Timing of Button Battery Removal From the Upper Gastrointestinal System in Children

Tawfiq Taki Al Lawati1, Reem Mohammed Al Marhoobi2

  • 1From the Royal Hospital, Department of Child Health, Oman.

Pediatric Emergency Care
|January 3, 2019
PubMed

Insights

Button battery ingestion in children poses a significant risk, especially in the esophagus, causing injury within 2 hours. Urgent removal from the esophagus and prompt consideration for stomach removal within 24 hours are crucial.

Area of Science:

  • Pediatric Gastroenterology
  • Emergency Medicine
  • Otolaryngology

Background:

  • Button battery ingestion is a frequent pediatric emergency.
  • Esophageal and gastric button battery impaction can lead to severe mucosal injury and complications.

Purpose of the Study:

  • To determine the optimal timing for button battery removal from the esophagus and stomach in pediatric patients.
  • To assess the relationship between retention time and injury severity.

Main Methods:

  • Retrospective descriptive study of pediatric patients (<13 years) with button battery ingestion.
  • Data collected included time of ingestion, location, removal time, and complications.
  • Analysis of 46 cases over a 4-year period at a single center.

Main Results:

  • Button batteries in the esophagus presented within 1.75 hours, while gastric batteries presented after 19.4 hours.
  • Esophageal button battery removal averaged 1.7 hours; gastric removal averaged 27 hours.
  • 87.5% of cases experienced endoscopic injuries, with one case of esophageal strictures.

Conclusions:

  • Esophageal button battery ingestion carries a high risk of injury within 2 hours.
  • Gastric button battery ingestion can cause mucosal injury within 10 hours.
  • Urgent removal from the esophagus and consideration for removal within 24 hours from the stomach are recommended.
Abstract

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