Preventing Battery Ingestions: An Analysis of 8648 Cases (original) (raw)
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Button battery ingestion in children: An emerging hazard
Journal of Digestive Endoscopy, 2013
Button battery ingestion is an emerging hazard. In this retrospective study, we report six cases of lithium button battery ingestion in pediatric age group (mean age 2.8 years). Three button batteries were removed from stomach and three from esophagus. Esophageal site was associated with significant local injury, and one button battery was impacted in the esophagus, requiring rigid esophagoscopy for removal. Small battery size, used batteries, and early removal (<12 h after ingestion) were associated with lesser mucosal injury. No long-term complications were noted. Our study emphasizes that early diagnosis and urgent removal of ingested button battery are the only measures which prevent complications.
Button Battery (BB) Ingestion in Children: A Case Report
Bangladesh Journal of Child Health
Over the last few years, there is a rise in the use of button batteries(BB) in children’s toys and home appliances. Easy availability and small size of these batteries pose a significant risk of ingestion by small children which is exceedingly dangerous. After ingestion, the BB may lodge in the esophagus or enters easily into the stomach due to its variable sizes. If lodged in the esophagus, BB can cause injury due to their caustic and electric properties, as well as by direct pressure. In our case, the 16 months old boy had accidentally ingested a BB, removed approximately after 30 hours from the esophagus, had developed esophageal perforation followed by tracheaesophageal fistula, complications related to aspiration and finally expired due to bronchopneumonia with septicemia and respiratory failure. So, Prompt removal is mandatory to reduce devastating outcome if it is a button battery BANGLADESH J CHILD HEALTH 2021; VOL 45 (1) : 41-44
Battery Ingestion in Children, an Ongoing Challenge: Recent Experience of a Tertiary Center
Frontiers in Pediatrics
IntroductionMorbidity related to childhood battery ingestions (BI) has increased recently due to the expanding use of larger lithium cells. A prompt endoscopic removal is vital to prevent severe complications in cases of esophageal batteries (EB).Materials and MethodsA retrospective, descriptive study of admissions for BI requiring endoscopic removal in a tertiary hospital's pediatric emergency department (Jan. 2011/Dec. 2020).ResultsWe had 35 cases, with an increasing incidence in the last 6 years; median age, 26 m (8 m-10 years), witnessed ingestion in 86%. On the X-ray: 14 (40%) had an EB, 21 (60%), a gastric battery (GB). Symptoms were present in 57% (100% EB/24% GB), and vomiting was the most frequent (50%). Endoscopy revealed: EB, 13 (37%); GB, 17 (49%); duodenal battery, 1 (3%); no battery, 4 (11%). Median time to removal: EB, 7 h (2 h-21days); GB, 12 h (2 h-3 days). All the patients with EB on the X-ray (14) had severe mucosal injury (Zargar classification): Grade IIIa, ...
Complicated cases of lithium battery ingestion: Delay can be deadly
Journal of Digestive Endoscopy, 2018
Increasing use of button battery (BB) in household products and toys is responsible for the growing incidence of button battery ingestion (BBI). The BBI may cause life‑threatening complications. We present a series of three cases of complicated BBI (lithium cell) with delayed presentation; one of them could not survive due to tracheoesophageal fistula and sepsis. Here, we highlight the importance of early endoscopic intervention and careful follow‑up in children with lithium battery ingestion.
Severe esophageal damage due to button battery ingestion: can it be prevented?
Pediatric Surgery International, 2004
Batteries represent less than 2% of foreign bodies ingested by children, but in the last 2 decades, the frequency has continuously increased. Most ingestions have an uneventful course, but those that lodge in the esophagus can lead to serious complications and even death. Medline was used to search the English medical literature, combining ''button battery'' and ''esophageal burn'' as keywords. Cases were studied for type, size, and source of the batteries; duration and location of the battery impaction in the esophagus; symptoms; damage caused by the battery; and outcome. Nineteen cases of esophageal damage have been reported since 1979.Batteries less than 15 mm in diameter almost never lodged in the esophagus. Only 3% of button batteries were larger than 20 mm but were responsible for the severe esophageal injuries in this series. These data suggest that manufacturers should replace large batteries with smaller ones and thus eliminate most of the complications. When the battery remains in the esophagus, endoscopic examination and removal done urgently will allow assessment of the esophageal damage, and treatment can be tailored accordingly. There is a need for more public education about the dangers of battery ingestion; this information should be included as part of the routine guidelines for childproofing the home.
Archives of Disease in Childhood, 2012
Swallowed button batteries (BB) which remain lodged in the oesophagus are at risk of serious complications, particularly in young children. The authors report a 3-year-old child, who rapidly developed an oesophageal perforation, following the ingestion of a 20-mm lithium BB which was initially mistaken for a coin. A thoracotomy and T-tube management of the perforation led to a positive outcome. BBs (20 mm) in children should be removed quickly and close observation is required as the damage initiated by the battery can lead to a signifi cant injury within a few hours.
Button battery ingestion: A therapeutic dilemma and clinical issues in management
Journal of the Scientific Society, 2016
Button batteries, also known as disc batteries, are tiny, round batteries commonly present in numerous household electronic gadgets such as watches, calculators, cameras, hearing aids, penlights, remote control devices, and certain toys. Because of their easy accessibility to children, they pose a serious menace of accidental ingestion or inhalation. Most of the ingestions are benign. However, large-sized button batteries when ingested can become impacted in the esophagus or elsewhere in the gastrointestinal tract with life-threatening repercussions. We report a 4-year-old female child brought to our setup by her parents with an alleged history of ingestion of a button battery of the watch approximately about 2 h back. The child, apart from being anxious, was asymptomatic. An initial radiograph of the chest and abdomen was taken, which showed the battery at the distal end of the stomach. Considering the small size of the battery cell and after seeking the gastroenterologist's consultation, it was decided that the child would be managed conservatively with oral antacids and serial abdomen skiagrams were obtained. The button battery was eventually detected in the stools after 2 days.
Button battery ingestion- case report and review
IP international journal of forensic medicine and toxicological sciences, 2020
Over the last few years there is a rise in use of button batteries in various toys and other electronic gadgets. Easy availability and small size of these batteries pose a significant risk of ingestion in small children. Button battery ingestion can lead to serious health hazards very rapidly. A 2-year-old girl presented to the emergency room of a community hospital complaining of hematemesis. X-ray showed a coin lithium battery located in the esophagus, and she was transferred to a referral hospital and succumbed to death after 4 hours survival in king george hospital. Postmortem examination revealed massive blood clots in stomach.