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Esophageal Button Battery Retrieval: Time-In May Not Be Everything
Sriya Bhumi1, Sheena Mago2, Marianna G Mavilia-Scranton3
1Gastroenterology and Hepatology, New York Presbyterian, Queens, USA.
Cureus
|May 16, 2024
Summary
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.
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.
