Skip Navigation LinksHome > June 2004 - Volume 39 - Issue > P0956 DISC BATTERY INGESTION IN CHILDREN
Journal of Pediatric Gastroenterology & Nutrition:
ABSTRACTS: Poster Session Abstracts

P0956 DISC BATTERY INGESTION IN CHILDREN

Chang, Y. J.1; Chen, S. Y.1; Chao, H. C.1; Lai, M. W.1; Kong, M. S.1

Free Access
Article Outline
Collapse Box

Author Information

1Division of pediatric gastroenterology and hepatology, Chang Gung Children’s Hospital, Taoyuan, Taiwan

Submitted by: r64321@yahoo.com.tw

Introduction: To study the characteristics, outcome, and manegement of disc battery ingestion in children

Methods: We reviewed a 5-year record of children under 15 years old admitted to Chang Gung Children Hospital with disc battery ingestion from September 1997 to July 2003.The diagnosis of disc battery ingestion was based upon history, clinical symptoms and imaging studies. The clinical data reviewed included sex, age, clinical manifestation, hospital course, imaging findings, and endoscopic results.

Results: There were twelve cases (8 males and 4 females) with mean age 1.9 +/− 3.43 years (range, 9 months–5 years). Two patients (16%) had symptoms of vomiting, nausea, and abdominal pain. Two cases (16%) had no history of disc battery ingestion and were accidentally found by X ray studies. Four cases (33 %) had their battery impacted in esophagus and eight cases (67 %) was in stomach. Except for the patient who died suddently, three of the patinets with esophageal foreign bodies were removed sucessfully by endoscopy. For the patients with battery in the stomach, one case (12%) underwent endoscopic removal and the other had the battery spontaneously passed through the gastrointestinal tract within 5days.The diameter of ingested disc battery ranged from 12mm to 23mm. The battery diamter which larger then 2cm are easily impacted in esophagus.The durationof hositalization were from 1 day to 61 days (esophagus mean 21 days, stomach mean 1.25days). There were five patients with complications, three had esophageal mucosa damage(erosion or necorsis), one had gastric mucosa erosion and hemorrhage. One patient with esophageal damage developed tracheoesophageal fistula, and one case was complicated with sudden death.

Conclusion: Most disc battery misswallowing runs an uneventful course.

However, it may be fatal or with serious complications if the battery impacted in esophagus. The larger battery diamter or unknown hisotry with accidental finding are the risk facotr of complications. Emergency endoscopic management and closely follow up was necessay if the disc battery was found in esophagus. Once in stomach, the battery will usually pass through the gastrointestinal tract without difficulty

Back to Top | Article Outline

Reference(s):

1. Paul RI, Christoffel KK, Binns HJ, Jaffe DM. Foreign body ingestion in children: risk of complication varies with sites of initial health care contact. Pediatrics 91:121–127,1993
2. Litovitz TL. Battery ingestion: Product accessibility and clinical course. Pediatrics 1985;(3) 469–476
3. Litovitz T, Schmitz BF. Ingestion of cylindrical and button batteries: an analysis of 2382 cases. Pediatrics 1992 Apr; 89: 747–757

© 2004 Lippincott Williams & Wilkins, Inc.

Login

Article Tools

Share

Connect With Us

 

 

Twitter

twitter.com/JPGNonline

 

Visit JPGN.org on your smartphone. Scan this code (QR reader app required) with your phone and be taken directly to the site.