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A battery is a galvanic cell that is used as a source of electrical power for specific applications. Modern batteries exist in a multitude of forms to accommodate various applications, from tiny button batteries such as those that power wristwatches to the very large batteries used to supply backup energy to municipal power grids. Some batteries are designed for single-use applications and cannot be recharged (primary cells), while others are based on conveniently reversible cell reactions that...
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Esophageal Button Battery Retrieval: Time-In May Not Be Everything.

Sriya Bhumi1, Sheena Mago2, Marianna G Mavilia-Scranton3

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Summary
This summary is machine-generated.

Urgent removal of ingested button batteries is standard practice. This case study shows delayed endoscopic removal without complications, highlighting the need for individualized patient management strategies.

Keywords:
button battery ingestiondeliberate foreign body ingestionegdesophagogastroduodenoscopy (egd)foreign body retrievaltiming of endoscopy

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Area of Science:

  • Gastroenterology
  • Pediatric Emergency Medicine
  • Foreign Body Ingestion Management

Background:

  • Ingested foreign bodies, especially button batteries, pose unique management challenges due to patient-specific factors and potential complications.
  • Current practice favors urgent endoscopic retrieval of button batteries within 2-6 hours to mitigate risks.
  • Lack of extensive literature complicates decision-making for non-standard foreign body ingestion cases.

Observation:

  • A case of a significantly delayed endoscopic removal of an ingested button battery is presented.
  • The delayed removal was performed without any associated complications.
  • This contrasts with the typical urgent intervention protocol for such cases.

Findings:

  • Delayed endoscopic removal of an ingested button battery can be achieved safely in select cases.
  • Individualized management, rather than a strict time-bound protocol, may be appropriate.
  • This case challenges the universal application of immediate retrieval for all button battery ingestions.

Implications:

  • Highlights the potential for conservative management in specific button battery ingestion scenarios.
  • Suggests a need for further research into the safety and efficacy of delayed removal.
  • Emphasizes the importance of case-by-case evaluation in managing ingested foreign bodies.