Therapeutic dilemma and clinical issues in management of the button battery ingestion: a case report and literature review

Abstract The incidence of button battery ingestion in children less than 6 years, from year 1985 to 2019 was 59,000 and it is still a clinical challenge for pediatricians. Objects which are commonly ingested are large amounts of food, coins, toy parts, jewels, batteries, sharp materials and non-meta...

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Autores principales:	Olsi Agolli, Arjola Agolli, Namrata Hange, Kuchalambal Agadi
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Foreign bodies Button battery Poison Control Centers Emergency Medical Services Esophageal perforation Gastric ulcer Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/bdd03848a3fd4865b9f69ebad1e21b47
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spelling	oai:doaj.org-article:bdd03848a3fd4865b9f69ebad1e21b472021-11-14T12:38:57ZTherapeutic dilemma and clinical issues in management of the button battery ingestion: a case report and literature review10.1186/s43054-021-00084-w2090-9942https://doaj.org/article/bdd03848a3fd4865b9f69ebad1e21b472021-11-01T00:00:00Zhttps://doi.org/10.1186/s43054-021-00084-whttps://doaj.org/toc/2090-9942Abstract The incidence of button battery ingestion in children less than 6 years, from year 1985 to 2019 was 59,000 and it is still a clinical challenge for pediatricians. Objects which are commonly ingested are large amounts of food, coins, toy parts, jewels, batteries, sharp materials and non-metallic sharp objects. It is an increased incidence of mortality and morbidity due to button battery ingestion, compared to accidental ingestion of other objects, due to its small size, and because of its potent source of energy. A literature search was carried out to evaluate the challenges in diagnosing, treatment, and follow-up of button battery ingested cases in children. A total of 36 original articles were included for the review. Conclusions: Button batteries can quickly cause severe damage to the mucosal lining of the GI tract. Esophageal button batteries require emergency removal because they can cause serious complications leading to hemorrhage, and death. In children, where the button battery has passed the esophagus watchful management should be made. In the majority of cases, the button batteries with a diameter less than 2 cm lodged in the stomach will pass spontaneously with no complications. However, asymptomatic children may be followed up with X-rays to assess progression up to 10–14 days after ingestion. Endoscopic or surgical removal may be required to prevent intestinal perforation with peritonitis. Symptomatic children will always need a consultation with a pediatric surgeon for surgery no matter where the button battery is placed in the GI tract. Developing countries shall adopt surveillance and reporting systems for BBI ingestion and related complications and it is recommended as essential to have management protocols in place for button batteries ingestion.Olsi AgolliArjola AgolliNamrata HangeKuchalambal AgadiSpringerOpenarticleForeign bodiesButton batteryPoison Control CentersEmergency Medical ServicesEsophageal perforationGastric ulcerPediatricsRJ1-570ENEgyptian Pediatric Association Gazette, Vol 69, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Foreign bodies Button battery Poison Control Centers Emergency Medical Services Esophageal perforation Gastric ulcer Pediatrics RJ1-570
spellingShingle	Foreign bodies Button battery Poison Control Centers Emergency Medical Services Esophageal perforation Gastric ulcer Pediatrics RJ1-570 Olsi Agolli Arjola Agolli Namrata Hange Kuchalambal Agadi Therapeutic dilemma and clinical issues in management of the button battery ingestion: a case report and literature review
description	Abstract The incidence of button battery ingestion in children less than 6 years, from year 1985 to 2019 was 59,000 and it is still a clinical challenge for pediatricians. Objects which are commonly ingested are large amounts of food, coins, toy parts, jewels, batteries, sharp materials and non-metallic sharp objects. It is an increased incidence of mortality and morbidity due to button battery ingestion, compared to accidental ingestion of other objects, due to its small size, and because of its potent source of energy. A literature search was carried out to evaluate the challenges in diagnosing, treatment, and follow-up of button battery ingested cases in children. A total of 36 original articles were included for the review. Conclusions: Button batteries can quickly cause severe damage to the mucosal lining of the GI tract. Esophageal button batteries require emergency removal because they can cause serious complications leading to hemorrhage, and death. In children, where the button battery has passed the esophagus watchful management should be made. In the majority of cases, the button batteries with a diameter less than 2 cm lodged in the stomach will pass spontaneously with no complications. However, asymptomatic children may be followed up with X-rays to assess progression up to 10–14 days after ingestion. Endoscopic or surgical removal may be required to prevent intestinal perforation with peritonitis. Symptomatic children will always need a consultation with a pediatric surgeon for surgery no matter where the button battery is placed in the GI tract. Developing countries shall adopt surveillance and reporting systems for BBI ingestion and related complications and it is recommended as essential to have management protocols in place for button batteries ingestion.
format	article
author	Olsi Agolli Arjola Agolli Namrata Hange Kuchalambal Agadi
author_facet	Olsi Agolli Arjola Agolli Namrata Hange Kuchalambal Agadi
author_sort	Olsi Agolli
title	Therapeutic dilemma and clinical issues in management of the button battery ingestion: a case report and literature review
title_short	Therapeutic dilemma and clinical issues in management of the button battery ingestion: a case report and literature review
title_full	Therapeutic dilemma and clinical issues in management of the button battery ingestion: a case report and literature review
title_fullStr	Therapeutic dilemma and clinical issues in management of the button battery ingestion: a case report and literature review
title_full_unstemmed	Therapeutic dilemma and clinical issues in management of the button battery ingestion: a case report and literature review
title_sort	therapeutic dilemma and clinical issues in management of the button battery ingestion: a case report and literature review
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/bdd03848a3fd4865b9f69ebad1e21b47
work_keys_str_mv	AT olsiagolli therapeuticdilemmaandclinicalissuesinmanagementofthebuttonbatteryingestionacasereportandliteraturereview AT arjolaagolli therapeuticdilemmaandclinicalissuesinmanagementofthebuttonbatteryingestionacasereportandliteraturereview AT namratahange therapeuticdilemmaandclinicalissuesinmanagementofthebuttonbatteryingestionacasereportandliteraturereview AT kuchalambalagadi therapeuticdilemmaandclinicalissuesinmanagementofthebuttonbatteryingestionacasereportandliteraturereview
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Therapeutic dilemma and clinical issues in management of the button battery ingestion: a case report and literature review

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