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Button battery ingestions.

D W Kuhns1, D J Dire

  • 1Department of Emergency Medicine, Darnall Army Community Hospital, Fort Hood, Texas.

Annals of Emergency Medicine
|March 1, 1989
PubMed
Summary
This summary is machine-generated.

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Most button battery ingestions are benign and can be managed at home with observation. Esophageal button batteries require immediate endoscopic removal, while others need radiographic monitoring. Mercury toxicity is rare, with treatment reserved for symptomatic patients.

Area of Science:

  • Pediatric Gastroenterology
  • Emergency Medicine
  • Toxicology

Background:

  • Button battery ingestions pose a risk of serious complications.
  • However, most cases are not life-threatening.
  • Prompt management is crucial for preventing adverse outcomes.

Purpose of the Study:

  • To review the clinical outcomes of button battery ingestions.
  • To outline appropriate management strategies based on location and symptoms.
  • To assess the risk of mercury toxicity from ingested button batteries.

Main Methods:

  • Review of existing literature and clinical guidelines.
  • Analysis of case studies and epidemiological data.
  • Evaluation of diagnostic and therapeutic interventions.

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Main Results:

  • Button batteries lodged in the esophagus necessitate immediate endoscopic removal.
  • Asymptomatic ingestions without esophageal impaction can be managed with home observation and serial radiography.
  • Significant mercury toxicity from button batteries is uncommon, and chelation is indicated only in symptomatic individuals.

Conclusions:

  • The majority of button battery ingestions are benign and manageable with conservative measures.
  • Endoscopic removal is critical for esophageal impactions.
  • Concerns regarding mercury toxicity are largely unfounded in most button battery ingestion cases.