a Record control number WOS:000283606200005

a ISSN 1300-4948

a Original cataloging agency NEU GrandLibrary

a Language code of text/sound track or separate title eng

a Classification number WI 140

b Item number .U85 2010

a Personal name Saz, Eylem Ulas.

h Medium Electronic Document

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

c Statement of responsibility, etc Eylem Ulas Saz, Cigdem Arikan, Funda Ozgenc, Muhterem Duyu, Yeliz Ozananar.

a Place of publication, distribution, etc Turkish Soc Gastroenterology,

c Date of publication, distribution, etc 2010.

b Name of publisher, distributor, etc Ankara :

a Summary, etc Background/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.

a Topical term or geographic name as entry element Gastroenterology & Hepatology

a Topical term or geographic name as entry element Near East University Article

a Topical term or geographic name as entry element Yakın Doğu Üniversitesi Makale

a Topical term or geographic name as entry element Foreign body

a Topical term or geographic name as entry element Ingestion

a Topical term or geographic name as entry element Children

g Relationship information JUN 2010, Vol 21 Issue 2, p135-139

x International Standard Serial Number 13004948

t Title Turkish Journal Of Gastroenterology

u Uniform Resource Identifier http://library.neu.edu.tr:2048/login?url=http://dx.doi.org/10.4318/tjg.2010.0071