• Saundra Smyrski

Endoscopic Findings Associated w/ Button Battery Ingestion in Children



Key Points:

  • Foreign body (FB) ingestion is a very common problem in children and a cause for presentation to the emergency department (Rios et al., 2020).

  • Button batteries (BB) given their corrosive properties, can damage gastrointestinal (GI) mucosa and cause serious injury within a few hours.

  • 3 mechanisms of mucosal injury have been described for BBs:

  1. leakage of battery content directly corroding adjacent mucosa

  2. burns due to electric current

  3. necrosis due to direct compression

  • Esophageal mucosal lesion occurs within a very short time after ingestion, then current recommendation is BB removal within 2 hours of ingestion (Rios et al., 2020).

  • Button battery ingestion is an accident that occurs mainly at home and is more common in children younger than 6 years.

  • It is imperative to keep in mind that being asymptomatic does not rule out the presence of an FB and that mucosal damage may still be present.


Reference:


Ríos, G., Rodríguez, L., Lucero, Y., Miquel, I., Arancibia, M. E., & Alliende, F. (2020). Endoscopic findings associated with button battery ingestion in children. Pediatric Emergency Care, 36(11), 523–526. https://doi.org/10.1097/pec.0000000000001415













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