The management of ingested foreign bodies is a challenging task because each case is unique with multiple varying factors including a patient's age, anatomical considerations, clinical presentation, and the type and location of the foreign body ingested. Additionally, concern over complications associated with button battery ingestion typically drives management decisions. The common practice is the urgent retrieval of the foreign body within two to six hours of presentation. An unusual case is presented here that demonstrated significantly delayed endoscopic removal of an ingested button battery without complication, avoiding the many risks associated with any emergent endoscopic procedure. However, this practice is a case-by-case decision because there is a lack of literature to guide the current management.
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http://dx.doi.org/10.7759/cureus.58327 | DOI Listing |
Background: Foreign body (coins, magnets, button batteries, and metallic foreign bodies) ingestion is common and causes significant morbidity and mortality in children aged six months to three years. Endoscopic removal of swallowed foreign substances is widely accepted, but sedation and general anesthesia may be required to alleviate pain and anxiety during the procedure. Dexmedetomidine is used as a sedative, hypnotic, anxiolytic, and analgesic.
View Article and Find Full Text PDFJ Can Assoc Gastroenterol
December 2024
Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, University of Alberta, Edmonton, AB T6G1C9, Canada.
Background: Button battery ingestions pose a serious threat to paediatric health and are on the rise worldwide. Little is known about Canadian data. This study described the type of button battery ingestions Canadian paediatric physicians have observed, including treatment and complications.
View Article and Find Full Text PDFPaediatr Int Child Health
December 2024
Department of Anaesthesiology, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, China.
Background: Impaction of button batteries (BB) in children is not rare.
Aim: To conduct a systematic review of reports of oesophageal injury caused by impaction of BB in children in China.
Methods: The databases of Wanfang, VIP, China National Knowledge Internet, the Chinese Medical Association Journal and PubMed were searched for reports by Chinese authors of BB impaction published between May 2005 and July 2023.
Cureus
November 2024
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Ingestion of foreign bodies, particularly button batteries (BB), is a common pediatric emergency. Esophageal impaction of BB is associated with life-threatening complications. Damage can be manifested within hours from ingestion; therefore, immediate removal is recommended.
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