Cylindrical Batteries in the Stomach: Should We Wait 48 Hours for Removal?

Hammad, Tariq; Alastal, Yaseen; Bawany, Muhammad; Nawras, Ali; Hammad, Mohammad; Alaradi, Osama

doi:10.14309/crj.2015.80

Cited by 3 publications

(6 citation statements)

References 3 publications

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“…We summarize these cases in the Table. [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] Most reported cases involved patients who were asymptotic after ingestion. If symptoms did occur, they usually manifested as upper GI complaints or abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

“…13 Our review revealed that in all cases with evidence of corrosive changes, leakage, or damage to the battery casing, patients were symptomatic or had evidence of mucosal damage. 10,11,13,14,21,22 In 2017, Tien and Tanwar reported a case of a 3-battery ingestion that resulted in gastric ulcers and gastritis within 14 hours, despite the patient denying destruction of the battery cases. 24 Our review of the abdominal x-rays provided with the case suggested distortion of the battery casing that would have explained the gastric find-ings.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Retrieval vs Observation in Cylindrical Battery Ingestion

Hammami

Alkaade

Piraka³

et al. 2018

TOJ

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Background: Battery ingestion, particularly in the pediatric population, has become more common since the development of button batteries. Consequently, formal recommendations regarding the management of this battery type have been developed. Larger cylindrical battery ingestion is less common, with fewer cases reported. As such, no clear practice guidelines have been developed for the management of cylindrical battery ingestion. Case Report: We present a case of an incarcerated adult who ingested 2 AA batteries. One battery was retrieved endoscopically, but the second passed into the distal small bowel beyond endoscopic means of retrieval. The second battery passed spontaneously via the rectum after administration of laxatives and supportive care. Conclusion: Our case and review of the literature demonstrate that nonsurgical, conservative management with close clinical monitoring is possible in a hospital setting after cylindrical battery ingestion. Cases with concerning clinical symptoms or a history of damage to the battery casing warrant endoscopic or surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endoscopic Retrieval vs Observation in Cylindrical Battery Ingestion

Hammami

Alkaade

Piraka³

et al. 2018

TOJ

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“…Deliberate foreign body ingestion is commonly observed in patients with borderline personality disorder and other mental disorders. The high number of batteries detected by radiography in different places of the gastrointestinal system is a risk for bowel obstruction, corrosive injuries, 1,2 peritonitis, perforation, and death. Guidelines indicate that cylindrical batteries that remain in the stomach for over 48 hours after ingestion should be removed, 3 but in the case of suspected clinical complications, an emergency surgery should be planned.…”

Section: Diagnosismentioning

confidence: 99%

A man with intentional ingestion in a suicide attempt

et al. 2021

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“…Therefore, no clear practice guidelines have been established for the management of cylindrical battery ingestion. Although current guidelines recommend waiting 48 hours after ingestion to remove cylindrical batteries, a recent report has suggested that cylindrical batteries should be removed urgently [2], because they can cause corrosive and toxic damage to the mucosa if they remain in the gastrointestinal tract for a long time, due to leakage of their contents [1]. Cylindrical batteries have been reported to cause significant gastric ulceration, especially when they are retained in the stomach [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Although current guidelines recommend waiting 48 hours after ingestion to remove cylindrical batteries, a recent report has suggested that cylindrical batteries should be removed urgently [2], because they can cause corrosive and toxic damage to the mucosa if they remain in the gastrointestinal tract for a long time, due to leakage of their contents [1]. Cylindrical batteries have been reported to cause significant gastric ulceration, especially when they are retained in the stomach [2][3][4]. On the other hand, cylindrical batteries that pass through the pyloric ring into the small intestine are often followed up with the expectation of spontaneous expulsion [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Removal of Multiple Ingested Cylindrical Batteries

Ozaka¹,

Inoue²,

Tasaki³

et al. 2022

Cureus

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Button battery ingestion accidents have been reported in multiple previous reports. However, ingestion of cylindrical-type batteries is significant less described in the literature. Cylindrical batteries can reportedly cause corrosive damage to the gastrointestinal mucosa after long-term retention, leading to ulceration and perforation. Here, we present a case of endoscopic removal of eight AA batteries that had been ingested and caused corrosive changes in the gastrointestinal mucosa. A 45-year-old man with mental retardation was brought to our hospital due to the suspicion of cylindrical battery ingestion. A plain abdominal x-ray revealed a total of eight cylindrical batteries. Esophagogastroduodenoscopy was performed approximately 24 hours after ingestion, and four AA batteries were removed using a polypectomy snare. The remaining four batteries were followed up and removed under colonoscopy after confirming that they had reached the rectum. Leaked components of retained cylindrical batteries can cause chemical mucosal damage in the gastrointestinal tract. Therefore, early extraction should be considered in case of cylindrical battery ingestion. On the other hand, when the cylindrical battery has passed the pyloric ring, conservative management with close monitoring is acceptable if there are no clinical symptoms. Additionally, a polypectomy snare is useful in the extraction of ingested cylindrical batteries.

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Cylindrical Batteries in the Stomach: Should We Wait 48 Hours for Removal?

Cited by 3 publications

References 3 publications

Endoscopic Retrieval vs Observation in Cylindrical Battery Ingestion

Endoscopic Retrieval vs Observation in Cylindrical Battery Ingestion

A man with intentional ingestion in a suicide attempt

Endoscopic Removal of Multiple Ingested Cylindrical Batteries

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