Esophageal Button Battery Ingestion in Children

Şencan, Aydın; Genişol, İncinur; Hoşgör, Münevver

doi:10.5505/tjtes.2016.72177

Cited by 10 publications

(20 citation statements)

References 19 publications

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“…In another case series of 26 children who ingested a button battery, the initial clinical signs at ingestion were vomiting (38.5%), fever (26.9%), and hypersialorrhea (26.9%) in most cases and chest pain, dysphagia, cough, or dysphonia were less frequently noted symptoms [2]. In yet another case series of eight children who ingested a button battery, the presenting clinical symptoms were dysphagia, coughing, vomiting, hypersalivation, fever, poor appetite, and recurrent pulmonary infection [9, 17–20]. The symptom profile observed in our population was in accordance with these published case series, which revealed that hypersalivation or dysphagia with or without vomiting, coughing, and recurrent pulmonary infection and fever were the most common presenting symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Button batteries are the second most frequently ingested foreign body after coins [24]. It is crucial to differentiate coin ingestion from button battery ingestion because of the severity of the complications resulting from button battery ingestion [1, 9]. Accordingly, both anteroposterior and lateral chest X-rays should be taken in all children with a suspected diagnosis of a foreign body ingestion; demonstration of the halo sign in anterior chest X-ray and the step-off sign in lateral chest X-ray film are diagnostic of button battery ingestion [1, 9, 25].…”

Section: Discussionmentioning

confidence: 99%

“…Ingesting a button battery carries the risk of rapidly progressing and potentially life-threatening damage to the esophagus, due to electrical injuries (flow of electrical current from the positive to negative terminals of the battery bridged by the mucosa), mechanical injuries (pressure necrosis by mucosal compression), and caustic injuries (leakage of alkaline electrolytes and coagulative necrosis) [2, 3, 5–9].…”

Section: Introductionmentioning

confidence: 99%

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Clinical Profile and Outcome of Esophageal Button Battery Ingestion in Children: An 8-Year Retrospective Case Series

Dörterler

2019

Emergency Medicine International

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Objective To present the clinical profile and outcomes of esophageal button battery ingestion cases treated at our institution over an 8-year period. Methods A total of 17 children who presented after ingesting a button battery and were treated at a tertiary care clinic over an 8-year period were included in this retrospective case series study. Data on patient demographics and esophageal location of the battery, time from ingestion to admission, symptoms, grade of mucosal injury, size of the battery, management, complications, and follow-up outcome were recorded. Results Median age was 29 months (range, 2–99 months). Boys comprised (n=11, 64.7%) of the study population. The most common location was the proximal esophagus (n=10, 58.8%). The median time from ingestion to admission was 6 h (range, 3–24 h). Hypersalivation alone (n=6, 35.3%) or together with vomiting (n=5, 29.4%) was the most common symptom. Grade IIA mucosal injury was noted in six (n=6, 35.3%) patients. The diameter of the battery was a median of 18.0 mm (range, 14–22 mm). We did not observe any correlation between the size of the battery and the grade of the injury. Early postoperative complications were encountered in one patient (n=1, 5.8%) and late postoperative complications were noted in eight patients (n=8, 47.1%) which required further esophageal dilatations, and follow-up revealed normal findings in eight patients (n=8, 47.1%) and mortality occurred in one patient. Conclusion The current case series study describing the clinical profiles and outcomes of 17 children who had ingested an esophageal button battery revealed male predominance, young patient age, and admission after a median of 6 h (3–24 h) of ingestion with nonspecific symptoms. Our findings confirm the success of rigid endoscopy to remove esophageal button batteries and indicate the likelihood of severe complications after removal.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical Profile and Outcome of Esophageal Button Battery Ingestion in Children: An 8-Year Retrospective Case Series

Dörterler

2019

Emergency Medicine International

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“…However, one should note that the button battery can cause visible esophageal mucosal injury as early as 15 min after ingestion and result in significant mucosal injury within 2 h (8). Unfortunately, there may be multiple delays from the time of ingestion until endoscopic removal of the battery, often as taking as long as 6 h, and unwitnessed ingestions may not be recognized for days, weeks, or even months (9,10). In this sense, esophageal injury continuously occurs before the button battery is removed in most cases.…”

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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“…The battery can be divided into positive and negative poles, in which the former is made of various chemical substances including the lithium, oxygen, manganese, manganese dioxide, silver oxide or mercuric oxide, and the latter is made of lithium or zinc. [ 6 ] The mucosa will bridge the positive and negative poles of the battery to form a local external current when a battery is lodged in the esophagus, which has been demonstrated to result in the hydrolysis and hydroxide formation, consequently leading to serious clinical complications within hours of ingestion, such as esophageal perforation, tracheoesophageal fistula and aortoesophageal fistula. [ 7 , 8 ]…”

Section: Introductionmentioning

confidence: 99%

Management of button batteries in the upper gastrointestinal tract of children

Gao

Wang

et al. 2020

Medicine

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Button batteries are the second most frequently-ingested foreign bodies and can lead to serious clinical complications within hours of ingestion. The purpose of this study was to analyze the outcomes of 14 children with button batteries lodged in the upper gastrointestinal tract. Totally 14 children with button batteries lodged in the upper gastrointestinal tract were included. The diagnosis was made primarily by the history of button battery ingestion, physical examination and chest-abdomen X-ray examination. The button batteries lodged in the esophagus were removed by esophagoscope, and those in the gastrointestinal tract were under observation. Among 10 children with batteries in the first esophageal stenosis, 9 were cured and 1 suffered from tracheoesophageal fistula. One case of battery in the second esophageal stenosis was dead due to intercurrent aortoesophageal fistula. Two cases of batteries in the third esophageal stenosis were cured after removal, and 1 case of the battery in the gastrointestinal tract discharged spontaneously. Ingested button batteries are mainly lodged in the esophageal stenoses and are easy to cause esophageal injury and severe complications. Early detection, prompt treatment, strengthening observation and regular follow-up after discharge may help to decrease the incidence of complications and improve the outcomes.

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Esophageal Button Battery Ingestion in Children

Abstract: BACKGROUND: Button battery lodged in the esophagus carries a high risk of morbidity and mortality. The purpose of this study was to present cases of patients with esophageal button battery ingestion treated at our clinic and to emphasize the importance of early diagnosis and treatment.

Cited by 10 publications

References 19 publications

Clinical Profile and Outcome of Esophageal Button Battery Ingestion in Children: An 8-Year Retrospective Case Series

Clinical Profile and Outcome of Esophageal Button Battery Ingestion in Children: An 8-Year Retrospective Case Series

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

Management of button batteries in the upper gastrointestinal tract of children

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