Article Text

Download PDFPDF
Highlights from the literature
  1. Neil McConnell,
  2. Rebecca Poole
  1. Paediatric Gastroenterology, Royal Hospital for Children, Glasgow, UK
  1. Correspondence to Dr Neil McConnell, Paediatric Gastroenterology, Royal Hospital for Children, Glasgow G51 4TF, UK; n.mcconnell7{at}gmail.com

Statistics from Altmetric.com

New strategies in mitigating the risks of swallowed button batteries

Button battery ingestion accounts for 8.4% of ingested foreign bodies in children and poses a risk of significant morbidity and mortality. When lodged in the oesophagus, a hydrolysis reaction at the negative pole rapidly causes localised caustic injury leading to severe complications including major haemorrhage. Delayed haemorrhage and perforation can be seen up to 28 days post removal. Current guidelines advocate prompt endoscopic removal within 2 hours. Lerner et al (JPGN 2020, doi: 10.1097/MPG.0000000000002649) discuss the updated guidelines from the American National Capital Poison Center (https://www.poison.org/battery/guideline) on button battery ingestion with the addition of strategies to reduce to tissue damage. These developments have been driven by recent porcine studies which demonstrated reduced tissue damage by neutralising the alkaline tissue environment after battery ingestion, while previous concerns regarding thermal injury from neutralisation measures were unfounded. The new guidelines advocate administering honey and/or sucralfate prior to removal, if less than 12 hours since a suspected or witnessed ingestion. Honey can be administered 10 mL every 10 min up to six times while on route to hospital. In a medical facility, either sucralfate 1 g/10 mL or honey 10 mL can be given every 10 min up to three doses while awaiting radiological confirmation …

View Full Text

Footnotes

  • Contributors Both authors selected papers for inclusion. NM primary author with RP reviewing final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.