Abstract:
Background: Infants and young children explore objects by putting them in the mouth. Although most swallowed foreign bodies pass spontaneously via the gastrointestinal tract without causing harm, some of them are potentially dangerous and may be lethal.
Patients and methods: Five children have swallowed multiple high strength and powerful rare earth Neodymium Magnetic beads. Three cases were subjected to open and two for laparoscopic exploration (one of them converted to open).
Results: Multiple complicated enteroenteric ?stulae were noted in three cases and multiple perforation of small intestine in two cases. Resection anastomosis was done for one case and simple closure of small bowel perforations for other four cases. Post operative course was uneventful for all patients and discharged in a good general condition.
Conclusion: General practitioners should be aware of the danger and complications of Neodymium Magnetic beads ingestion by children. Early endoscopic removal is recommended if the patient presents immediately after ingestion. Parents awareness through media is required to abandon magnetic beads in houses and where children can ingest those dangerous beads.
Biography:
Professor Gamal Al-Saied had been graduated from Al-Azhar University with Bachelor’s Degree in Medicine and Surgery with a general grade very good with honor. His rank was the 9th in the top 10 graduate list of Faculty of Medicine Al-Azhar University Cairo, Egypt. In 1991, He has been completed his Master’s Degree (MSc) in pediatric surgery (1st part, thesis, and 2nd part). Then, he was appointed as a demonstrator of pediatric surgery in 1992, then, an assistant lecturer of pediatric surgery in 1993 at the Pediatric Surgery Department. In 1998, he has been accredited with a Doctorate Degree in Pediatric Surgery (M.D). Then, he was promoted to a lecturer of pediatric surgery at the Pediatric Surgery Department. In 2004, he was promoted to assistant professor of pediatric surgery at Pediatric Surgical department at Al-Azhar University Hospitals. In 2008, he was certified a Fellowship of European Board in Pediatric Surgery (FEBPS), Glasgow, Scotland. In 2009, he was promoted to a full professor of pediatric surgery at Pediatric Surgical department by Al-Azhar University Hospitals. In 2022, he is certified as a Fellowship of American College of Surgeons (FACS) USA. He had two published theses (MSc and M.D) and he supervised many thesis of a Master’s Degree and Doctorate Degree. Also, he has published 37 international researches in international journals of pediatric surgery and one chapter in international text book (CURRENT CONCEPTS OF URETHROPLASTY) Edited by Donkov I. 2011, pp 35-42. He has been invited as an international speaker and chairperson in many international conferences on pediatric surgery. Currently, He is an Editor-in- Chief for two international pediatric surgery journals and editor of thirteen international pediatric surgery journals. He is also reviewer for many international pediatric surgery journals. In 2003, he was the founder and head of pediatric surgery unit at King Abdul Aziz Specialist Hospital Taif, Saudi Arabia. He has a great and long term experience in neonatal and pediatric surgery field (open and laparoscopic). Recently, in the era of COVID-19 and afterwards, he has been invited as an international keynote speaker to many international pediatric surgery webinars.