Button Battery Ingestion in Children: A Paradigm for Management of Severe Pediatric Foreign Body Ingestions

Overview

Journal Gastrointest Endosc Clin N Am

Specialties Gastroenterology
Pharmacology
Radiology

Date 2015 Dec 1

PMID 26616899

Citations 38

Authors

Kristina Leinwand

David E Brumbaugh

Robert E Kramer

Affiliations

Soon will be listed here.

Abstract

Gastrointestinal injuries secondary to button battery ingestions in children have emerged as a dangerous and difficult management problem for pediatricians. Implementation of a multidisciplinary team approach, with rapid and coordinated care, is paramount to minimize the risk of negative outcomes. In addition to providing a comprehensive review of the topic, this article outlines the authors' referral center's experience with patients with severe battery ingestion, highlighting the complications, outcomes, and important lessons learned from their care. The authors also propose an algorithm for clinical care that may be useful for guiding best management of pediatric button battery ingestion.

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References

Dinary G, Rosenbach Y, ZAHAVI I, Garty B . [Hazards of button battery ingestion by children]. Harefuah. 1983; 105(11):361-2. View

Honda S, Shinkai M, Usui Y, Hirata Y, Kitagawa N, Take H . Severe gastric damage caused by button battery ingestion in a 3-month-old infant. J Pediatr Surg. 2010; 45(9):e23-6. DOI: 10.1016/j.jpedsurg.2010.06.002. View

Thabet M, Basha W, Askar S . Button battery foreign bodies in children: hazards, management, and recommendations. Biomed Res Int. 2013; 2013:846091. PMC: 3725977. DOI: 10.1155/2013/846091. View

Jatana K, Litovitz T, Reilly J, Koltai P, Rider G, Jacobs I . Pediatric button battery injuries: 2013 task force update. Int J Pediatr Otorhinolaryngol. 2013; 77(9):1392-9. DOI: 10.1016/j.ijporl.2013.06.006. View

Tan A, Wolfram S, Birmingham M, Dayes N, Garrow E, Zehtabchi S . Neck pain and stiffness in a toddler with history of button battery ingestion. J Emerg Med. 2010; 41(2):157-60. DOI: 10.1016/j.jemermed.2010.02.027. View

Tanaka J, Yamashita M, Kajigaya H . Esophageal electrochemical burns due to button type lithium batteries in dogs. Vet Hum Toxicol. 1998; 40(4):193-6. View

Laulicht B, Traverso G, Deshpande V, Langer R, Karp J . Simple battery armor to protect against gastrointestinal injury from accidental ingestion. Proc Natl Acad Sci U S A. 2014; 111(46):16490-5. PMC: 4246317. DOI: 10.1073/pnas.1418423111. View

Litovitz T, Whitaker N, Clark L, White N, Marsolek M . Emerging battery-ingestion hazard: clinical implications. Pediatrics. 2010; 125(6):1168-77. DOI: 10.1542/peds.2009-3037. View

Sharpe S, Rochette L, Smith G . Pediatric battery-related emergency department visits in the United States, 1990-2009. Pediatrics. 2012; 129(6):1111-7. DOI: 10.1542/peds.2011-0012. View

10.

Akashi H, Kawamoto S, Saiki Y, Sakamoto T, Sawa Y, Tsukube T . Therapeutic strategy for treating aortoesophageal fistulas. Gen Thorac Cardiovasc Surg. 2014; 62(10):573-80. DOI: 10.1007/s11748-014-0452-4. View

11.

Brumbaugh D, Colson S, Sandoval J, Karrer F, Bealer J, Litovitz T . Management of button battery-induced hemorrhage in children. J Pediatr Gastroenterol Nutr. 2011; 52(5):585-9. DOI: 10.1097/MPG.0b013e3181f98916. View

12.

Russell R, Griffin R, Weinstein E, Billmire D . Esophageal button battery ingestions: decreasing time to operative intervention by level I trauma activation. J Pediatr Surg. 2014; 49(9):1360-2. DOI: 10.1016/j.jpedsurg.2014.01.050. View

13.

Spiers A, Jamil S, Whan E, Forbes D, Gollow I, Andrews D . Survival of patient after aorto-oesophageal fistula following button battery ingestion. ANZ J Surg. 2012; 82(3):186-7. DOI: 10.1111/j.1445-2197.2011.05984.x. View

14.

Litovitz T, Whitaker N, Clark L . Preventing battery ingestions: an analysis of 8648 cases. Pediatrics. 2010; 125(6):1178-83. DOI: 10.1542/peds.2009-3038. View

15.

Hill S, Zarroug A, Ricketts R, Veeraswamy R . Bedside placement of an aortic occlusion balloon to control a ruptured aorto-esophageal fistula in a small child. Ann Vasc Surg. 2010; 24(6):822.e7-9. DOI: 10.1016/j.avsg.2009.12.016. View

16.

Litovitz T . Button battery ingestions. A review of 56 cases. JAMA. 1983; 249(18):2495-500. View

17.

Sigalet D, Laberge J, Dilorenzo M, Adolph V, Nguyen L, Youssef S . Aortoesophageal fistula: congenital and acquired causes. J Pediatr Surg. 1994; 29(9):1212-4. DOI: 10.1016/0022-3468(94)90803-6. View

18.

Ruhl D, Cable B, Rieth K . Emergent treatment of button batteries in the esophagus: evolution of management and need for close second-look esophagoscopy. Ann Otol Rhinol Laryngol. 2014; 123(3):206-13. DOI: 10.1177/0003489414522969. View

19.

Kramer R, Lerner D, Lin T, Manfredi M, Shah M, Stephen T . Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr. 2015; 60(4):562-74. DOI: 10.1097/MPG.0000000000000729. View

20.

Soong W, Yuh Y . Ingested button battery retrieved by a modified magnet endoscope. J Chin Med Assoc. 2007; 70(3):132-5. DOI: 10.1016/S1726-4901(09)70344-2. View