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Area of Science:

  • Pediatric Medicine
  • Otolaryngology
  • Emergency Medicine

Background:

  • Button battery (BB) ingestion is a recognized pediatric hazard with serious consequences.
  • Industry-wide safety improvements include enhanced warning labels, secure packaging, and child-resistant compartments.
  • Tissue neutralization strategies are crucial for mitigating BB-induced injury.

Purpose of the Study:

  • To review the current understanding and management of pediatric button battery ingestions.
  • To highlight effective neutralization strategies for esophageal button battery injuries.
  • To discuss future directions in preventing button battery-related harm.

Main Methods:

  • Literature review of pediatric button battery hazards and management strategies.
  • Analysis of safety improvements implemented by manufacturers since 2012.
  • Evaluation of tissue neutralization techniques, including pre-removal and irrigation methods.

Main Results:

  • Significant progress has been made in product safety and labeling for button batteries.
  • Tissue neutralization, particularly with 0.25% sterile acetic acid irrigation, is effective in reducing injury severity.
  • Honey and sucralfate are also noted as pre-removal neutralization options.

Conclusions:

  • Continued vigilance and adherence to safety protocols are essential for managing pediatric button battery ingestions.
  • 0.25% sterile acetic acid irrigation is a recommended neutralization strategy for esophageal button battery removal.
  • Future advancements in button battery design hold the potential to eliminate esophageal tissue injury.