Pathway for the Evaluation/Treatment of the Child with Foreign Body Ingestion
Single Magnet Confirmed on X-Ray
Main Pathway
Foreign Body
Ingestion Pathway
Foreign Body
Ingestion Pathway
It can be challenging to determine single vs. multiple battery ingestion
Ensure 2 views and that the Attending Radiologist has confirmed a single magnet
Ensure 2 views and that the Attending Radiologist has confirmed a single magnet
Esophagus
Symptoms
No symptoms
Emergent
Endoscopic removal
Endoscopic removal
Urgent
Endoscopic removal
Endoscopic removal
Consults
- Consult ENT
- ENT will consult GI as needed
NPO, IVF
Alert OR 5-4444
Alert OR 5-4444
Admit
EDECU/GI
EDECU/GI
Stomach/Beyond Stomach
GI Consult
Assess risk for further ingestion
Assess risk for further ingestion
Risk
No Risk
Admit GI
Discharge
Await passage of magnet
Consider endoscopic removal
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