Button battery ingestion in children

Eliason, Michael J.; Ricca, Robert L.; Gallagher, Thomas Q.

doi:10.1097/moo.0000000000000410

Cited by 44 publications

(40 citation statements)

References 29 publications

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“…Parental and provider education remain the most important factors to prevent button battery injury. Collaboration between healthcare professionals and industry is essential to find a safer solution to this ongoing hazard [3].…”

Section: Resultsmentioning

confidence: 99%

“…The majority of button batteries today are of alkaline varieties, which cause liquefaction necrosis. The mechanism of injury entails: a) Leakage of the battery contents with direct corrosive damage b) Direct electrical currents on the mucosa c) Pressure necrosis form prolonged local pressure d) Local toxic effects due to absorption of substances Button battery ingestion, especially in small children has been shown to cause significant injury rapidly, leading to long-term morbidity and possible death [3].…”

Section: Discussionmentioning

confidence: 99%

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Button Batteries as Missed Foreign Bodies in Children

Ismail-Koch¹

2017

OOAJ

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The dangers of button battery ingestion are well documented. Button batteries may also be inserted into the ears and nose. In many cases of foreign body insertion the nature of the foreign body may be unclear. We describe two cases where foreign bodies of metallic appearance were noted in the ear and nose respectively with no prior history of button battery placement. Button batteries, which had caused significant tissue damage, were discovered in both cases. When there is diagnostic uncertainty regarding the precise nature of a metallic looking foreign body in the ears, nose or upper aerodigestive tract there should be a high index of suspicion of the possibility of a button battery and urgent removal undertaken.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Button Batteries as Missed Foreign Bodies in Children

Ismail-Koch¹

2017

OOAJ

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“…According to the National Capital Poison Center (https://www.poison.org/battery/stats), the incidence of accidental button battery ingestion in the United States was 3,240 cases (9.85 per million population) in 2017, of which 4.44% suffered moderate-to-severe esophageal damage, including esophageal perforation, esophagotracheal fistula, large arterio-esophageal fistula, and even death (3). Although the National Capital Poison Center has provided guidelines for the triage and treatment of button battery ingestions (4) and a National Button Battery Task Force established in the U.S. to prevent button battery-induced human injury (5), the incidence of battery ingestions remains high and life-threatening complications are a global problem (6,7).…”

Section: Introductionmentioning

confidence: 99%

Edible Oils Attenuate Button Battery-Induced Injury in Porcine Esophageal Segments

Jia

Zhang

et al. 2020

Front. Pediatr.

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Objective: The objective of the study is to test whether the use of edible oil might be an early treatment strategy for reducing button battery-induced esophageal injury.Methods: A button battery was inserted into esophageal segments collected from pigs. The esophageal segments were randomly allotted to one of the following six treatments:(1) untreated (nothing injected), (2) lemon juice, (3) orange juice, (4) colza oil, (5) peanut oil, and (6) olive oil. Every hour, the battery discharge and the pH value were measured in the esophageal tissue. After treatment for 6 h, the residual voltage of the battery was measured and the esophageal tissue was processed with H&E staining.Results: In esophageal segments of the untreated group, a large area of the mucous membrane was severely eroded. Partial erosion was observed in esophageal tissues treated with either lemon juice or orange juice. Furthermore, the esophageal tissues were basically intact, had little damage when treated with oils. The highest extra-esophageal discharge voltage was recorded in the untreated group, a medium amount of discharge voltage was recorded in the lemon juice and orange juice groups, and the lowest discharge voltage was recorded in all the edible oils groups.Conclusions: Edible oils immersed the battery, reduced the surrounding electrolysis, and thus attenuated battery discharge. As a result, treatment with edible oils attenuated the pH alkalization and tissue damage in button battery injury of pig esophageal segments. These results indicate that edible oils might be used in the treatment of button battery ingestion.

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“…Lithium button battery (LBB) ingestion is one of the situations that requires prompt surgical consultation, especially if the ingested battery is greater than 20 mm in size and 3 V in power, because of its high morbidity and even potential mortality. [1][2][3][4][5] Among possible complications of LBB ingestion, tracheoesophageal fistula (TEF) is particularly disastrous and sometimes causes catastrophic consequence. Traditionally, acquired TEF is managed with surgical intervention, but conservative management is the first-choice treatment at our institution.…”

Section: Introductionmentioning

confidence: 99%