• Dario Silva da Silva Júnior, Jandrei Rogério Markus, Aline Barbosa Lopes, Lucas da Silva Sousa, Erika da Silva Maciel, Ladislau Ribeiro do Nascimento, Luiz Sinésio Silva Neto, Aldair Martins Barasuol, André Pontes-Silva, and Fernando Rodrigues Peixoto Quaresma.
• Universidade Federal do Tocantins, Postgraduate Program in Science and Health Teaching - Palmas (TO), Brazil.
• Rev Assoc Med Bras (1992). 2022 Sep 1; 68 (9): 1270-1275.

ObjectiveThis study aimed to suggest a care protocol for foreign-body ingestion, address the clinical aspects, and identify the ingested object, severity, and professional conduct.MethodsThis is a qualitative study. We used books and original articles published in national and international journals (BIREME, SCIELO, LILACS, and MEDLINE/PubMed) in Portuguese, Spanish, and English.ResultsThe ingestion of a radiolucent object should be evaluated radiographically and with endoscopy for cases with symptoms of impaction and radiolucent objects. Coins are the most commonly involved foreign bodies. In asymptomatic patients, it often requires only a conservative form of management. Ingestion of batteries, magnets, and sharp objects carries a high risk of serious clinical complications and should have an endoscopic or surgical approach. In view of this, each pediatric emergency service, based on these recommendations, has the possibility to develop an individual protocol to identify and remove the ingested foreign body.ConclusionsProtocol of care for foreign-body ingestion in children depends on the object ingested, time of ingestion, symptoms, and local epidemiological context. This study provides some suggestions for decision-making in the conduct of health professionals.

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