Related Experiment Video
Updated: May 10, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
[Foreign bodies in esophagus in children: case series]
Hugo Rodríguez1, Giselle Cuestas, Hugo Botto
1Servicio de Endoscopía Respiratoria, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.
Insights
Foreign body ingestion is common in young children, often passing harmlessly. Button batteries require urgent removal to prevent esophageal injury.
Area of Science:
- Pediatrics
- Gastroenterology
- Emergency Medicine
Context:
- Foreign body ingestion is a frequent pediatric emergency, predominantly affecting children under three years old.
- While most ingested foreign bodies pass spontaneously, esophageal impaction can lead to significant symptoms like vomiting and dysphagia.
- Coins are the most common esophageal foreign bodies, but button batteries pose a higher risk of rapid injury.
Purpose:
- To analyze the characteristics and outcomes of esophageal foreign body ingestions in children.
- To emphasize the critical need for prompt diagnosis and differentiation between various foreign body types, particularly coins and button batteries.
- To raise awareness among pediatricians regarding the recognition, prevention, and management of esophageal foreign bodies.
Summary:
- This study reviewed 115 cases of esophageal foreign bodies in children.
- Esophageal foreign bodies most frequently occur in children under three years old.
- Button batteries necessitate immediate removal due to their potential for causing early and severe esophageal injury, distinguishing them from coins.
Impact:
- Highlights the importance of early diagnosis and intervention in pediatric foreign body ingestion.
- Provides crucial information for pediatricians to effectively manage esophageal foreign body cases.
- Aims to reduce complications associated with delayed diagnosis or inappropriate management of ingested foreign bodies in children.
Abstract:
Ingestion of foreign bodies is an avoidable accident that is seen mainly in children under 3 years-old. Most of them pass through the digestive tract without causing clinical manifestations or complications, but a significant percentage is impacted in the esophagus causing vomiting, sore throat, dysphagia and drooling. The most common foreign bodies are coins. Complications usually occur when there is a delay in diagnosis or with large, sharp or potentially toxic objects, as the button battery. It is essential to make differential diagnosis between coin and button battery, since the latter requires urgent removal due to the earliness of the injury caused. We report 115 cases of foreign bodies in the esophagus, and we alert the pediatrician in recognizing and preventing this problem.
Related Concept Videos
Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure entails...
Barrett Esophagus-I: Introduction
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more similar...
