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Klin Padiatr 2023; 235(02): 90-97
DOI: 10.1055/a-2007-1686
Original Article

Button Battery Ingestions cause the Majority of Severe Complications

A Single-centre Analysis at the Interface of Gastroenterology and PulmonologyKnopfzellbatterien verursachen bei Ingestion die meisten KomplikationenRetrospektive single-center Studie zwischen Gastroenterologie und Pneumologie
Alexander Kiefer 
1   Department of Paediatric Pneumology and Allergy, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, Regensburg, Germany
,
Uta Duppel
1   Department of Paediatric Pneumology and Allergy, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, Regensburg, Germany
,
Alexander Schützenmeier
1   Department of Paediatric Pneumology and Allergy, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, Regensburg, Germany
,
Thomas Lang
2   Department of Paediatrics, Pediatric Gastroenterology, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, Regensburg, Germany
,
Jochen Kittel
2   Department of Paediatrics, Pediatric Gastroenterology, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, Regensburg, Germany
,
Michael Kabesch
1   Department of Paediatric Pneumology and Allergy, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, Regensburg, Germany
,
Sebastian Kerzel
1   Department of Paediatric Pneumology and Allergy, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, Regensburg, Germany
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Abstract

Background Foreign body ingestion in children is a clinically important reason for presentation to the emergency department. The individual outcome ranges from benign spontaneous courses to severe complications. Fatal outcomes occur rarely and complications are related to patient’s age as well as type and location of the foreign body. The aim of our present study was to evaluate the outcome of children and adolescents with foreign body ingestion with a focus on complications, which mainly occurred after button battery ingestion.

Methods We reviewed medical records of patients between 0 and 18 years of age who had presented to the paediatric emergency department of our hospital with suspected foreign body ingestion between January 2011 and March 2021 (123 months). Clinical, imaging, and endoscopic data as well as treatment modalities were analysed.

Results In the ten10 year period under review, a total of 1,162 children and adolescents (6 months – 18 years) presented to our emergency room with suspected foreign body ingestion. Among those, 398 ingestions (34%) could be verified radiologically and/or endoscopically, while in the remaining 764 cases (66%) the suspicion could not be confirmed. The majority of patients with verified ingestion (n=324; 81%) presented with ingestion of a metallic foreign body. We observed 55 cases with verified ingestion of a button battery. Five of these cases had severe complications, with a near-fatal course in two patients who developed an oesophageal-tracheal fistula.

Conclusion In contrast to all other ingestions of foreign bodies in children, button battery ingestions lead to mucosal damage and severe complications in a significant number of children.

Zusammenfassung

Hintergrund Fremdkörperingestionen sind ein häufiger Grund für eine Vorstellung in einer pädiatrischen Notaufnahme. Die Häufigkeit und das Ausmaß möglicher Komplikationen hängt vom Alter des Patienten, der Art des Fremdkörpers und der Lokalisation im Gastrointestinal Trakt ab. Im Rahmen dieser retrospektiven Studie wurden die Verläufe von Kinder- und Jugendlichen mit Fremdkörperingestion ausgewertet. Der Fokus lag hierbei auf den Komplikationen, die vor allem nach Ingestion von Knopfzellbatterien auftraten.

Material und Methoden Über einen Zeitraum von 123 Monaten (Januar 2011 – März 2021) wurden, anhand der Patientenakten, die Daten von Kindern- und Jugendlichen ausgewertet, die mit dem Verdacht auf eine Fremdkörperingestion in der Klinik vorstellig wurden, anhand von Patientenakten ausgewertet.

Ergebnisse Im genannten Zeitraum von 123 Monaten wurden 1162 Kinder- und Jugendliche mit dem Verdacht auf eine Fremdkörperingestion vorstellig. Davon konnte in 398 Fällen (34,3%) eine Ingestion bestätigt werden, in 764 Fällen (65,7%) gelang dies nicht. Mit 81,4% (n=324) stellten metallische Gegenstände die häufigsten nachgewiesenen Ingestionen dar. Bei 55 Patienten wurde die Ingestion einer Knopfzellbatterie bestätigt. Dabei kam es bei fünf Patienten zu schweren Komplikationen, von denen zwei eine Ösophagotracheale Fistel entwickelten.

Zusammenfassung Bei Ingestionen von Knopfzellbatterien kam es, im Gegensatz zu anderen Fremdkörpern, gehäuft zu Mukosaschäden und schweren Komplikationen.

Key words

Foreign body ingestion - children - button batteries - oesophageal-tracheal fistula

Schlüsselwörter

Fremdkörperingestion - Kinder - Knopfzellbatterie - Ösophago-tracheale Fistelpublished online 2023


Publication History

Article published online:
09 February 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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