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Button Battery Ingestions cause the Majority of Severe Complications

Alexander Kiefer1, Uta Duppel1, Alexander Schützenmeier1

  • 1Department of Paediatric Pneumology and Allergy, University Children's Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, Regensburg, Germany.

Klinische Padiatrie
|February 9, 2023
PubMed

Insights

Button battery ingestion in children is a significant cause of severe complications, unlike other foreign body ingestions. This study highlights the critical need for prompt diagnosis and management of button battery ingestions in pediatric patients.

Area of Science:

  • Pediatric Emergency Medicine
  • Gastroenterology
  • Otolaryngology

Background:

  • Foreign body ingestion is a common pediatric emergency with variable outcomes.
  • Complications are influenced by patient age, foreign body type, and location.
  • Button battery ingestions pose a unique risk for severe complications.

Approach:

  • Retrospective review of medical records for children (0-18 years) with suspected foreign body ingestion.
  • Analysis of clinical, imaging, and endoscopic data from January 2011 to March 2021.
  • Evaluation of treatment modalities and patient outcomes, focusing on complications.

Key Points:

  • 1,162 children presented with suspected foreign body ingestion; 398 (34%) were confirmed.
  • Metallic foreign bodies were most common (81% of verified ingestions).
  • 55 button battery ingestions occurred, with 5 severe complications, including 2 cases of esophageal-tracheal fistula.

Conclusions:

  • Button battery ingestions are strongly associated with severe mucosal damage and complications in children.
  • Compared to other foreign bodies, button batteries present a higher risk of adverse outcomes.
  • Urgent intervention is crucial for button battery ingestions to prevent life-threatening complications.
Abstract

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