Unpacking the dangers of super absorbent polymer water beads: an in vitro analysis

ObjectivesThis study aims to investigate the risk of pediatric bowel obstruction from various types of super absorbent polymer (SAP) beads in different liquid media, explore treatment options, and develop a clinical decision-making algorithm for healthcare providers.MethodsThree experiments were con...

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Main Authors: Jack J. Hachem, Javier Monagas, Ankona Banerjee, Robert A. Noel
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1477506/full
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author Jack J. Hachem
Jack J. Hachem
Javier Monagas
Javier Monagas
Ankona Banerjee
Robert A. Noel
Robert A. Noel
author_facet Jack J. Hachem
Jack J. Hachem
Javier Monagas
Javier Monagas
Ankona Banerjee
Robert A. Noel
Robert A. Noel
author_sort Jack J. Hachem
collection DOAJ
description ObjectivesThis study aims to investigate the risk of pediatric bowel obstruction from various types of super absorbent polymer (SAP) beads in different liquid media, explore treatment options, and develop a clinical decision-making algorithm for healthcare providers.MethodsThree experiments were conducted involving the measurement of SAP beads' expansion in different liquid media. The first experiment examined the expansion of beads in tap water, gastric fluid, and small intestine fluid. The second compared the expansion of beads from six manufacturers in water. The third tested the effect of varying concentrations of Polyethylene Glycol 3350 on bead expansion.ResultsThe study found that SAP beads reached their largest size in water, with significant size-dependent and solution-specific effects on their expansion. Large beads had a β of 12.67 (95% CI: 10.25–15.1; p < 0.001) compared to small beads. Gastric acid reduced expansion with a β of −7.01 (95% CI: −9.67 to 4.35; p < 0.001) and alkaline solution with a β of −3.88 (95% CI: −6.54 to 1.23; p = 0.002) compared to water. Treatment solutions containing high concentrations of polyethylene glycol (PEG) 3350 effectively reduced the size of the beads (p < 0.001).ConclusionsThis research highlights the importance of understanding the characteristics and risks associated with SAP beads to mitigate the dangers they pose to pediatric populations. Our findings underscore the need for standardized management of SAP bead ingestion, which could improve patient outcomes while reducing unnecessary diagnostic and therapeutic interventions. Further research and clinical validation of these strategies in vivo are essential to develop safe and efficient protocols for managing SAP bead ingestions
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spelling doaj-art-a127f07844534547a4e0bac35c1005a32025-08-20T02:56:48ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-03-011310.3389/fped.2025.14775061477506Unpacking the dangers of super absorbent polymer water beads: an in vitro analysisJack J. Hachem0Jack J. Hachem1Javier Monagas2Javier Monagas3Ankona Banerjee4Robert A. Noel5Robert A. Noel6Department of Pediatric Gastroenterology, Baylor College of Medicine, Children’s Hospital of San Antonio, San Antonio, TX, United StatesDepartment of Pediatric Gastroenterology, Baylor College of Medicine, Baylor College of Medicine, Houston, TX, United StatesDepartment of Pediatric Gastroenterology, Baylor College of Medicine, Children’s Hospital of San Antonio, San Antonio, TX, United StatesDepartment of Pediatric Gastroenterology, Baylor College of Medicine, Baylor College of Medicine, Houston, TX, United StatesDepartment of Pediatric Gastroenterology, Baylor College of Medicine, Baylor College of Medicine, Houston, TX, United StatesDepartment of Pediatric Gastroenterology, Baylor College of Medicine, Children’s Hospital of San Antonio, San Antonio, TX, United StatesDepartment of Pediatric Gastroenterology, Baylor College of Medicine, Baylor College of Medicine, Houston, TX, United StatesObjectivesThis study aims to investigate the risk of pediatric bowel obstruction from various types of super absorbent polymer (SAP) beads in different liquid media, explore treatment options, and develop a clinical decision-making algorithm for healthcare providers.MethodsThree experiments were conducted involving the measurement of SAP beads' expansion in different liquid media. The first experiment examined the expansion of beads in tap water, gastric fluid, and small intestine fluid. The second compared the expansion of beads from six manufacturers in water. The third tested the effect of varying concentrations of Polyethylene Glycol 3350 on bead expansion.ResultsThe study found that SAP beads reached their largest size in water, with significant size-dependent and solution-specific effects on their expansion. Large beads had a β of 12.67 (95% CI: 10.25–15.1; p < 0.001) compared to small beads. Gastric acid reduced expansion with a β of −7.01 (95% CI: −9.67 to 4.35; p < 0.001) and alkaline solution with a β of −3.88 (95% CI: −6.54 to 1.23; p = 0.002) compared to water. Treatment solutions containing high concentrations of polyethylene glycol (PEG) 3350 effectively reduced the size of the beads (p < 0.001).ConclusionsThis research highlights the importance of understanding the characteristics and risks associated with SAP beads to mitigate the dangers they pose to pediatric populations. Our findings underscore the need for standardized management of SAP bead ingestion, which could improve patient outcomes while reducing unnecessary diagnostic and therapeutic interventions. Further research and clinical validation of these strategies in vivo are essential to develop safe and efficient protocols for managing SAP bead ingestionshttps://www.frontiersin.org/articles/10.3389/fped.2025.1477506/fullpediatric bowel obstructionforeign body ingestionssuper absorbent polymer beadswater beadspolyethylene glycol 3350
spellingShingle Jack J. Hachem
Jack J. Hachem
Javier Monagas
Javier Monagas
Ankona Banerjee
Robert A. Noel
Robert A. Noel
Unpacking the dangers of super absorbent polymer water beads: an in vitro analysis
Frontiers in Pediatrics
pediatric bowel obstruction
foreign body ingestions
super absorbent polymer beads
water beads
polyethylene glycol 3350
title Unpacking the dangers of super absorbent polymer water beads: an in vitro analysis
title_full Unpacking the dangers of super absorbent polymer water beads: an in vitro analysis
title_fullStr Unpacking the dangers of super absorbent polymer water beads: an in vitro analysis
title_full_unstemmed Unpacking the dangers of super absorbent polymer water beads: an in vitro analysis
title_short Unpacking the dangers of super absorbent polymer water beads: an in vitro analysis
title_sort unpacking the dangers of super absorbent polymer water beads an in vitro analysis
topic pediatric bowel obstruction
foreign body ingestions
super absorbent polymer beads
water beads
polyethylene glycol 3350
url https://www.frontiersin.org/articles/10.3389/fped.2025.1477506/full
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