title: Laparoscopic retrieval of "stubborn" foreign bodies in the foregut: a case report and literature survey.
abstract: BACKGROUND
  Foreign bodies (FBs) are commonly seen in pediatric and gastroenterologist practice. Most of them will pass without intervention; those that do not will need surgery. Laparoscopy has been used to achieve this to good effect. We present a child with ingestion of multiple magnets.
  
  
  METHODS
  The patient was a 2-year-old child with history of ingestion of magnets. Laparoscopy was planned as endoscopic removal had failed. There were 3 magnets in the stomach and 1 in the jejunum and they were attached together, as if in a "gastrojejunostomy." Laparoscopic removal was performed successfully for the child.
  
  
  RESULTS
  He had an uneventful postoperative recovery and was discharged on the third postoperative day.
  
  
  CONCLUSIONS
  Coins are the most commonly ingested FBs. Multiple magnet ingestion poses a unique problem, as they are likely to stick together and cause pressure necrosis with fistula formation. Surgical intervention is necessary to prevent this potentially deadly complication.
  
  
  CONCLUSIONS
  Laparoscopy has been found to be very useful in the removal of intraluminal FBs, especially when conservative measures fail. Prevention should be the main objective and parental involvement is crucial.
authors: GEM Hospital, 45-A, Pankaja Mill Road, Ramanathapuram, Coimbatore, India.
authors: Chinnusamy
authors: C
authors: Palanivelu
authors: Muthukumaran
authors: M
authors: Rangarajan
authors: Subbiah
authors: S
authors: Rajapandian
authors: Sai Krishna
authors: SK
authors: Vittal
authors: Gobi Shanmugham
authors: GS
authors: Maheshkumaar
mesh_terms: D002675:Child, Preschool; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy; D008280:Magnetics; D008297:Male; D013270:Stomach / Q000601:surgery*