Max Lafferty
Ingestion of metallic foreign bodies: A Paediatric Emergency Research in the United Kingdom and Ireland survey of current practice and hand-held metal detector use
Lafferty, Max; Lyttle, Mark D.; Mullen, Niall; PERUKI
Abstract
Aim: To describe variation in the initial management of children presenting to Emergency Departments (ED) with coins lodged in the oesophagus. To determine the usage of hand-held metal detectors (HHMDs) in EDs, including their role in clinical decision-making, and training in their use. Methods: Online multicentre cross-sectional survey of EDs in the UK and Ireland, with results described using descriptive statistics. Results: Fifty-five (90%) of 61 sites responded. The two main strategies described for lodged oesophageal coins were endoscopic removal or observation with reassessment, dependent on location. For coins in the proximal third of the oesophagus 43/55 (78.2%) referred for endoscopic removal, 6/55 (10.9%) observed and the remaining 10.9% used a variety of methods, including: Foley catheter removal with fluoroscopy, blind Foley catheter removal, referral to paediatric surgery/ENT. Thirty (55%) of 55 used HHMDs, 21/30 (70%) had guidelines for their use, and 3/30 (10%) provided formal training. Twenty (67%) of 30 used the xiphisternum as the anatomical cut-off for assuming safe passage of metallic foreign bodies (FB) beyond the lower oesophageal sphincter. Conclusions: There is considerable variation in the management of oesophageal coins in children, though two dominant strategies were identified. As endoscopy is significantly more invasive than observation, future research should aim to determine whether either is more effective and safer in children. There is a clear division in departmental adoption of HHMDs. However, in those sites using HHMDs there was little formal training in their use, and there are large variations in techniques and their role in clinical decision-making.
Citation
Lafferty, M., Lyttle, M. D., Mullen, N., & PERUKI. (2021). Ingestion of metallic foreign bodies: A Paediatric Emergency Research in the United Kingdom and Ireland survey of current practice and hand-held metal detector use. Journal of Paediatrics and Child Health, 57(6), 867-871. https://doi.org/10.1111/jpc.15343
Journal Article Type | Article |
---|---|
Acceptance Date | Jan 27, 2021 |
Online Publication Date | Mar 15, 2021 |
Publication Date | Jun 1, 2021 |
Deposit Date | Apr 1, 2021 |
Publicly Available Date | Mar 29, 2024 |
Journal | Journal of Paediatrics and Child Health |
Print ISSN | 1034-4810 |
Electronic ISSN | 1440-1754 |
Publisher | Wiley |
Peer Reviewed | Peer Reviewed |
Volume | 57 |
Issue | 6 |
Pages | 867-871 |
DOI | https://doi.org/10.1111/jpc.15343 |
Keywords | Pediatrics, Perinatology, and Child Health |
Public URL | https://uwe-repository.worktribe.com/output/7243750 |
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Ingestion of metallic foreign bodies: A Paediatric Emergency Research in the United Kingdom and Ireland survey of current practice and hand‐held metal detector use
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This is the peer reviewed version of the following article: Lafferty, M., Lyttle, M. D., Mullen, N., & PERUKI, . (2021). Ingestion of metallic foreign bodies: A Paediatric Emergency Research in the United Kingdom and Ireland survey of current practice and hand-held metal detector use. Journal of Paediatrics and Child Health, 57(6), 867-871, which has been published in final form at https://doi.org/10.1111/jpc.15343. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions
Ingestion of metallic foreign bodies: A Paediatric Emergency Research in the United Kingdom and Ireland survey of current practice and hand‐held metal detector use
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Licence
http://www.rioxx.net/licenses/all-rights-reserved
Publisher Licence URL
http://www.rioxx.net/licenses/all-rights-reserved
Copyright Statement
This is the peer reviewed version of the following article: Lafferty, M., Lyttle, M. D., Mullen, N., & PERUKI, . (2021). Ingestion of metallic foreign bodies: A Paediatric Emergency Research in the United Kingdom and Ireland survey of current practice and hand-held metal detector use. Journal of Paediatrics and Child Health, 57(6), 867-871, which has been published in final form at https://doi.org/10.1111/jpc.15343. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions
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