Login Register Cart 0
Generic placeholder image

Reviews on Recent Clinical Trials

Editor-in-Chief

ISSN (Print): 1574-8871
ISSN (Online): 1876-1038

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Review Article

Disk Battery Ingestion: A Simple User-Guide

Author(s): Carmine Petruzziello* and Paolo Maurizio Soave

Volume 15, Issue 4, 2020

Page: [328 - 330] Pages: 3

DOI: 10.2174/1574887115666200603163448

Price: $65

Abstract

Introduction: Disk Battery Ingestion (DBI) is a cause of access to the emergency department (ED), especially in pediatric age. This problem, if not well managed, may lead to serious injuries, with several complications involving the gastrointestinal and respiratory tract.

Objective: The aim of this review is to analyze the literature of the last 25 years to make a decisional flow-chart that may help the emergency physician.

Methods: For this review, 36 articles have been analyzed (8 articles and 28 case reports), from 1995 to 2019. Data considered from each study included year of publication, type of study, population studied, type of battery, timing of ingestion, treatment, outcomes, complications.

Results: A decisional flow-chart has been configured. X-ray should be performed as the first step in every stable patient, meanwhile CT scan should be performed in unstable patients. When the battery is still localized in the esophagus, endoscopy should be performed as soon as possible, meanwhile, when the battery is beyond the esophagus, its diameter should be noted before taking a decision.

Conclusion: The use of the flow-chart proposed may reduce the risk of worse consequences and severe injuries for the patients, helping the emergency physician in his decisional process.

Keywords: Disk, battery, ingestion, endoscopy, emergency, flow chart.

« Previous Next »
Graphical Abstract

[1]
Krom H, Elshout G, Hellingman CA, Kindermann A, van Schuppen J, Tabbers MM. Foreign body ingestion in children. Ned Tijdschr Geneeskd 2019, Nov 7; 163.
[2]
Litovitz T, Whitaker N, Clark L, White NC, Marsolek M. Emerging battery-ingestion hazard: Clinical implications. Pediatrics 2010; 125(6): 1168-77.
[http://dx.doi.org/10.1542/peds.2009-3037] [PMID: 20498173]
[3]
Varga Á, Kovács T, Saxena AK. Analysis of complications after button battery ingestion in children. Pediatr Emerg Care 2018; 34(6): 443-6.
[http://dx.doi.org/10.1097/PEC.0000000000001413] [PMID: 29369262]
[4]
Sharpe SJ, Rochette LM, Smith GA. Pediatric battery-related emergency department visits in the United States, 1990-2009. Pediatrics 2012; 129(6): 1111-7.
[http://dx.doi.org/10.1542/peds.2011-0012] [PMID: 22585763]
[5]
Kramer RE, Lerner DG, Lin T, et al. North american society for pediatric gastroenterology, hepatology, and nutrition endoscopy committee. mnagement of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr 2015; 60(4): 562-74.
[http://dx.doi.org/10.1097/MPG.0000000000000729] [PMID: 25611037]
[6]
Khaleghnejad Tabari A, Mirshemirani A, Rouzrokh M, et al. Tracheoesophageal fistula following disc battery ingestion and foreign body impaction. Caspian J Intern Med 2011; 2(4): 336-9.
[PMID: 24551442]
[7]
Leinwand K, Brumbaugh DE, Kramer RE. Button battery ingestion in children: A paradigm for management of severe pediatric foreign body ingestions. Gastrointest Endosc Clin N Am 2016; 26(1): 99-118.
[http://dx.doi.org/10.1016/j.giec.2015.08.003] [PMID: 26616899]
[8]
Young A, Tekes A, Huisman TA, Bosemani T. Spondylodiscitis associated with button battery ingestion: Prompt evaluation with MRI. Neuroradiol J 2015; 28(5): 504-7.
[http://dx.doi.org/10.1177/1971400915611142] [PMID: 26459202]
[9]
Russell RT, Griffin RL, Weinstein E, Billmire DF. Esophageal button battery ingestions: Decreasing time to operative intervention by level I trauma activation. J Pediatr Surg 2014; 49(9): 1360-2.
[http://dx.doi.org/10.1016/j.jpedsurg.2014.01.050] [PMID: 25148737]
[10]
Soto PH, Reid NE, Litovitz TL. Time to perforation for button batteries lodged in the esophagus. Am J Emerg Med 2019; 37(5): 805-9.
[http://dx.doi.org/10.1016/j.ajem.2018.07.035] [PMID: 30054113]
[11]
Litovitz TL. Button battery ingestions. A review of 56 cases. JAMA 1983; 249(18): 2495-500.
[http://dx.doi.org/10.1001/jama.1983.03330420041031] [PMID: 6341633]
[12]
Hoagland MA, Ing RJ, Jatana KR, Jacobs IN, Chatterjee D. Anesthetic implications of the new guidelines for button battery ingestion in children. Anesth Analg 2020; 130(3): 665-72.
[http://dx.doi.org/10.1213/ANE.0000000000004029] [PMID: 30829672]

Rights & Permissions Print Cite
Article Metrics
7
© 2024 Bentham Science Publishers | Privacy Policy