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Disc battery ingestion in paediatric age

Paolo Quitadamo1, Flora Caruso1, Casimiro Del Monaco2

  • 1Digestive Endoscopy and Gastroenterological Emergency Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.

Acta Paediatrica (Oslo, Norway : 1992)
|April 13, 2022
PubMed

Insights

Ingested disc batteries pose a serious health risk to children, with complications linked to esophageal retention, large battery size, young age, and symptoms. Prompt medical evaluation is crucial for managing disc battery ingestion.

Area of Science:

  • Pediatric Gastroenterology
  • Emergency Medicine
  • Toxicology

Background:

  • Disc battery ingestion is a significant concern in pediatric emergency medicine.
  • Timely medical evaluation is essential for managing potential complications.

Purpose of the Study:

  • To analyze clinical data of children with disc battery ingestion.
  • To identify predictors of short- and long-term injuries.
  • To refine treatment guidelines and urgency of intervention.

Main Methods:

  • Retrospective review of pediatric patients admitted for disc battery ingestion (2016-2020).
  • Statistical analysis using odds ratio to determine factors associated with complications.

Main Results:

  • 10.2% of 118 children experienced mild to major complications.
  • Factors predicting poor outcomes included esophageal retention, battery diameter >20mm, age <1 year, and symptomatic presentation.
  • Disc batteries lodged beyond the esophagus were less associated with harm.

Conclusions:

  • Ingested disc batteries are a serious health hazard requiring prompt medical evaluation.
  • Esophageal retention, large diameter, and symptom onset are key predictors of severity.
  • A conservative approach may be suitable for disc batteries located beyond the esophagus.
Abstract

Keywords:
disc batteriesendoscopic removaloesophageal mucosal injurysite retention

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