Button battery ingestion in children: Experience from a tertiary center on 56 patients

Shafiq, Syed; Devarbhavi, Harshad; Balaji, Gurappa; Patil, Mallikarjuna

doi:10.1007/s12664-021-01192-6

Cited by 10 publications

(10 citation statements)

References 15 publications

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“…Two of the five children who failed BB extraction had esophageal perforation with resultant peritonitis needing surgical intervention. 13 No complications related to the endoscopic procedure or general anesthesia were observed in our study.…”

Section: Resultsmentioning

confidence: 51%

Endoscopic Management of Pediatric Foreign Body Ingestions and Food Bolus Impactions: A Retrospective Study from a Tertiary Care Center

Shafiq

Devarbhavi

2023

Journal of Digestive Endoscopy

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Background Foreign body (FB) ingestion is a common pediatric problem with the majority of these occurring in children younger than 3 years. Management varies depending on the age of the patient, ingested object(s), its location along the digestive tract, and the available expertise. We aim to report our experience with endoscopic management of FB ingestions in children (<18 years). Materials and Methods We retrospectively reviewed and analyzed endoscopic and medical records from our hospital database of all pediatric patients (<18 years) who presented with FB ingestion between January 2011 and December 2021. Results Our analysis included a total of 368 patients. FB ingestions and/or food bolus impactions were noted in 242 and 11 children, respectively while 115 (31.25%) had spontaneously passed off FB from the digestive tract. Most common FB was coin (28.5%) followed by animal bones (26.2%). Endoscopic management of FBs and food bolus impaction was successful in 247 children (97.63%), while endoscopic FB retrieval failed in 6 children including 1 with fish bone and 5 with button batteries. A total of 9 out of 11 children with food bolus impaction had underlying esophageal pathology, the commonest being corrosive stricture (n = 7). No mortality related to endoscopic intervention was reported. Conclusions Endoscopic retrieval of ingested FBs and food bolus impaction in children is a safe and effective approach when performed by experienced endoscopists and is associated with a high success rate and a lower incidence of complications with reduced hospital stay.

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Section: Resultsmentioning

confidence: 51%

Endoscopic Management of Pediatric Foreign Body Ingestions and Food Bolus Impactions: A Retrospective Study from a Tertiary Care Center

Shafiq

Devarbhavi

2023

Journal of Digestive Endoscopy

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“…Shafiq and colleagues from St. John's Medical College Hospital, Benglauru, India, reviewed the clinical and endoscopic characteristics of 56 children presenting to their hospital emergency department with BB ingestion [2]. Ten BBs passed off spontaneously, while 27 BBs were extracted endoscopically from the stomach.…”

Section: Button Battery Ingestion In Children: Experience From a Tertiary Center On 56 Patientsmentioning

confidence: 99%

“…Given their corrosive properties, these can damage the gastrointestinal mucosa and cause serious injury within a few hours. Three mechanisms of mucosal injury have been described for BBs: leakage of battery content directly corroding adjacent mucosa, burns due to electric current, and necrosis due to direct compression [1].Shafiq and colleagues from St. John's Medical College Hospital, Benglauru, India, reviewed the clinical and endoscopic characteristics of 56 children presenting to their hospital emergency department with BB ingestion [2]. Ten BBs passed off spontaneously, while 27 BBs were extracted endoscopically from the stomach.…”

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confidence: 99%

Editorial commentary on Indian Journal of Gastroenterology—September–October 2021

Limdi

2021

Indian J Gastroenterol

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“…Many factors affect the proper management, including size variations, site, the timing of ingestion, and the type of foreign object ingested. Patient factors also affect management, such as age, and clinical presentation, which makes each case managed in a unique situation [3].…”

Section: Introductionmentioning

confidence: 99%

Button Batteries and High-Powered Neodymium Magnet Ingestion in Children

Rashed

Khalfan

2022

Open Access Maced J Med Sci

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BACKGROUND: Foreign body ingestions in pediatrics are present highly variably. For each case, it is important to consider the size of the child, the age of the child, the size of the object, and the inherently different risk of different objects ingested. It is important to note that regardless of the type of object, any foreign body should be removed from the esophagus. Over the past decade, the medical literature has particularly identified the potential for morbidity and mortality in cases of button battery and magnet ingestions. AIM: This study aims to describe the complications and how to avoid them in addition to studying the role of early endoscopic intervention in cases of button batteries (BB) and multiple magnets ingestion in children. METHODS: There were 151 children enrolled in the study, classified into two groups. The first group constitutes ninety children with BB, the other group sixty children with multiple magnets ingestion. In addition to one patient with both multiple magnets and battery ingestion, which are extracted endoscopically from the stomach without complication. BB detected in the upper gastrointestinal tract (GIT) in the esophagus, stomach, and duodenum in 70 patients were extracted endoscopically. Other 20 patients where the batteries were detected distal to duodenum were observed till the discharge of batteries was confirmed. In patients with multiple magnets, the magnets were in the upper GIT in 46 patients while found distal to the duodenum in 14 patients. RESULTS: There were 151 children enrolled in the study, classified into two groups. The first group constitutes ninety children with BB, the other group sixty children with multiple magnets ingestion. In addition to one patient with both multiple magnets and battery ingestion, which are extracted endoscopically from the stomach without complication. BB detected in the upper GIT in the esophagus, stomach, and duodenum in 70 patients were extracted endoscopically. Other 20 patients where the batteries were detected distal to duodenum were observed until the discharge of batteries was confirmed. In patients with multiple magnets, the magnets were in the upper GIT in 46 patients while found distal to the duodenum in 14 patients. CONCLUSION: This study put alarm that multiple magnets ingestion carries a high risk of gastrointestinal perforation compared to battery ingestion. Invitation to ban on the sale of products with high-powered neodymium magnets, such as Buckyballs and Buckycubes, and to keep BB difficult reachable by children. In addition to encouraging urgent endoscopic management of suspected BB or multiple magnets ingestion.

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Button battery ingestion in children: Experience from a tertiary center on 56 patients

Cited by 10 publications

References 15 publications

Endoscopic Management of Pediatric Foreign Body Ingestions and Food Bolus Impactions: A Retrospective Study from a Tertiary Care Center

Endoscopic Management of Pediatric Foreign Body Ingestions and Food Bolus Impactions: A Retrospective Study from a Tertiary Care Center

Editorial commentary on Indian Journal of Gastroenterology—September–October 2021

Button Batteries and High-Powered Neodymium Magnet Ingestion in Children

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