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Time Is Money in Case of a Button Battery Ingestion
Charlotte Bosschaert1, Katrien Van Renterghem2, Dirk Van de Putte2
1From the Department of Pediatrics, Ghent University Hospital, Ghent University, Ghent, Belgium.
Insights
Button battery ingestion is a serious pediatric risk. Prompt endoscopic removal and strategies like honey or acetic acid rinses can prevent severe complications from esophageal button batteries.
Area of Science:
- Pediatric Gastroenterology
- Emergency Medicine
- Toxicology
Background:
- Button battery (BB) ingestion presents a significant, preventable health hazard in children.
- Complications from BB ingestion can lead to substantial morbidity and mortality.
Observation:
- Presents three pediatric cases with complicated courses following button battery ingestion.
- Highlights the critical need for urgent endoscopic removal of esophageal BBs.
Findings:
- Discusses current guidelines for managing esophageal BB impaction.
- Introduces novel pre-endoscopic strategies: administration of honey or sucralfate.
- Recommends rinsing esophageal mucosa with acetic acid during endoscopy to neutralize alkalinity and prevent late complications.
Implications:
- Emphasizes the necessity of increased public awareness and legislative changes in BB packaging to prevent ingestions.
- Suggests a multi-faceted approach involving immediate medical intervention and preventative measures.
Abstract:
Button battery (BB) ingestion is a preventable pediatric health hazard with important morbidity and mortality due to complications. We present 3 pediatric patients with a complicated course after BB ingestion and discuss current guidelines. Urgent endoscopic removal is necessary for every BB impacted in the esophagus. A new strategy before endoscopic removal is the administration of honey or sucralfate. During endoscopy, rinsing the esophageal mucosae with acetic acid can neutralize the alkalic environment and prevent late complications. Prevention of ingestion needs to be pursued by increasing awareness and changing legislation of packaging of BB.
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