Button Battery Ingestion in Children

Leinwand, Kristina; Brumbaugh, David; Krämer, Robert

doi:10.1016/j.giec.2015.08.003

Cited by 136 publications

(67 citation statements)

References 19 publications

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“…Beyond physical damage from the battery, complications have arisen where the battery was found to cause an esophageal stricture with the foreign body lodged in the esophagus surrounded by a mucus membrane, and, moreover, they have even been reported to pass through the esophageal wall and remain lodged within the mucosa [12]. Batteries can cause continuous injury for weeks in pediatric patients, predisposing them to aortoesophageal fistulas in addition to strictures [29]. …”

Section: Complications Of Foreign Body Impactionmentioning

confidence: 99%

Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature

Bekkerman

Sachdev

Andrade³

et al. 2016

Gastroenterology Research and Practice

109

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Foreign body ingestion is a common diagnosis that presents in emergency departments throughout the world. Distinct foreign bodies predispose to particular locations of impaction in the gastrointestinal tract, commonly meat boluses in the esophagus above a preexisting esophageal stricture or ring in adults and coins in children. Several other groups are at high risk of foreign body impaction, mentally handicapped individuals or those with psychiatric illness, abusers of drugs or alcohol, and the geriatric population. Patients with foreign body ingestion typically present with odynophagia, dysphagia, sensation of having an object stuck, chest pain, and nausea/vomiting. The majority of foreign bodies pass through the digestive system spontaneously without causing any harm, symptoms, or necessitating any further intervention. A well-documented clinical history and thorough physical exam is critical in making the diagnosis, if additional modalities are needed, a CT scan and diagnostic endoscopy are generally the preferred modalities. Various tools can be used to remove foreign bodies, and endoscopic treatment is safe and effective if performed by a skilled endoscopist.

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Section: Complications Of Foreign Body Impactionmentioning

confidence: 99%

Endoscopic Management of Foreign Bodies in the Gastrointestinal Tract: A Review of the Literature

Bekkerman

Sachdev

Andrade³

et al. 2016

Gastroenterology Research and Practice

109

View full text Add to dashboard Cite

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“…Ingestion of a button battery by children is considered an absolute surgical emergency and a dangerous and challenging form of foreign body ingestion that requires a rapid diagnosis and urgent removal [1–3].…”

Section: Introductionmentioning

confidence: 99%

Clinical Profile and Outcome of Esophageal Button Battery Ingestion in Children: An 8-Year Retrospective Case Series

Dörterler

2019

Emergency Medicine International

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Objective To present the clinical profile and outcomes of esophageal button battery ingestion cases treated at our institution over an 8-year period. Methods A total of 17 children who presented after ingesting a button battery and were treated at a tertiary care clinic over an 8-year period were included in this retrospective case series study. Data on patient demographics and esophageal location of the battery, time from ingestion to admission, symptoms, grade of mucosal injury, size of the battery, management, complications, and follow-up outcome were recorded. Results Median age was 29 months (range, 2–99 months). Boys comprised (n=11, 64.7%) of the study population. The most common location was the proximal esophagus (n=10, 58.8%). The median time from ingestion to admission was 6 h (range, 3–24 h). Hypersalivation alone (n=6, 35.3%) or together with vomiting (n=5, 29.4%) was the most common symptom. Grade IIA mucosal injury was noted in six (n=6, 35.3%) patients. The diameter of the battery was a median of 18.0 mm (range, 14–22 mm). We did not observe any correlation between the size of the battery and the grade of the injury. Early postoperative complications were encountered in one patient (n=1, 5.8%) and late postoperative complications were noted in eight patients (n=8, 47.1%) which required further esophageal dilatations, and follow-up revealed normal findings in eight patients (n=8, 47.1%) and mortality occurred in one patient. Conclusion The current case series study describing the clinical profiles and outcomes of 17 children who had ingested an esophageal button battery revealed male predominance, young patient age, and admission after a median of 6 h (3–24 h) of ingestion with nonspecific symptoms. Our findings confirm the success of rigid endoscopy to remove esophageal button batteries and indicate the likelihood of severe complications after removal.

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“…oesophago-aortic fistulas) and long-term oesophageal stricture formation escalate significantly, especially when extraction is delayed >15 hours after ingestion. [21][22][23] Coins remain the most commonly ingested foreign body [5,24] locally and internationally, followed by other plastic and metal objects, especially toy parts. Most (>80%) round objects such as coins, marbles and button batteries are likely to pass through the rest of the GIT spontaneously and uneventfully if they have traversed the cricopharynx.…”

Section: Complicationsmentioning

confidence: 99%