Analysis of Complications After Button Battery Ingestion in Children

Ágnes Varga, Tamás Kovács, Amulya K Saxena1

  • 1Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster NHS Foundation Trust, Imperial College London, London, United Kingdom.

Pediatric Emergency Care
|January 26, 2018
PubMed

Insights

Button battery ingestion in children, especially those under 6, poses significant risks. Larger batteries (≥20 mm) increase the likelihood of severe complications, primarily in the esophagus, with a notable fatality rate.

Area of Science:

  • Pediatric Gastroenterology
  • Toxicology
  • Public Health

Background:

  • Button battery ingestion (BBI) is a critical pediatric emergency.
  • Potential for severe esophageal and systemic complications necessitates thorough understanding.

Purpose of the Study:

  • To conduct a literature review on complications following pediatric button battery ingestion.
  • To identify risk factors and patterns of injury associated with BBI.

Main Methods:

  • Systematic literature search of PubMed (1995-2015) using keywords: "button battery," "ingestion," "children."
  • Analysis of 31 publications, including patient demographics, battery characteristics, complications, affected organs, and outcomes.

Main Results:

  • 136,191 pediatric cases analyzed; 75% were under 6 years old.
  • Batteries ≥20 mm diameter were linked to higher complication rates (n=226).
  • Esophageal complications were most common (38.94%), with 61 reported fatalities.

Conclusions:

  • Children under 6 are most vulnerable to BBI complications.
  • Lithium batteries ≥20 mm are associated with increased risk; vascular involvement is particularly fatal.
  • Estimated complication rate: 0.165%; estimated lethality: 0.04%.
Abstract

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