TY - JOUR
T1 - Foreign body and caustic ingestions in children: A clinical practice guideline
AU - Oliva, Salvatore
AU - Romano, Claudio
AU - Angelis, Paola De
AU - Isoldi, Sara
AU - Mantegazza, Cecilia
AU - Felici, Enrico
AU - Dabizzi, Emanuele
AU - Fava, Giorgio
AU - Renzo, Sara
AU - Strisciuglio, Caterina
AU - Quitadamo, Paolo
AU - Saccomani, Marco Deganello
AU - Bramuzzo, Matteo
AU - Orizio, Paolo
AU - Nardo, Giovanni Di
AU - Bortoluzzi, Francesco
AU - Pellegrino, Maristella
AU - Illiceto, Maria Teresa
AU - Torroni, Filippo
AU - Cisarò, Fabio
AU - Zullo, Angelo
AU - Macchini, Francesco
AU - Gaiani, Federica
AU - Raffaele, Alessandro
AU - Bizzarri, Barbara
AU - Arrigo, Serena
AU - Angelis, Gian Luigi de’
AU - Martinelli, Massimo
AU - Norsa, Lorenzo
PY - 2020
Y1 - 2020
N2 - ABSTRACT Foreign body and caustic ingestions in children are usually the most common clinical challenges for emergency physicians, general pediatricians and pediatric gastroenterologists. Management of these conditions often requires different levels of expertise and competence. Endoscopy is often necessary but there is a high risk of misusing this tool with incorrect timing and indications. The imprecise clinical history frequently leaves clinicians uncertain about timing and nature of the ingestion. Few clinical guidelines regarding management of these ingestions in children have been published, none of which from the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP). An expert panel of Italian endoscopists was convened by the SIGENP Endoscopy Working Group to produce the present article that outlines practical clinical approaches to the pediatric patient with a variety of foreign body and caustic ingestions. The Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) has also endorsed the project since many adult endoscopists usually manage children with these conditions. Differently from the other published guidelines, the proposed one focuses on the role of the endoscopists (regardless of whether they are adult or pediatric gastroenterologists) in the diagnostic process of children with foreign body and caustic ingestions.
AB - ABSTRACT Foreign body and caustic ingestions in children are usually the most common clinical challenges for emergency physicians, general pediatricians and pediatric gastroenterologists. Management of these conditions often requires different levels of expertise and competence. Endoscopy is often necessary but there is a high risk of misusing this tool with incorrect timing and indications. The imprecise clinical history frequently leaves clinicians uncertain about timing and nature of the ingestion. Few clinical guidelines regarding management of these ingestions in children have been published, none of which from the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP). An expert panel of Italian endoscopists was convened by the SIGENP Endoscopy Working Group to produce the present article that outlines practical clinical approaches to the pediatric patient with a variety of foreign body and caustic ingestions. The Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) has also endorsed the project since many adult endoscopists usually manage children with these conditions. Differently from the other published guidelines, the proposed one focuses on the role of the endoscopists (regardless of whether they are adult or pediatric gastroenterologists) in the diagnostic process of children with foreign body and caustic ingestions.
KW - Button battery
KW - Caustic ingestions
KW - Food impaction
KW - Foreign body ingestion
KW - Magnet
U2 - https://doi.org/10.1016/j.dld.2020.07.016
DO - https://doi.org/10.1016/j.dld.2020.07.016
M3 - Articolo
VL - 52
SP - 1266
EP - 1281
JO - Dig. Liver Dis.
JF - Dig. Liver Dis.
SN - 1590-8658
IS - 11
ER -