Pediatric button battery ingestion: Publication trends in the literature

Haddad, Narmien; Wilson, Jeffrey D.; Fard, Darian; Levi, Jessica R.

doi:10.1016/j.amjoto.2020.102401

Cited by 9 publications

(9 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 The most commonly retrieved items in the paediatric population are coins and food boluses, although the prevalence of button battery ingestion is increasing. 4 Tissue necrosis and formation of granulation tissue can complicate button battery ingestion, making extraction challenging, similar to the case described. Conventional methods can usually be employed, even with unusual foreign bodies, but there is a paucity of literature addressing those that cannot be adequately visualised directly or endoscopically.…”

Section: Discussionmentioning

confidence: 71%

How we do it: impacted oesophageal foreign body removal using a dilatation balloon

Chakravarty¹,

Kunanandam

Walker³

2021

J. Laryngol. Otol.

View full text Add to dashboard Cite

Background Ingested foreign bodies are a common presentation to paediatric ENT services. Depending on the site, these are usually managed with flexible or rigid oesophagoscopy and retrieval. This paper presents a novel technique for removing a hollow foreign body that could not be removed using conventional means. Method and results After rigid and flexible approaches failed, a guidewire was passed through the foreign body under fluoroscopic guidance and a dilatation balloon passed through the lumen of the object. Inflating the balloon allowed dilatation of the inflamed mucosa above and below the object, facilitating straightforward removal under traction. Conclusion This is a novel and reproducible technique that uses equipment readily available in tertiary referral centres. Employed in this context, the technique enabled removal of an impacted object surrounded by granulation tissue, and would be appropriate for other objects with a lumen.

show abstract

Section: Discussionmentioning

confidence: 71%

How we do it: impacted oesophageal foreign body removal using a dilatation balloon

Chakravarty¹,

Kunanandam

Walker³

2021

J. Laryngol. Otol.

View full text Add to dashboard Cite

show abstract

“…11 However, as button batteries continue to become more ubiquitous in different devices, including hearing aids, remote controls, cameras, and toys, the rate of pediatric ingestions is likely to continue to rise. 7 Lithium ion button batteries are implicated in the highest number of fatalities (92%) resulting from battery ingestion and can cause severe injury in as little as 2.5 hours after ingestion with an increasing risk for perforation after 12 hours. 11,12 The most severe complications arising from button battery ingestion include aortoesophageal fistula, tracheoesophageal fistula, perforation of the esophagus, esophageal stenosis, and vocal cord paralysis.…”

Section: Discussionmentioning

confidence: 99%

“…Efforts have been taken by the National Button Battery Task Force working with manufacturers to implement childproof packaging and improved warning labels 11 . However, as button batteries continue to become more ubiquitous in different devices, including hearing aids, remote controls, cameras, and toys, the rate of pediatric ingestions is likely to continue to rise 7 . Lithium ion button batteries are implicated in the highest number of fatalities (92%) resulting from battery ingestion and can cause severe injury in as little as 2.5 hours after ingestion with an increasing risk for perforation after 12 hours 11 , 12 .…”

Section: Discussionmentioning

confidence: 99%

“…This is reflected in publication trends displaying a spike in the volume of published medical literature regarding battery ingestion over the past decade, with a smaller proportion of total publications from the United States, signifying diversification of research. 7 Past studies using conventional radiographs demonstrated battery characteristics of esophageal foreign bodies, but these studies did not study a wide array of coins and batteries, using multiple radiographic modalities, or with imaging performed in situ. 8,9 The purpose of this study is to determine the accuracy of both conventional and digital radiography to differentiate all common button batteries from coins of varying metals and designs representing an increasingly diverse patient population.…”

mentioning

confidence: 99%

“…This, coupled with the rapid growth of electronic devices and toys using a wide array of button batteries, leads to new uncertainties in differentiating coins from batteries. This is reflected in publication trends displaying a spike in the volume of published medical literature regarding battery ingestion over the past decade, with a smaller proportion of total publications from the United States, signifying diversification of research 7 . Past studies using conventional radiographs demonstrated battery characteristics of esophageal foreign bodies, but these studies did not study a wide array of coins and batteries, using multiple radiographic modalities, or with imaging performed in situ 8 , 9 .…”

mentioning

confidence: 99%

See 2 more Smart Citations

Urgency of Esophageal Foreign Body Removal: Differentiation Between Coins and Button Cell Batteries

Safavi

Brook

Sakai

et al. 2021

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective Coin-shaped button battery foreign bodies have a similar initial presentation to coin ingestion, but delayed retrieval of a battery from the esophagus can have devastating consequences. Variations in timing of retrieval for children with ingestion of coin foreign bodies have been reported. The study assesses the sensitivity and specificity of conventional and digital radiographs to differentiate button batteries from coin foreign bodies. Study Design 3B case control study. Study Setting Tertiary academic medical center. Methods A radiographic study of the 12 most common commercially available button batteries and 66 coins of varying international origins was performed. Foreign bodies were placed at the cervical esophagus of a cadaver, and anteroposterior (AP) and lateral conventional radiographs of the neck were obtained. Digital AP and lateral radiographs of standalone coins and batteries were also obtained. Images were blindly read by 2 otolaryngologists and 2 radiologists. Statistical analysis was performed to determine accuracy in identifying coins vs batteries. Results Using conventional radiographs to identify button batteries yielded a sensitivity of 0.88 and a specificity of 0.92 (positive predictive value [PPV] = 0.75, negative predictive value [NPV] = 0.97). Digital radiography yielded an overall sensitivity of 0.98 and specificity of 0.97 (PPV = 0.87, NPV = 0.99). Features of button batteries were only seen on AP conventional radiographs using reverse contrast. Conclusions Neither conventional nor digital radiographic imaging had perfect accuracy in identifying coins vs batteries. Features of common disc batteries were identified, which may aid in diagnosis. With potential devastating consequences from retained battery in the esophagus, emergent removal of any possible disc battery foreign body should be considered.

show abstract

Cylindrical and button battery ingestion in children: a single-center experience

et al. 2021

View full text Add to dashboard Cite

Pediatric button battery ingestion: Publication trends in the literature

Cited by 9 publications

References 16 publications

How we do it: impacted oesophageal foreign body removal using a dilatation balloon

How we do it: impacted oesophageal foreign body removal using a dilatation balloon

Urgency of Esophageal Foreign Body Removal: Differentiation Between Coins and Button Cell Batteries

Cylindrical and button battery ingestion in children: a single-center experience

Contact Info

Product

Resources

About