Original articleClinical endoscopyGastric injury secondary to button battery ingestions: a retrospective multicenter review
Section snippets
Methods
We performed a multicenter retrospective study at 4 tertiary care centers from January 2014 through May 2018 with Institutional Review Board approval from each individual site. This time frame was determined based on the availability of electronic medical records at all participating institutions. Chart review identified cases of endoscopic removal of gastric BBs in patients between 0 and 18 years of age. Cases were identified from the following tertiary care institutions: Children’s Hospital
Results
We identified 68 patients from 4 participating institutions who underwent endoscopic retrieval of gastric BBs (Table 1). Of these, 42 (65%) were boys with a median age of 2.5 years (range, 8 months to 16 years). Twenty-one (31%) had an initial evaluation at an outlying facility before referral to 1 of 4 tertiary care centers included in the study. Specifically, 27 cases were treated at Cincinnati Children’s Hospital, 26 at Texas Children’s Hospital, 8 at Children’s Hospital Colorado, and 7 at
Discussion
This is the largest adult or pediatric case series investigating endoscopic findings and adverse events secondary to gastric retention of BBs to date. These data demonstrate that gastric retention of BBs poses a risk of serious injury. Prior published guidelines from the National Capital Poison Center, last revised in June 2018, recommend immediate removal of a gastric BB only if co-ingested with a magnet or if the patient is symptomatic.9 Otherwise, current guidelines from the Poison Control
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Cited by (19)
Severe post-pyloric injury after button battery ingestion: Systematic literature review and case report
2023, Archives de PediatrieBattery Ingestion in Children, an Ongoing Challenge: Recent Experience of a Tertiary Center
2022, Frontiers in Pediatrics
DISCLOSURE: The following authors received research support for this study from the Cystic Fibrosis Foundational Grant Award (no. Khalaf17B0, HAZLET15B0, and HAZLET18D0) and National Institutes of Health Training Grant 5T32-DK067009-12: R. Khalaf, K. Hazleton; National Institutes of Health Training Grant 5T32-DK7664-28: W. Ruan; National Institutes of Health Training Grant NIH 5T32-DK0077-27: S. Orkin; and Sondheimer Fellow Funds (R. Khalaf) from Children’s Hospital Colorado. In addition, the following author disclosed financial relationships: D. S. Fishman: Paid contributor to UpToDate. All other authors disclosed no financial relationships.
See CME section; p. 404.