{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T20:47:50Z","timestamp":1782506870192,"version":"3.54.5"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Bowel obstruction caused by ingestion of water-absorbing beads is an increasingly recognized pediatric emergency. We report four cases in children under 5\u00a0years of age presenting with bilious vomiting and absence of bowel movements. Plain radiographs demonstrated features of small bowel obstruction without visualization of the foreign body, while ultrasound revealed cystic intraluminal lesions suggestive of obstruction. Surgical exploration confirmed expanded beads causing complete intestinal obstruction at different levels of the small intestine. Enterotomy with foreign body removal and bowel repair was performed in all patients, with uneventful recovery. No additional beads were identified intraoperatively, and no recurrent bowel obstruction was observed during at least 3\u00a0months of follow-up. Water-absorbing beads pose a unique diagnostic challenge because they are radiolucent and may mimic gastroenteritis. Their ability to expand after passing the pylorus can result in delayed complete obstruction. Early recognition and timely surgical intervention are essential to prevent serious complications.<\/jats:p>","DOI":"10.1093\/jscr\/rjag529","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:45:35Z","timestamp":1781178335000},"source":"Crossref","is-referenced-by-count":0,"title":["When toys become dangerous: small bowel obstruction from water-absorbing bead ingestion in children\u2014a case series"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0685-7341","authenticated-orcid":false,"given":"Ho Tran","family":"Ban","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Children's Hospital 2 , 14 Ly Tu Trong Street, Sai Gon Ward, Ho Chi Minh City 700000,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanh Thi","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Hospital 2 , 14 Ly Tu Trong Street, Sai Gon Ward, Ho Chi Minh City 700000,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nhan Hien Nguyen","family":"Pham","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children's Hospital 2 , 14 Ly Tu Trong Street, Sai Gon Ward, Ho Chi Minh City 700000,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quynh Thi Vu","family":"Huynh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City , 217 Hong Bang Street, Cho Lon Ward, Ho Chi Minh City 700000,","place":["Vietnam"]},{"name":"Department of Nephrology and Endocrinology, Children's Hospital 2 , 14 Ly Tu Trong Street, Sai Gon Ward, Ho Chi Minh City 700000,","place":["Vietnam"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"2026062616101529700_ref1","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1016\/j.ajem.2024.07.048","article-title":"Pediatric water bead-related visits to United States emergency departments","volume":"84","author":"Joynes","year":"2024","journal-title":"Am J Emerg Med"},{"key":"2026062616101529700_ref2","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1111\/jpc.16730","article-title":"Water beads: expanding toy and \u201cnew\u201d problem for paediatric surgeons and community","volume":"61","author":"Bollettini","year":"2025","journal-title":"J Paediatr Child Health"},{"key":"2026062616101529700_ref3","doi-asserted-by":"publisher","first-page":"129","DOI":"10.5946\/ce.2018.039","article-title":"Foreign body ingestion in children","volume":"51","author":"Lee","year":"2018","journal-title":"Clin 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