Button battery ingestion in children—what one needs to know?

Mohan, Pazhanivel; Gondu, Gangadhar Rao; Narasimhan, Mohan; Ardhanari, Ramesh

doi:10.1007/s12664-013-0390-6

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…4 Severe tissue damage can occur in 2 hours with delayed complications. It should be noted that, even when the button battery is removed, associated complications may occur with delayed presentation 26,27 such as tracheo-esophageal fistula that has been reported 6 days after removal and hemorrhage that has also been reported 18 days after the endoscopic removal due to the formation of an aortoesophageal fistula, and both resulted in death. 10 A patient with Down syndrome was reported to have a vascular ring that compressed the posterior wall of the esophagus; therefore, the esophageal erosion into the surrounding arterial structures, a week after the removal of the ingested battery, resulted in fatal outcome.…”

Section: Resultsmentioning

confidence: 99%

Analysis of Complications After Button Battery Ingestion in Children

2018

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Section: Resultsmentioning

confidence: 99%

Analysis of Complications After Button Battery Ingestion in Children

2018

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“…The resulting current generates hydroxide radicals in the tissue leading to liquefactive necrosis. Clinicians must be aware of esophageal, airway and vascular complications associated with these patients in the short term and well after removal of the battery [ 8 , 9 ]. For example, tracheo-esophageal fistula has been reported 6 days after removal and hemorrhage as many as 18 days after [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Management of broncho-esophageal fistula after button battery ingestion

Ott

Harris

Barsness

et al. 2021

Journal of Surgical Case Reports

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Button battery ingestion can cause serious injury or death in young children who cannot communicate symptoms. An 18-month-old male presented after his mother noted drooling, nonbilious emesis and a metallic smell to his breath. He underwent rigid esophagoscopy and a 3-V 20-mm button battery was removed. Subsequent bronchoscopy after a 1-week interval revealed progression to a large broncho-esophageal fistula on the posterior wall of the right mainstem bronchus past the carina. A fenestrated nasogastric tube for local control of secretion and a feeding jejunostomy was placed. Six weeks later, the patient underwent a right thoracotomy for division and repair of the fistula and intercostal muscle flap interposition. Utilizing a well-placed fenestrated nasogastric tube to manage secretions can help reduce fistula size and improve conservative management results. When surgical repair is required, an intercostal muscle flap can reinforce fistula closure while simultaneously buttressing the bronchus and esophagus.

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