TY - JOUR
T1 - Serious complications after button battery ingestion in children
AU - Krom, Hilde
AU - Visser, Margot
AU - Hulst, Jessie M.
AU - Wolters, Victorien M.
AU - Van den Neucker, Anita M.
AU - de Meij, Tim
AU - van der Doef, Hubert P.J.
AU - Norbruis, Obbe F.
AU - Benninga, Marc A.
AU - Smit, Margot J.M.
AU - Kindermann, Angelika
PY - 2018/7/1
Y1 - 2018/7/1
N2 - Serious and fatal complications after button battery ingestion are increasing worldwide. The aim of this study is to describe serious complications after battery ingestion in children in the Netherlands. All pediatric gastroenterologists in the Netherlands performing upper endoscopies were asked to report all serious complications after battery ingestion in children (0–18 years) between 2008 and 2016 retrospectively. Sixteen serious complications were reported: death after massive bleeding through esophageal-aortal fistula (n = 1), esophageal-tracheal fistula (n = 5), stenosis after (suspected) perforation and mediastinitis (n = 5), (suspected) perforation and mediastinitis (n = 3), vocal cord paralysis (n = 1), and required reintubation for dyspnea and stridor (n = 1). The median time interval between ingestion and presentation was 5 (IQR 2–258) h. All children were ≤ 5 (median 1.4; IQR 0.9–2.1) years. Vomiting (31.3%), swallowing/feeding problems (31.3%), and fever (31.3%) were the most common presenting symptoms; however, 18.8% of the patients were asymptomatic (n = 1 missing). All batteries were button batteries (75% ≥ 20 mm; 18.8% < 20 mm; n = 1 missing). The batteries were removed by esophagogastroduodenoscopy (50%) and rigid endoscopy (37.5%) or surgically (12.5%). Conclusion: Sixteen serious complications occurred after small and large button batteries ingestion between 2008 and 2016 in both symptomatic and asymptomatic children in the Netherlands. Therefore, immediate intervention after (suspected) button battery ingestion is required.What is Known:• Button battery ingestion may result in serious and fatal complications.• Serious and fatal complications after button battery ingestion are increasing worldwide.What is New:• Sixteen serious complications after button battery ingestion occurred during 2008–2016 in children in the Netherlands.• Serious complications were also caused by small batteries (< 20 mm) in the Netherlands and also occurred in asymptomatic Dutch children.
AB - Serious and fatal complications after button battery ingestion are increasing worldwide. The aim of this study is to describe serious complications after battery ingestion in children in the Netherlands. All pediatric gastroenterologists in the Netherlands performing upper endoscopies were asked to report all serious complications after battery ingestion in children (0–18 years) between 2008 and 2016 retrospectively. Sixteen serious complications were reported: death after massive bleeding through esophageal-aortal fistula (n = 1), esophageal-tracheal fistula (n = 5), stenosis after (suspected) perforation and mediastinitis (n = 5), (suspected) perforation and mediastinitis (n = 3), vocal cord paralysis (n = 1), and required reintubation for dyspnea and stridor (n = 1). The median time interval between ingestion and presentation was 5 (IQR 2–258) h. All children were ≤ 5 (median 1.4; IQR 0.9–2.1) years. Vomiting (31.3%), swallowing/feeding problems (31.3%), and fever (31.3%) were the most common presenting symptoms; however, 18.8% of the patients were asymptomatic (n = 1 missing). All batteries were button batteries (75% ≥ 20 mm; 18.8% < 20 mm; n = 1 missing). The batteries were removed by esophagogastroduodenoscopy (50%) and rigid endoscopy (37.5%) or surgically (12.5%). Conclusion: Sixteen serious complications occurred after small and large button batteries ingestion between 2008 and 2016 in both symptomatic and asymptomatic children in the Netherlands. Therefore, immediate intervention after (suspected) button battery ingestion is required.What is Known:• Button battery ingestion may result in serious and fatal complications.• Serious and fatal complications after button battery ingestion are increasing worldwide.What is New:• Sixteen serious complications after button battery ingestion occurred during 2008–2016 in children in the Netherlands.• Serious complications were also caused by small batteries (< 20 mm) in the Netherlands and also occurred in asymptomatic Dutch children.
KW - Button battery
KW - Complications
KW - Foreign body
KW - Ingestion
KW - Pediatrics
UR - http://www.scopus.com/inward/record.url?scp=85046160359&partnerID=8YFLogxK
U2 - 10.1007/s00431-018-3154-6
DO - 10.1007/s00431-018-3154-6
M3 - Article
C2 - 29717359
AN - SCOPUS:85046160359
SN - 0340-6199
VL - 177
SP - 1063
EP - 1070
JO - European Journal of Pediatrics
JF - European Journal of Pediatrics
IS - 7
ER -