Ágnes Varga, Tamás Kovács, Amulya K Saxena1. 1. Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster NHS Foundation Trust, Imperial College London, London, United Kingdom.
Abstract
AIM: Button battery ingestion (BBI) in children may cause severe complications. This analysis is a literature review of complications after pediatric BBI. METHODS: Literature was searched on PubMed (1995-2015) using the terms "button battery," "ingestion," and "children." End points were age, type and diameter of battery, complications, affected organ, and fatality. RESULTS: A total of 31 publications were analyzed. Patients from 4 months to 19 years old were included (n = 136,191, with n = 102,143 or 75% aged <6 y). In 6262, the diameter of the battery was documented. Batteries of 20 mm or greater in size were more prone to complications (n = 226). With regard to the anatomy, BBI caused complications mainly in the esophagus (n = 88, 38.94%). Sixty-one fatal outcomes were reported. CONCLUSIONS: Children younger than 6 years are the most prone to BBI, with lithium batteries of 20 mm or greater in size associated with complications. Complications have been estimated at 0.165%, with lethality of 0.04%. The esophagus is the most affected organ, but vascular involvement is often fatal.
AIM: Button battery ingestion (BBI) in children may cause severe complications. This analysis is a literature review of complications after pediatric BBI. METHODS: Literature was searched on PubMed (1995-2015) using the terms "button battery," "ingestion," and "children." End points were age, type and diameter of battery, complications, affected organ, and fatality. RESULTS: A total of 31 publications were analyzed. Patients from 4 months to 19 years old were included (n = 136,191, with n = 102,143 or 75% aged <6 y). In 6262, the diameter of the battery was documented. Batteries of 20 mm or greater in size were more prone to complications (n = 226). With regard to the anatomy, BBI caused complications mainly in the esophagus (n = 88, 38.94%). Sixty-one fatal outcomes were reported. CONCLUSIONS:Children younger than 6 years are the most prone to BBI, with lithium batteries of 20 mm or greater in size associated with complications. Complications have been estimated at 0.165%, with lethality of 0.04%. The esophagus is the most affected organ, but vascular involvement is often fatal.
Authors: Pradip P Kamat; Matthew T Santore; Nir Atlas; Elizabeth M Sinclair; Harold K Simon; Erica L Riedesel; Janet Figueroa Journal: Pediatr Surg Int Date: 2022-01-28 Impact factor: 1.827
Authors: Cristina Lorenzo; Sara Azevedo; João Lopes; Ana Fernandes; Helena Loreto; Paula Mourato; Ana Isabel Lopes Journal: Front Pediatr Date: 2022-04-27 Impact factor: 3.418
Authors: Rishabh Sethia; Hannah Gibbs; Ian N Jacobs; James S Reilly; Keith Rhoades; Kris R Jatana Journal: Laryngoscope Investig Otolaryngol Date: 2021-04-15