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Updated: May 1, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
[Clinical analysis of foreign body ingestion of button cell in children]
Insights
Button cell ingestion in children poses serious risks, especially when lodged in the esophagus, potentially causing life-threatening damage. Prompt diagnosis and removal are crucial for esophageal button cell foreign bodies, while gastric ones may pass naturally.
Area of Science:
- Pediatric Gastroenterology
- Emergency Medicine
- Otolaryngology
Context:
- Button cell ingestion is a common pediatric emergency.
- Foreign bodies in the gastrointestinal tract present diagnostic and therapeutic challenges.
- Early intervention is critical for managing esophageal button cell ingestion.
Purpose:
- To enhance the diagnosis and treatment of button cell foreign body ingestion in children.
- To analyze outcomes based on the location of button cell foreign bodies.
- To differentiate management strategies for esophageal versus gastrointestinal button cell foreign bodies.
Summary:
- This study reviewed 14 pediatric cases of button cell foreign body ingestion.
- Esophageal button cells required endoscopic removal, with complications including stricture and mortality.
- Gastrointestinal button cells were managed conservatively, with spontaneous passage observed in all cases.
Impact:
- Highlights the significant morbidity and mortality associated with esophageal button cell foreign bodies.
- Emphasizes the importance of timely diagnosis and endoscopic intervention for esophageal button cells.
- Supports conservative management for button cell foreign bodies in the stomach and lower gastrointestinal tract due to their lower risk profile.
Objective:
To improve diagnosis and treatment level of foreign body ingestion of button cell in children.
Method:
Among the 14 cases with foreign bodies ingestion of button cell, 6 cases in esophageal, 7 cases in stomach and lower gastrointestinal tract, 1 case with multiple foreign bodies both in esophagus and stomach. Seven cases in stomach and lower gastrointestinal tract were closely observed without special treatment, 6 cases in esophageal, underwent esophagoscopy and removal of foreign body under general anesthesia, 1 case with multiple foreign bodies in esophagus and stomach underwent esophagoscopy and electronic gastroscopy and then removal of foreign body. All patients had symptomatic treatments after removal of foreign body. The average age is 2 years and 1 month.
Result:
After the removal of button cell, Foreign bodies in stomach and lower gastrointestinal tract in 7 cases were all discharged spontaneously. For the 6 cases in esophagus, 4 cases were cured, 1 case had esophageal stricture, 1 cased died. 1 case with multiple foreign bodies in both esophagus and stomach was cured.
Conclusion:
Esophageal foreign body has strong corrosiveness and would cause serious damages even to threaten children's life. It also may lead to esophageal stricture. The key point to cure this disease is to diagnose timely and to operate as soon as possible. Because neutralize of digestive juices and low probability of incarceration, with close observation, the foreign bodies of stomach and lower gastrointestinal tract can discharge spontaneously.
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