Button battery ingestions in children.

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Date: Sept. 27, 2021
From: CMAJ: Canadian Medical Association Journal(Vol. 193, Issue 38)
Publisher: CMA Joule Inc.
Document Type: Article
Length: 648 words
Lexile Measure: 1830L

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1 Injuries in children from ingesting button batteries are increasing

Between 1999 and 2019, the United States National Poison Data System reported a 66.7% increase in yearly ingestion of button batteries (6.98 to 10.46 per million population) and a 10-fold increase in complications (0.77% [n = 76] to 7.53% [n = 551]). (1) Button batteries can cause substantial tissue damage within 2 hours of ingestion. (2)

2 The type and size of the ingested battery influence the likelihood of complications

Lithium batteries (given their high voltage) and those 20 mm or larger (which are likely to become lodged in the esophagus) are most dangerous, especially in children younger than 6 years. (2) Complications include gastrointestinal perforation, aortoesophageal fistulas and strictures. (2,3)

3 Urgency of management depends on the location of the battery

Anterior-posterior and lateral radiographs of the chest and abdomen can determine the location of the button battery. Batteries in the esophagus should immediately be removed endoscopically. Management of batteries distal to the lower...

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Source Citation   

Gale Document Number: GALE|A677132930