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Pediatr Emerg Care. 2018 Jun;34(6):443-446. doi: 10.1097/PEC.0000000000001413.

Analysis of Complications After Button Battery Ingestion in Children.

Author information

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.

PMID:
29369262
DOI:
10.1097/PEC.0000000000001413
[Indexed for MEDLINE]

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