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Foreign Body Ingestion — Single Magnet Confirmed on X-Ray — Clinical Pathway: Emergency, ICU and Inpatient

Pathway for the Evaluation/Treatment of the Child with Foreign Body Ingestion

Single Magnet Confirmed on X-Ray
It can be challenging to determine single vs. multiple battery ingestion
Ensure 2 views and that the Attending Radiologist has confirmed a single magnet
Esophagus
Symptoms
No symptoms
Emergent
Endoscopic removal
Urgent
Endoscopic removal
Consults
  • Consult ENT
  • ENT will consult GI as needed
NPO, IVF
Alert OR 5-4444
Admit
EDECU/GI
Stomach/Beyond Stomach
GI Consult
Assess risk for further ingestion
Risk
No Risk
Admit GI
Discharge
Await passage of magnet
Consider endoscopic removal
X-ray follow-up 2-3 days
Magnet Precautions
  • Remove all metallic, magnetic objects from child's environment
  • Ensure no magnets, metal on child's clothing (buckles, snaps, buttons)
  • Ensure no magnets available for ingestion
  • Continue until magnet is passed
 
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