Superabsorbent polymers beads ingestion: retrospective study in France - 09/06/21

Doi : 10.1016/j.toxac.2021.06.001

Weniko Caré ^a,^b,^c,⁎ , Alexandre Bretonneau ^d, Hélène François-Coridon ^e, Jacques Manel ^f, Ingrid Blanc-Brisset ^g, Nathalie Paret ^h, Laurène Dufayet ^a,^c,ⁱ, Jérôme Langrand ^a,^c, Dominique Vodovar ^a,^c,^j
French PCC Resarch Group^{^†}
Investigator list of French Poison Control Centers (PCC, Centre antipoison in French): Christine Tournoud (East PCC), Hervé Laborde-Casterot (Paris PCC), Nicolas Franchitto (Toulouse PCC), Nicolas Simon and Luc de Haro (Marseille PCC), Camille Paradis and Audrey Nardon (Bordeaux PCC), Anne-Marie Patat (Lyon PCC), Marie Deguigne and Marion Legeay (Grand Ouest PCC), Ramy Azzouz (North PCC).
^a Paris Poison Control Center, Toxicology Federation (FeTox), Hôpital Fernand Widal, AP-HP, Paris, France
^b Internal Medicine Department, Begin Military Teaching Hospital, Saint-Mandé, France
^c INSERM, UMR-S 1144, Paris, France
^d Pediatric Intensive Care Department, Centre Hospitalier Universitaire de Martinique, Fort-de-France, France
^e Pediatric Surgery Department, Centre Hospitalier Universitaire de Martinique, Fort-de-France, France
^f Nancy Poison Control Center, Centre Hospitalier Universitaire, Nancy, France
^g Bordeaux Poison Control Center, Centre Hospitalier Universitaire Pellegrin Tripode, Bordeaux, France
^h Lyon Poison Control Center, Hospices Civils de Lyon, Lyon, France
ⁱ Forensic Department, Hôpital Hôtel Dieu, AP-HP, Paris, France
^j University of Paris, Medicine UFR, Paris, France

^⁎Address correspondence to: Centre antipoison de Paris, Hôpital Fernand Widal, 200 rue du Faubourg Saint Denis, 75475 Paris Cedex 10, FranceCentre antipoison de Paris, Hôpital Fernand Widal, 200 rue du Faubourg Saint DenisParis Cedex 1075475France

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Abstract

Introduction: Cases of ingestion of superabsorbent polymers (SAPs) marketed as ornamental products and toys are increasingly reported.

Objective: The objectives of this study were to describe the trend and outcome of SAPs beads ingestion in France.

Methods: We conducted a retrospective descriptive study over a 10-year period of all cases of SAPs beads ingestion collected by the French Poison Control Centers.

Results: 193 cases of SAPs bead ingestion were collected, 90% of whom among children (median 30 months). More than 75% of cases were asymptomatic while the remaining cases exhibited minor/mild gastrointestinal symptoms. The outcome was spontaneously favorable in all cases except for one fatality in a 18-month-old girl who developed bowel obstruction.

Conclusions: SAPs beads ingestions were mostly asymptomatic but could be responsible for fatal bowel obstruction in children, related to the increase in SAPs beads size within the intestinal tract. The diagnosis was made difficult by SAPs radiolucent properties. SAPs bead ingestion should be considered by practitioners as a possible cause of obstruction with no foreign body found.

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Keywords : superabsorbent polymers bead, foreign bodies, intestinal obstruction, gastrointestinal endoscopy, pediatrics

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Superabsorbent polymers beads ingestion: retrospective study in France - 09/06/21

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