The utility of handheld metal detector in confirming metallic foreign body ingestion in the pediatric emergency department

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dc.contributor.authorSaz, Eylem Ulas
dc.contributor.authorArikan, Cigdem
dc.contributor.authorOzgenc, Funda
dc.contributor.authorDuyu, Muhterem
dc.contributor.authorOzananar, Yeliz
dc.date.accessioned2019-10-27T21:17:41Z
dc.date.available2019-10-27T21:17:41Z
dc.date.issued2010
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground/aims: We aimed to identify the presence of ingested metallic foreign bodies with handheld metal detector in the pediatric population. Methods: All children (n=40) known or suspected to have ingested a MFB and who presented to the Emergency Department of the Children's Hospital of Ege University were prospectively ascertained. All patients underwent both radiographic evaluation and handheld metal detector scanning of the chest and abdomen on their presentation. In the present prospective study, we compared handheld metal detector scanning with plain radiography. Results: The end point of the study compared metallic foreign body findings with handheld metal detector vs radiological findings during an eight-month period. Forty subjects with possible metallic foreign body ingestion were enrolled into the study. The principle investigator scanned all subjects. Disease was defined by the presence of a foreign body in the gastrointestinal tract on radiograph. Radiographically, 35 foreign bodies were found, and handheld metal detector revealed 31 of them. The sensitivity of handheld metal detector was 88.6% (95% confidence interval [CV: 72.1%-96.5%), specificity 100% (95% CI: 61.8%-100%), positive predictive value (PPV) 100% (95% CI: 85.8%-100%), and negative predictive value 55.5% (95% CI: 34.3%-84.6%). Handheld metal detector revealed that 2 metallic foreign bodies (1 pushpin, I coin) were localized to the chest, which was confirmed by radiography, and urgent removal was performed with endoscopy. Conclusions: Handheld metal detector scanning is an accurate, inexpensive, radiation-free screening tool and should be used for evaluation of patients suspected of ingesting metallic foreign bodies.en_US
dc.identifier.doi10.4318/tjg.2010.0071en_US
dc.identifier.endpage139en_US
dc.identifier.issn1300-4948
dc.identifier.issue2en_US
dc.identifier.pmid20872326en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage135en_US
dc.identifier.urihttps://doi.org/10.4318/tjg.2010.0071
dc.identifier.urihttps://hdl.handle.net/11454/43857
dc.identifier.volume21en_US
dc.identifier.wosWOS:000283606200005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Soc Gastroenterologyen_US
dc.relation.ispartofTurkish Journal of Gastroenterologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectForeign bodyen_US
dc.subjectingestionen_US
dc.subjectchildrenen_US
dc.titleThe utility of handheld metal detector in confirming metallic foreign body ingestion in the pediatric emergency departmenten_US
dc.typeArticleen_US

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