Increasing trend of foreign body ‘button cell battery‘ ingestion in children: A retrospective analysis in a tertiary care center

Dr. Vikrant Kumar Sharma; Dr Manish Kumar Tailor; Dr Digvijay Singh Rawat; Dr. P C Verma; Dr Yogesh Aseri; Dr B K Singh

Volume : VII, Issue : VI, June - 2017

Increasing trend of foreign body ‘button cell battery‘ ingestion in children: A retrospective analysis in a tertiary care center

Dr. Vikrant Kumar Sharma, Dr Manish Kumar Tailor, Dr Digvijay Singh Rawat, Dr. P C Verma, Dr Yogesh Aseri, Dr B K Singh

Abstract :

Introduction: Button cell foreign bodies are increasingly presented as foreign bodies in esophagus. Many a time no positive id on button cell and can be mistaken as foreign body coin and delayed for management. Objective: Retrospectively analyze the cases presented with foreign body ingestion in children for foreign body Lithium ion battery button cell in esophagus. To evaluate epidemiology, clinical presentation and duration of presentation, radiological findings, endoscopic findings and complications in such cases. Material and method: Retrospective analysis of patients admitted with foreign body esophagus done. Clinical record of patients with foreign body Button cell batteries was reviewed and compiled in Microsoft Excel sheet and descriptive and percentage analysis was done. Result: 19 such patients presented in the study duration. There were 11 (57.89%) male patients and 8 female patients. History of foreign body battery cell was given by the parents of 10 children. 3 patients presented with respiratory complains. After history and radiological examination in 17 out of 19 patients presence of lithium cell battery was suspected prior to endoscopic removal. In 4 patients severe mucosal injury noted. Conclusion: Foreign body button cell can cause serious injuries to upper aerodigestive tract. These should be promptly removed.