title: Clinical experience in the treatment of children who swallowed multiple magnetic foreign bodies: A report of five cases.
abstract: BACKGROUND
  Several clinical reports have been published on complications resulting from swallowing multiple magnetic foreign bodies. This study aimed to summarize the clinical experience of managing children who swallowed multiple magnetic foreign bodies.
  
  
  METHODS
  We reviewed the clinical records of five children who swallowed multiple magnetic foreign bodies and were admitted to our hospital during June 2012 to June 2014. Details of the patients' presentation, imaging studies, complications and treatment were recorded.
  
  
  RESULTS
  All five children suffered from gastrointestinal perforation and intestinal obstruction. The magnetic foreign bodies caused local bowel wall tissue ischemia necrosis and perforation as well as other complications associated with fistula formation. The magnets were finally removed by laparotomy surgery.
  
  
  CONCLUSIONS
  If magnetic foreign bodies cannot be removed by endoscopy, an operation is suggested as soon as possible to avoid serious complications.
authors.affiliation: Department of General Surgery, Children's Hospital Zhejiang University School of Medicine, Hangzhou, China.
authors.forename: Yue-Bin
authors.initials: YB
authors.lastname: Zhang
authors.affiliation: Department of General Surgery, Children's Hospital Zhejiang University School of Medicine, Hangzhou, China. 6734893@qq.com.
authors.forename: Zhi-Gang
authors.initials: ZG
authors.lastname: Gao
authors.affiliation: Department of General Surgery, Children's Hospital Zhejiang University School of Medicine, Hangzhou, China.
authors.forename: Qi-Xing
authors.initials: QX
authors.lastname: Xiong
authors.affiliation: Department of General Surgery, Children's Hospital Zhejiang University School of Medicine, Hangzhou, China.
authors.forename: Li-Feng
authors.initials: LF
authors.lastname: Zhang
authors.affiliation: Department of General Surgery, Children's Hospital Zhejiang University School of Medicine, Hangzhou, China.
authors.forename: Dou-Te
authors.initials: DT
authors.lastname: Cai
authors.affiliation: Department of General Surgery, Children's Hospital Zhejiang University School of Medicine, Hangzhou, China.
authors.forename: Jia-Bin
authors.initials: JB
authors.lastname: Cai
mesh_terms: D002648:Child; D003679:Deglutition; D003937:Diagnosis, Differential; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007223:Infant; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D059346:Magnets; D008297:Male
keywords: children; gastrointestinal perforation; intestinal obstruction; magnetic foreign bodies