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In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
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Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
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Treatment strategies for poisoning are a critical aspect of emergency medicine, focusing on preventing the absorption of toxins and enhancing their elimination. When a poisoning incident occurs, the first response is to halt exposure and decontaminate the patient, particularly through gastrointestinal (GI) methods if the poison was ingested.Gastrointestinal Decontamination Techniques:Activated charcoal is the cornerstone of GI decontamination. It works through adsorption, binding the toxin to...
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Guidelines for Elective Pediatric Fiberoptic Intubation
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Pediatric cylindrical battery ingestion.

Maria Boccia1, Manuela Pugliese1, Marika Cantelli1

  • 1Department of Translational Medical Sciences, Section of Pediatrics, Federico II University Hospital, Napoli, Italy.

Endoscopy International Open
|February 28, 2025
PubMed
Summary
This summary is machine-generated.

Most pediatric cylindrical battery (CB) ingestions can be managed conservatively. However, timely removal is recommended for specific battery types, signs of distress, or prolonged retention to ensure positive clinical outcomes.

Keywords:
Endoscopy Lower GI TractEndoscopy Upper GI TractForeign bodiesForeign-bodiesPediatric endoscopy

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Area of Science:

  • Pediatric Gastroenterology
  • Toxicology
  • Emergency Medicine

Background:

  • Accidental battery ingestion is common in children.
  • Data on pediatric cylindrical battery (CB) ingestions are limited.
  • This study evaluates the characteristics and outcomes of CB ingestions in children.

Purpose of the Study:

  • To analyze features of pediatric cylindrical battery ingestions.
  • To describe clinical presentations and outcomes.
  • To guide management strategies for CB ingestions.

Main Methods:

  • Retrospective analysis of pediatric patients admitted for CB ingestion.
  • Data collected: demographics, ingestion details, symptoms, battery type, imaging results, and endoscopic removal outcomes.
  • Clinical course until hospital discharge was documented.

Main Results:

  • 45 children (mean age 42 months) ingested AA or AAA batteries.
  • CBs were most commonly found beyond the stomach (53.3%).
  • No mucosal lesions or complications were reported after endoscopic removal in 12 patients.

Conclusions:

  • Conservative management is suitable for most pediatric CB ingestions.
  • Timely removal is advised for specific battery types (A23/A27), damaged batteries, multiple ingestions, prolonged gastric retention, or symptomatic children.
  • This approach aims to prevent complications and ensure favorable outcomes.