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Management of oesophageal impaction of button batteries in Queensland

Dhina Chandran1, Sooji Park2, Ruth Barker3,4

  • 1Department of Otorhinolaryngology and Head and Neck Surgery, Gold Coast University Hospital, Queensland, Australia.

ANZ Journal of Surgery
|April 4, 2022
PubMed

Insights

Oesophageal button battery impaction (OBBI) is a medical emergency in children. Delays in removal, due to diagnostic and logistical challenges, can increase tissue injury risks.

Area of Science:

  • Pediatric Emergency Medicine
  • Gastroenterology
  • Otolaryngology

Background:

  • Oesophageal button battery impaction (OBBI) is a critical medical emergency.
  • Rapid tissue injury necessitates prompt removal of ingested button batteries (BB).
  • Understanding OBBI circumstances and removal barriers in children is crucial.

Purpose of the Study:

  • To characterize the circumstances surrounding OBBI in a pediatric population.
  • To identify barriers impacting timely BB removal.
  • To inform strategies for improved pediatric OBBI management.

Main Methods:

  • Retrospective review of OBBI cases from January 2018 to June 2019.
  • Analysis of patient demographics, BB characteristics, and presentation details.
  • Recording of time intervals: ingestion to presentation, x-ray, transfer, and BB removal.

Main Results:

  • Eight pediatric OBBI cases were identified within 18 months.
  • Mean time from ingestion to hospital presentation was 2 hours 13 minutes.
  • Total time from ingestion to BB removal varied significantly, up to 126 hours 51 minutes.

Conclusions:

  • Diagnostic, geographic, and logistical challenges in Queensland impede optimal OBBI care.
  • Primary prevention, expanded removal networks, and novel treatments are needed.
  • Improved strategies can reduce morbidity associated with pediatric OBBI.
Abstract

Keywords:
button batteryoesophageal foreign body

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