{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T14:18:25Z","timestamp":1785161905005,"version":"3.55.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2025,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The incidence of multiple magnetic foreign body (MMFB) ingestion in children is rising, which poses a serious risk for gastrointestinal tract injury. In the current study, the clinical characteristics were analyzed to enhance awareness among parents and caregivers, treatment experiences were summarized and discussed, and optimal treatment plans were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective analysis was performed on 130 pediatric patients with MMFB ingestion at the Children\u2019s Hospital Affiliated with Zhejiang University School of Medicine, between June 2016 and June 2023. The clinical data, treatment details, and patient prognosis were systematically collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Forty-one patients were managed conservatively, while 89 patients underwent open surgery. Among the 44 patients who were treated with laparoscopic surgery, conversion to laparotomy was necessary in 28. The risk of gastrointestinal perforation was higher in symptomatic children than in asymptomatic children (chi-square value: 37.156;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Perforations were mainly observed in the small intestine. The median length of hospital stay was 10 days in the cohort of 16 children who underwent laparoscopic surgery successfully, which differed from the group of 28 children who were converted to a laparotomy (10 days [interquartile range, or IQR: 9\u201312.75 days] versus 12 days [IQR: 10\u201315.75 days];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The ingestion of MMFBs in children can lead to severe injuries, underscoring the importance of early detection and treatment. Tailored clinical management strategies should be implemented based on individual conditions, while prompt and effective interventions can minimize harm. Therefore, we propose a comprehensive framework for individualized treatment processes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2024.0059","type":"journal-article","created":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T10:03:01Z","timestamp":1735552981000},"page":"94-100","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Individualized Treatment of Multiple Magnetic Foreign Body Ingestion in Children"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6201-3243","authenticated-orcid":false,"given":"Yi","family":"Chen","sequence":"first","affiliation":[{"name":"Department of General Surgery, Children\u2019s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingjiang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Children\u2019s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunzhong","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Children\u2019s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linyan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Children\u2019s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9682-0707","authenticated-orcid":false,"given":"Sai","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Children\u2019s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuhao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Children\u2019s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhigang","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Children\u2019s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,16]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-017-0269-z"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-020-04814-w"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-007-0542-x"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i38.5324"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.7500"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2014.04.002"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-022-03501-0"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v8.i23.5988"},{"issue":"3","key":"e_1_3_7_10_2","first-page":"292","article-title":"Magnet ingestion knows no borders: A threat for Latin American children","volume":"87","author":"Falcon AC","year":"2022","unstructured":"Falcon AC, , Fernandez-Valdes L, , Iglesias C, et al. Magnet ingestion knows no borders: A threat for Latin American children. Rev Gastroenterol Mex (Engl Ed), 2022; 87(3):292\u2013296; doi: 10.1016\/j.rgmxen.2021.01.002","journal-title":"Rev Gastroenterol Mex (Engl Ed)"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2012.03.025"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.5326\/0460181"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/00365521.2017.1350284"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4167-0"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000000729"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2017.26.8.456"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2017.08.013"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-96595-y"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000024055"},{"issue":"1","key":"e_1_3_7_20_2","first-page":"19","article-title":"Management of foreign bodies in the digestive tract of children in China: A clinical practice guideline (2021)","volume":"39","author":"Pediatric Collaborative Group CSDE, Pediatric DEPC","year":"2022","unstructured":"Pediatric Collaborative Group CSDE, Pediatric DEPC. Management of foreign bodies in the digestive tract of children in China: A clinical practice guideline (2021). 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