Summary of 33 Cases of Ingestion of Button Batteries in Our Department and a Study of the Treatment Algorithm

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  • Hino Yuko
    Department of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University
  • Kinoshita Yoshiaki
    Department of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University
  • Takahashi Yoshiaki
    Department of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University
  • Obata Satoshi
    Department of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University
  • Izaki Tomoko
    Department of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University
  • Taguchi Tomoaki
    Department of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University

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Other Title
  • 当科におけるボタン電池誤飲33例の臨床的特徴と治療アルゴリズムの検討
  • トウ カ ニ オケル ボタン デンチ ゴイン33レイ ノ リンショウテキ トクチョウ ト チリョウ アルゴリズム ノ ケントウ

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<p>Purpose: With the popularization of button batteries, many childhood cases of accidental button battery ingestion have been reported, but few treatments have been clearly described. We will summarize 33 cases of accidental ingestion of button batteries in our department and discuss our treatment algorithm.</p><p>Methods: We retrospectively summarized the 33 cases that we experienced treating in our department from 2008 to 2017 on the basis of medical records.</p><p>Results: There were 33 cases (17 boys and 16 girls; median age, 1 year 4 months) involving 37 batteries. There was no marked difference in the battery diameter by age. The battery locations on X-ray images at the initial visit were the esophagus (2), stomach (22), and intestinal tract (13). Regarding the battery diameter by location, significant differences were found between the esophagus and stomach, and between the esophagus and intestinal tract.</p><p>Conclusions: Regarding the treatment strategy for battery ingestion, batteries in the esophagus should be extracted early with an endoscope, and endoscopic observation should be performed after extraction, with reexamination at a later date if possible. Batteries in the stomach should be removed under fluoroscopy or under an endoscope if removal under fluoroscopy is difficult. Patients with batteries in the intestinal tract should be followed up with abdominal X-ray observation if they are not passed after three days. Surgical removal should be considered when symptoms occur regardless of the location of the battery in the digestive tract.</p>

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