title: [Magnet ingestions in children: a French multicenter study].
abstract: Digestive complications related to the ingestion of magnetic foreign bodies in children are increasing, especially in Asia and North America. In France, several case reports have been reported since 2008. We conducted a retrospective multicentric study to evaluate the frequency of ingestion of magnet foreign bodies and to describe the complicated cases that have occurred in France over the last 5 years. We report 40 cases of which 60% were multiple magnet ingestions. Eighty-eight percent of the children of the group who had swallowed multiple magnets needed interventional management by endoscopy (33%) or surgery (58%). Only two children (12.5%) of the group who swallowed one magnet required removal. This problem is not uncommon in France (2% of the 1132 foreign bodies investigated in the Toulouse center over 5 years), which justifies clear information for healthcare professionals and caregivers in order to avoid potential intestinal complications. We suggest interventional management or very close monitoring in the cases of multiple magnet ingestion. Meanwhile, in the majority of confirmed cases of simple magnet ingestions, we propose home monitoring.
authors.affiliation: Unité de gastroentérologie, hépatologie, nutrition, diabétologie et maladies héréditaires du métabolisme, hôpital des Enfants, CHU de Toulouse, 330, avenue de Grande-Bretagne, TSA 70034, 31059 Toulouse cedex 9, France. Electronic address: talvard.m@chu-toulouse.fr.
authors.forename: M
authors.initials: M
authors.lastname: Talvard
authors.affiliation: Service de chirurgie pédiatrique viscérale, hôpital des Enfants, CHU de Toulouse, 31059 Toulouse cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Mouttalib
authors.affiliation: Service de chirurgie infantile, hôpital Hautepierre, CHU de Strasbourg, 67000 Strasbourg, France.
authors.forename: V
authors.initials: V
authors.lastname: Flaum
authors.affiliation: Service de gastroentérologie, pneumologie, mucoviscidose et nutrition pédiatrique, hôpital Robert-Debré, AP-HP, 95000 Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Viala
authors.affiliation: Service de chirurgie pédiatrique viscérale, hôpital des Enfants, CHU de Toulouse, 31059 Toulouse cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Galinier
authors.affiliation: Unité de gastroentérologie, hépatologie, nutrition, diabétologie et maladies héréditaires du métabolisme, hôpital des Enfants, CHU de Toulouse, 330, avenue de Grande-Bretagne, TSA 70034, 31059 Toulouse cedex 9, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Olives
authors.affiliation: Unité de gastroentérologie, hépatologie, nutrition, diabétologie et maladies héréditaires du métabolisme, hôpital des Enfants, CHU de Toulouse, 330, avenue de Grande-Bretagne, TSA 70034, 31059 Toulouse cedex 9, France; Inserm U1043, 31300 Toulouse, France; CNRS, U5282, 31300 Toulouse, France; UPS, centre de physiopathologie de Toulouse Purpan (CPTP), université de Toulouse, 31300 Toulouse, France.
authors.forename: E
authors.initials: E
authors.lastname: Mas
mesh_terms: D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy / Q000706:statistics & numerical data; D005260:Female; D005547:Foreign Bodies / Q000453:epidemiology* / Q000601:surgery*; D005602:France / Q000453:epidemiology; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000706:statistics & numerical data; D059346:Magnets; D008297:Male; D012189:Retrospective Studies; D017678:Sex Distribution