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Button battery ingestion in children: Update and practical approach

Julián M Fernández1, Claudia P Marrugo R1, Eliana Maddaleno1

  • 1Hospital Materno Infantil Dr. Florencio Escardó, Tigre, Argentina.

Archivos Argentinos De Pediatria
|April 21, 2026
PubMed

Insights

Button battery ingestion is a critical pediatric emergency, especially in children under 6. Prompt diagnosis and intervention are vital to prevent severe esophageal injuries and complications.

Area of Science:

  • Pediatric Medicine
  • Emergency Medicine
  • Toxicology

Background:

  • Button battery ingestion is a growing concern in pediatric emergency medicine.
  • Batteries lodged in the esophagus pose a significant risk of severe injury.
  • Children under 6 are particularly vulnerable to button battery ingestion.

Purpose of the Study:

  • To review current clinical practice guidelines for pediatric button battery ingestion.
  • To provide an updated framework for diagnosis and management.
  • To emphasize pathophysiology, clinical implications, and follow-up.

Main Methods:

  • Literature review of recent clinical practice guidelines.
  • Synthesis of information on pathophysiology and clinical management.
  • Focus on diagnostic and therapeutic strategies.

Main Results:

  • Timely diagnosis and intervention are crucial for preventing complications.
  • Management criteria and follow-up recommendations are outlined.
  • The review highlights the severity of potential injuries like perforation and mediastinitis.

Conclusions:

  • Button battery ingestion requires immediate medical attention in pediatric patients.
  • Adherence to updated guidelines is essential for optimal patient outcomes.
  • Early recognition and management can mitigate life-threatening consequences.

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