Button battery ingestion: Hazards of esophageal impaction

Samad, Lubna; Ali, Mehboob; Ramzi, Hasan

doi:10.1016/s0022-3468(99)90119-7

Cited by 99 publications

(86 citation statements)

References 16 publications

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“…[9] If the lodged battery remains in the same site within the esophagus for a long time, it can cause inflammation and ischemia due to pressure necrosis. [2,11,25] Therefore, prompt removal is important to prevent damage.…”

Section: Discussionmentioning

confidence: 99%

“…[1] Esophageal button battery necessitates urgent removal, as they can cause major corrosive injury within hours of ingestion. [2] Batteries have a negative and a positive terminal. [3] The negative terminal of the battery is made of zinc or lithium and the positive terminal is made of lithium, manganese, manganese dioxide, oxygen, silver oxide, or mercuric oxide.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Esophageal Button Battery Ingestion in Children

Şencan

Genişol²,

Hoşgör³

2017

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Esophageal Button Battery Ingestion in Children

Şencan

Genişol²,

Hoşgör³

2017

Ulus Travma Acil Cerrahi Derg

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“…In battery ingestion, the mechanism of injury occurs by four different means including direct corrosive action due to leakage, toxic effect due to absorption of substances, low voltage burns, and pressure necrosis. [17][18][19][20][21] Liquefaction necrosis and perforation can occur in 4-6 h after a disc battery is lodged in the esophagus and so removal is desirable within 6 h. [22][23][24] For all the gastrointestinal foreign bodies, the type of object, its location, and child's symptoms dictate the treatment. In most cases of spontaneous passages occurs within 16 h of observation.…”

Section: Discussionmentioning

confidence: 99%

Foreign bodies in digestive tract of children: A tertiary care hospital experience

Singh¹,

Dubey²,

Pandey³

et al. 2014

Int J Med Public Health

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Introduction: Foreign bodies in the digestive tract are an important cause of morbidity and mortality in paediatric age group and pose diagnostic and therapeutic challenges We performed this study to evaluate our experience of foreign bodies of digestive tract in children over a fi ve year period in a tertiary referral center. Patients and Method: A retrospective study was conducted over a 5-year period between April 2009 and March 2013. All patients who were managed for foreign body in digestive tract up to 12 years of age were included and analysis was performed from case record of patients. Results: Total 97 patients with FB in digestive tract were included in the study FB was most commonly lodged in Upper esophagus in 61 patients, middle esophagus in 12 cases lower third of esophagus in 14 cases and beyond gastro-oesophageal junction in 10 cases. The most common clinical presentations were dull pain. Coins were the most common type of foreign body in the esophagus accounting for 71.1% of patients. Plain neck and chest x-rays antero-posterior and lateral view was diagnostic in all cases, with all FB being opaque. Rigid oesophagoscopy and removal under general anesthesia was the main treatment modality performed in 63 (65.8%) and Magill forceps extraction was done in 20 cases. Conclusion: Foreign bodies in digestive tract of children are a common problem with diverse presentation. Disc battery ingestion is prone for complication and expedient removal is required & associated conditions can pose risk for lodgment of foreign bodies.

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“…Batteries may cause injury by several mechanisms: 1) electrical discharge with hydrolysis and the creation of hydroxide ions in adjacent tissues causing mucosal burns, 2) necrosis due to direct pressure, 3) caustic injury due to alkalis (sodium or potassium hydroxide), and 4) mercury toxicity [26,27]. Esophageal necrosis, perforation, and death have been reported after button battery ingestion [17,26,28]. Although a large study found that mercury toxicity is rare [29], some batteries contain 5 g of mercuric oxide, which is a lethal dose.…”

Section: Batteriesmentioning

confidence: 99%

“…Timely diagnosis and urgent removal are necessary for batteries located in the esophagus [28]. Button batteries may be misdiagnosed as coins on X-rays, but larger button batteries can be identified by the double contour around the edge [32].…”

Section: Batteriesmentioning

confidence: 99%