+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Hand-held metal detector identification of ingested foreign bodies

Hand-held metal detector identification of ingested foreign bodies

Pediatric Emergency Care 10(4): 204-207

The study purpose was to determine the ability of hand-held metal detectors (HHMDs) to identify the presence of ingested metallic foreign bodies (MFBs). Twenty-three children presenting to the emergency department with a complaint of MFBs ingested were enrolled. Sixteen of 23 patients had radiographically proven foreign bodies. The MFBs comprised coins (n = 11), a button battery (n = 1), a medallion (n = 1), a token (n = 1), a needle (n = 1), and a marble (leaded glass) (n = 1). The HHMD correctly detected 15 of 16 radiographically positive MFBs (93%) and correctly excluded a potential MFB in six of six radiographically negative cases. The only foreign body not detected was an ingested needle. One radiograph was equivocal. Radiographic localization of the ingested objects was as follows: esophagus, n = 4; stomach, n = 9; and intestines, n = 3. The HHMD correctly localized all detected MFBs. The HHMD had a sensitivity of 94%, a specificity of 100%, a positive predictive value of 100%, and a negative predictive value of 86%. HHMDs are effective screening devices for possible ingested MFBs. Positive studies localized to the stomach and lower gastrointestinal tract do not require confirmatory radiographic studies.

(PDF emailed within 0-6 h: $19.90)

Accession: 046211151

Download citation: RISBibTeXText

PMID: 7937296

DOI: 10.1097/00006565-199408000-00005

Related references

The use of a hand-held metal detector for localisation of ingested metallic foreign bodies - a critical investigation. European Journal of Pediatrics 163(4-5): 257-259, 2004

Detection of ingested foreign bodies with a metal detector. Journal of Pediatrics 121(5 Pt 1): 837-838, 1992

Use of a metal detector to identify ingested metallic foreign bodies. Ajr. American Journal of Roentgenology 155(4): 803-804, 1990

The use of a metal detector to locate ingested metallic foreign bodies in children. Journal of Accident & Emergency Medicine 13(5): 341-342, 1996

Handheld metal detector localization of ingested metallic foreign bodies: accurate in any hands?. Archives of Pediatrics & Adolescent Medicine 153(8): 853-857, 1999

Things that go beep: experience with an ED guideline for use of a handheld metal detector in the management of ingested non-hazardous metallic foreign bodies. Emergency Medicine Journal 23(6): 456-460, 2006

Identification and topographic localization of metallic foreign bodies by metal detector. Journal of Pediatric Surgery 39(8): 1245-1248, 2004

Just How Good Are Handheld Metal Detectors for Ingested Foreign Bodies?. Annals of Emergency Medicine 69(4): 516-518, 2017

Metal detector and swallowed metal foreign bodies in children. Journal of Accident & Emergency Medicine 16(2): 123-125, 1999

Investigations on the use of the metal-detector in demonstration of foreign bodies in the stomachs of cattle. Medl Danske Drylaegefor 32(4): 79-88, 1949

Handheld metal detector confirmation of radiopaque foreign bodies in the esophagus. Archives of Otolaryngology--Head & Neck Surgery 127(11): 1371-1374, 2001

A simple and inexpensive metal detector for magnetic and nonmagnetic metallic foreign bodies. Transactions of the American Ophthalmological Society 72: 363-367, 1974

Experimental study on single-electrode metal detector for taking off foreign bodies from the swine. Zhongguo Gu Shang 23(6): 454-455, 2010

An interesting journey of an ingested needle: a case report and review of the literature on extra-abdominal migration of ingested foreign bodies. Journal of Cardiothoracic Surgery 6: 77-77, 2011

PWE-039 Buried Treasure: Developing An Accurate, Low Cost Assessment Of Flexible Sigmoidoscopy Completion Using A Hand-held Metal Detector. Gut 63(Suppl 1): A139-A139, 2014