="" data:image="" solid="">xray</span> to the size of the magnets as it can otherwise sometimes be difficult to differentiate if it is one magnet or more than one stuck together). </p>
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<span data-contrast="auto" xml:lang="EN-US">Higher risk </span>features of ingestion include: </p>
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Ingestion of a magnet and a sharp metallic object</li>
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Higher number of magnets ingested</li>
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<span data-ccp-props="{">A longer interval over which the magnets were ingested</span></li>
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<span data-ccp-props="{">Multiple magnets in the esophagus (raises concern for concomitant aspiration)</span></li>
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Ingestions should prompt consultation with pediatric GI and surgery when isolated as many will require either endoscopic or surgical removal. This may include need for referral and transfer. </p>
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<fieldset><legend>References</legend>
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<span class="TextRun SCXW72658012 BCX0" data-contrast="auto" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; color: rgb(0, 0, 0); white-space: pre-wrap; font-size: 11pt; line-height: 19.425px; font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif; font-variant-ligatures: none !important;" xml:lang="EN-US"><span 1px="" border-bottom:="" class="NormalTextRun SpellingErrorV2Themed SCXW72658012 BCX0" data:image="" solid="" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlSpellingErrorV2, url(">Nugud</span><span class="NormalTextRun SCXW72658012 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> AA, </span><span 1px="" border-bottom:="" class="NormalTextRun SpellingErrorV2Themed SCXW72658012 BCX0" data:image="" solid="" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlSpellingErrorV2, url(">Tzivinikos</span><span class="NormalTextRun SCXW72658012 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> C, Assa A, et al. Pediatric Magnet Ingestion, Diagnosis, Management, and Prevention: A European Society for </span><span 1px="" border-bottom:="" class="NormalTextRun SpellingErrorV2Themed SCXW72658012 BCX0" data:image="" solid="" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlSpellingErrorV2, url(">Paediatric</span><span class="NormalTextRun SCXW72658012 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> Gastroenterology Hepatology and Nutrition (ESPGHAN) Position Paper.</span></span><span class="TextRun SCXW72658012 BCX0" data-contrast="auto" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; color: rgb(0, 0, 0); white-space: pre-wrap; font-size: 11pt; font-style: italic; line-height: 19.425px; font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif; font-variant-ligatures: none !important;" xml:lang="EN-US"><span class="NormalTextRun SCXW72658012 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> </span><span class="NormalTextRun SCXW72658012 BCX0" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">Journal of pediatric gastroenterology and nutrition</span></span><span class="TextRun SCXW72658012 BCX0" data-contrast="auto" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; color: rgb(0, 0, 0); white-space: pre-wrap; font-size: 11pt; line-height: 19.425px; font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif; font-variant-ligatures: none !important;" xml:lang="EN-US">. 2023;76(4):523-532.</span><span class="EOP SCXW72658012 BCX0" data-ccp-props="{" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; color: rgb(0, 0, 0); white-space: pre-wrap; font-size: 11pt; line-height: 19.425px; font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;"> </span></p>
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