Battery ingestion in children

Marom, Tal; Goldfarb, Alvin I.; Russo, Emanuele; Roth, Yehudah

doi:10.1016/j.ijporl.2010.05.019

Cited by 77 publications

(82 citation statements)

References 36 publications

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“…1,11 A previous study reported a reaction to BBs in the small intestine, suggesting a risk of intestinal injury if a BB lodges in regions other than the stomach. 8,13 In the present study, one patient had a jejunal perforation 4 days later when the BB passed spontaneously through the intestine during esophagoscopy.…”

Section: Discussionmentioning

confidence: 99%

“…1,3,22 The appropriate medical therapy [antibiotic therapy, H 2 -receptor blockers and proton pump inhibitors (PPIs), total parenteral nutrition (TPN), nasogastric (NG) tube intubation, steroids and stent/dilatation] after BB removal remains controversial. 1,11,23 Management of a TEF after BB ingestion has included waiting for spontaneous closure rather than surgical repair. 1,2,24 The time required for conservative treatment may be 6-8 months.…”

Section: Discussionmentioning

confidence: 99%

“…10 Batteries generally pass spontaneously through the upper gastrointestinal (GI) tract and are eliminated in the stool within a few days. 11 However, 12.5% of all BBs lodge in the esophagus, leading to severe complications. 3 Two deaths related to a tracheoesophageal fistula (TEF) caused by a BB lodged in the esophagus have occurred within the last 2 years in our department.…”

Section: Pediatric Surgerymentioning

confidence: 99%

See 2 more Smart Citations

The Outcomes of Injuries Due To Button Batteries Becoming Lodged in the Esophagus in Children

Cevik¹,

Böleken²

2013

Turkiye Klinikleri J Med Sci

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792utton battery (BB) lodgment in the esophagus has the potential for serious complications compared with other foreign bodies, and is an increasingly prevalent ingestion injury in children because it has parThe Outcomes of Injuries Due To Button Batteries Becoming Lodged in the Esophagus in Children A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The outcomes of button battery lodgment in the esophagus in children can be life threatening. Management of this injury after button battery removal is controversial. The aim of the present study was to compare the relevant studies in the literature with our experience of cases with a button battery lodged in the esophagus. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This retrospective study was conducted in all individuals who were referred for ingestion of a foreign body and who underwent eosophagoscopy at the Department of Pediatric Surgery between January 2007 and May 2012. Each operative report was reviewed to determine whether a button battery was present. Cases with a button battery lodged in the esophagus were reviewed regarding patient characteristics, clinical presentation, management strategy, outcome, and button battery features. R Re es su ul lt ts s: : Sixteen patients (10 males, six females; age, 2-99 months; mean age, 34.81±25.23 months) were admitted due to a button battery lodged in the esophagus. The majority of patients were aged <6 years. The time to diagnosis was between 1 h and 7 days. Ingestion of the button battery by ~4 4% of the patients was not witnessed. The majority of button batteries were lodged in the proximal esophagus (43.7%). Eight patients had esophageal injuries at various stages. Six patients had a normal esophagus. Two patients developed a tracheoesophageal fistula and both died. The mean duration of hospitalization was 6.8 days. C Co on nc cl lu us si io on ns s: : A button battery lodged in the esophagus in children is an urgent condition. In such cases, urgent endoscopic removal and a close follow up is required. K Ke ey y W Wo or rd ds s: : Child; burns; esophagus, foreign bodies; deglutition Ö ÖZ ZE ET T A Am ma aç ç: : Özofagusa takılı kalan düğme pilin çocuklarda hayati tehlikesi olabilir. Özofagustan düğme pil çıkarıldıktan sonraki yaralanmanın tedavisi halen tartışmalıdır. Bu çalışmanın amacı, özo-fagusa takılı kalan düğme pil vakalarımızdaki tecrübelerimizi literatürdeki ilgili çalışmalar ile karşılaştırmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu retrospektif çalışma, Ocak 2007-Mayıs 2012 tarihleri arasında yabancı cisim yutma nedeniyle çocuk cerrahisi kliniğine kabul edilen ve ösofagoskopi uygulanan tüm bireylerde yapıldı. Her ameliyat raporu, hastada düğme pil mevcut olup olmadığını belirlemek amacıyla gözden geçirildi. Özofagusta düğme pil takılı olan olgular, hastanın özellikleri, klinik bulguları, tedavi şekli, sonuçları ve düğme pilin özellikleri açısından değerlendirildi. B Bu ul lg gu ul la ar r: : On altı hasta (10 erkek, altı kız; yaş 2-99 ay; ortalama yaş 34,81±25,...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Pediatric Surgerymentioning

confidence: 99%

See 1 more Smart Citation

The Outcomes of Injuries Due To Button Batteries Becoming Lodged in the Esophagus in Children

Cevik¹,

Böleken²

2013

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

show abstract

“…3). [11] The chest radiograph may also reveal features of complications of ingestion, such as pneumothorax and pneumomediastinum, [4,8,13] lung field infiltrates [9] and proximal oesophageal dilatation, as described in case 2 above. If there is evidence of complications, there may be value in doing further studies such as a contrast swallow examination [8] or a CT scan.…”

Section: Diagnosis and Investigationmentioning

confidence: 94%

“…[4][5][6] Once the battery is in the restricted space of the oesophagus and in contact with its endothelium, which creates a circuit, it rapidly starts heating up, causing thermal cell damage. In addition, the casing erodes and leaks metals and hydroxide anions.…”

Section: Pathologymentioning

confidence: 99%