{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T07:15:45Z","timestamp":1763968545332,"version":"3.37.3"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives and Study<\/jats:title><jats:p>Accidental foreign body ingestion (FBI) is a common pediatric referral concern. In contrast, recurrent and intentional FBI (RIFBI) is infrequent and associated with greater endoscopic and surgical intervention in adults. Although pediatric guidelines exist for FBI, the risk and therapeutic implications of RIFBI are not addressed. An anonymous international survey on pediatric gastroenterologist experience with RIFBI was distributed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 33\u2010item REDCap\u00a9 survey was distributed via email to pediatric gastroenterologists identified through mailing and email lists obtained from pediatric gastroenterology professional organizations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During 9\u221212\/2021 we accrued 202 completed surveys. Respondents were from 27 countries and across the career span. Eighty percent reported experience with RIFBI; 74% reported seeing\u2009\u2264\u20093 patients with RIFBI within the past 24 months and 4% reported seeing\u2009\u2265\u20096. Of those who treated RIFBI, 38% reported an average number of annual ingestions per patient was \u22655. Frequent morbidity but not mortality was reported.<\/jats:p><jats:p>Half reported adherence to FBI guidelines. Later\u2010career endoscopists treated RIFBI more aggressively than accidental ingestion. Ninety\u2010six percent noted that patients with RIFBI had psychiatric comorbidities. Providers at academic medical centers reported referring to behavioral health more than those in other settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Most gastroenterologists surveyed reported encountering RFBI several times a year and in patients with psychiatric comorbidities. Greater likelihood of adverse outcomes associated with endoscopy was reported. Most reported referral to behavioral health and few had RIFBI management protocols. A broader spectrum of psychologic comorbidities in the pediatric population with RIFBI, notably depression and autism spectrum disorder, were reported.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpn3.12114","type":"journal-article","created":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T13:43:37Z","timestamp":1706535817000},"page":"711-719","source":"Crossref","is-referenced-by-count":1,"title":["Endoscopist experience with pediatric recurrent and intentional foreign body ingestion (RIFBI): Management considerations and future directions"],"prefix":"10.1002","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6216-3786","authenticated-orcid":false,"given":"Christina M.","family":"Low Kapalu","sequence":"first","affiliation":[{"name":"Pediatric Psychology and Gastroenterology Oregon Health &amp; Science University Portland Oregon USA"},{"name":"Gastroenterology, Hepatology and Nutrition Children's Mercy Kansas City Kansas City Missouri USA"},{"name":"Department of Pediatrics University of Missouri Kansas City Kansas City Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Uraizee","sequence":"additional","affiliation":[{"name":"College of Osteopathic Medicine Kansas City University Kansas City Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana G.","family":"Lerner","sequence":"additional","affiliation":[{"name":"Section of Gastroenterology, Hepatology, and Nutrition Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike","family":"Thomson","sequence":"additional","affiliation":[{"name":"Sheffield Children's Hospital NHS Foundation Trust Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Attard","sequence":"additional","affiliation":[{"name":"Gastroenterology, Hepatology and Nutrition Children's Mercy Kansas City Kansas City Missouri USA"},{"name":"Department of Pediatrics University of Missouri Kansas City Kansas City Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002757"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481408000220"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.05.072"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2010.07.013"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.01.022"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/children8110956"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-020-01224-z"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajem.2001.25272"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NURSE.0000481436.25049.22"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2021.35"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.14712\/18059694.2016.27"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000000729"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000001408"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-1515"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2011.06.011"},{"issue":"7","key":"e_1_2_6_17_1","first-page":"485","article-title":"Repeat intentional foreign body ingestion: the importance of a multidisciplinary approach","volume":"8","author":"Palese C","year":"2012","journal-title":"Gastroenterol Hepatol (N Y)"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/0735-7028.37.3.268"}],"container-title":["Journal of Pediatric Gastroenterology and Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpn3.12114","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T07:28:56Z","timestamp":1726730936000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jpn3.12114"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,29]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/jpn3.12114"],"URL":"https:\/\/doi.org\/10.1002\/jpn3.12114","archive":["Portico"],"relation":{},"ISSN":["0277-2116","1536-4801"],"issn-type":[{"type":"print","value":"0277-2116"},{"type":"electronic","value":"1536-4801"}],"subject":[],"published":{"date-parts":[[2024,1,29]]}}}