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

Gastrointest Endosc Clin N Am. 2016 Jan;26(1):99-118. doi: 10.1016/j.giec.2015.08.003.

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.

Keywords: Aortoesophageal fistula; Button battery ingestion; Caustic ingestion; Esophageal stricture; Foreign body ingestion; Gastrointestinal hemorrhage; MRI; Pediatric.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Algorithms
  • Child, Preschool
  • Electric Power Supplies*
  • Esophageal Fistula / etiology*
  • Esophageal Fistula / surgery
  • Esophagus / injuries*
  • Esophagus / surgery
  • Female
  • Foreign Bodies / complications*
  • Foreign Bodies / mortality
  • Foreign Bodies / surgery
  • Humans
  • Infant
  • Male
  • Patient Care Team
  • Time-to-Treatment
  • Vascular Fistula / etiology*
  • Vascular Fistula / surgery